Abdominoplasty with circumferential liposuction: a review of 1000 consecutive cases

Background: Authors present the technique called 'abdominoplasty with concurrent circumferential liposuction' where the whole trunk is addressed as a single aesthetic unit. Materials and methods: Between January 2008 and June 2016, abdominoplasty with circumferential liposuction was performed in 1000 patients (984 female, 16 male) by the senior author. Patients had a mean body mass index of 27.5 (range: 18.1-34.5). Liposuction was performed circumferentially and the abdominal flap was detached up to the costal margins. Simultaneous fat grafting was also performed if required. Outcomes, and complications were documented. Results: Traditional abdominoplasty incisions were used in 359 patients (Fig. 1 A), whereas extended incisions were utilized in 641 patients(Fig. 1 B). The mean duration of follow-up was 27 months (12 days to 61 months) and the mean duration of surgery was 154 minutes (109-260 min). The mean amount of simultaneously aspired supernatant lipoaspirate was 1940 cc (1700-4580 cc ). Simultaneous gluteal fat grafting was performed in 34%. None of the patients had any skin necrosis. The most common complication was seroma. (19%). Conclusion: In abdominoplasty, the entire central body should be considered as a single unit. Circumferential widespread liposuction with standard undermining of the abdominal flap up to the costal margins is both safe and yields superior aesthetic outcomes. Financial Disclosure and Products: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript. Author Contact Information: Sadri Ozan Sozer, Address: 651 S. Mesa Hills, El Paso, Texas 79912, El Paso Cosmetic Surgery, Phone: +1 915-351-1116 Mobile: +1 915-525-0176, E-mail: ozansozer@gmail.com ©2018American Society of Plastic Surgeons

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