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Jose Amarante - One of the best experts on this subject based on the ideXlab platform.
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scarpa fascia preservation during Abdominoplasty randomized clinical study of efficacy and safety
Plastic and Reconstructive Surgery, 2013Co-Authors: Antonio Costaferreira, Marco Rebelo, Luis O Vasconez, Alvaro Silva, Jose AmaranteAbstract:BACKGROUND: Scarpa fascia preservation has been suggested as a way of reducing complications associated with conventional Abdominoplasty. A prospective randomized study was conducted to evaluate the effect on results and complications of preserving the Scarpa fascia during a full Abdominoplasty. METHODS: This was a single-center study conducted from August of 2009 to February of 2011. Patients were assigned randomly to one of two procedures: classic full Abdominoplasty (group A) or a similar type of Abdominoplasty except for the preservation of the Scarpa fascia and the deep fat compartment in the infraumbilical area (group B). Four surgeons were involved in the study. Several variables were determined: general characteristics, time to suction drain removal, total volume of drain output, length of hospital stay, systemic complications, local complications, and aesthetic result. RESULTS: A total of 160 full abdominoplasties were performed in women (group A, 80 patients; group B, 80 patients) equally divided by the four involved surgeons. There were no statistically significant differences between groups with respect to general characteristics, complications (except for the seroma rate), and aesthetic result. The Scarpa fascia preservation group had a highly significant reduction of 65.5 percent on the total drain output, 3 days on the time to drain removal, and 86.7 percent on the seroma rate. CONCLUSION: Preservation of the Scarpa fascia during an Abdominoplasty had a beneficial effect on patient recovery, as it reduced the total drain output, time to drain removal, and seroma rate without compromising the aesthetic result.
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scarpa fascia preservation during Abdominoplasty a prospective study
Plastic and Reconstructive Surgery, 2010Co-Authors: Antonio Costaferreira, Marco Rebelo, Luis O Vasconez, Jose AmaranteAbstract:Background: Preservation of the Scarpa fascia has been suggested as a way of lowering complications associated with conventional Abdominoplasty. Objective evidence regarding this strategy is lacking. The purpose of this investigation was to evaluate the effect of preserving the Scarpa fascia in the infraumbilical area during a full Abdominoplasty. Methods: A prospective study was performed at a single center from November of 2005 to November of 2007 of the patients submitted to Abdominoplasty with umbilical transposition. Two groups were identified: group A, classic full Abdominoplasty ; and group B, full Abdominoplasty with preservation of infraumbilical Scarpa fascia. Several variables were determined: age, body mass index, previous surgical procedures, comorbid conditions, specimen weight, time to suction drain removal, total volume of drain output, and length of hospital stay. Results: A total of 208 full abdominoplasties were performed (group A, 143 patients; group B, 65 patients). There was no statistically significant difference between groups with respect to body mass index, previous abdominal operations, comorbid medical conditions, or weight of the surgical specimen (p > 0.05). The group with preservation of the Scarpa fascia had an average reduction of the total amount of drain output of more than 50 percent (p < 0001). This group also had an average reduction of 2.0 days until the time to drain removal (p < 0.001) and 1.9 days of the hospital stay (p < 0.001). Conclusion: Preservation of the Scarpa fascia during Abdominoplasty has a beneficial effect on patient recovery, as it reduces the total drain output, time to drain removal, and length of hospital stay.
Lydia Masako Ferreira - One of the best experts on this subject based on the ideXlab platform.
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Hematological Variables and Iron Status in Abdominoplasty After Bariatric Surgery
Obesity Surgery, 2013Co-Authors: Juan Carlos Montano-pedroso, Elvio Bueno Garcia, Ivan Rene Viana Omonte, Mario Guilherme Cesca Rocha, Lydia Masako FerreiraAbstract:Background Abdominoplasty, the treatment for abdominal wall deformity stemming from weight loss after bariatric surgery, can cause postoperative anemia. Moreover, bariatric surgery has been associated with iron deficiency, which by itself can compromise erythropoiesis. The objective of this research is to describe the development of anemia after postbariatric Abdominoplasty. Methods The study group consisted of 32 adult women who had received bariatric surgery. Treatment group included 20 patients who were undergoing postbariatric Abdominoplasty. Control group included 12 patients waiting for Abdominoplasty. Values of hemoglobin, reticulocytes, iron, ferritin, and the transferrin saturation were obtained on the evening before Abdominoplasty and during the first, fourth, and eighth postoperative weeks. Hemoglobin was measured at 48 h. Results Mean hemoglobin levels for treatment group decreased from 12.98 to 10.8 g/dL after 48 h, increased on day 7 to 11.53 g/dL, but did not increase further after day 7. The reticulocyte number increased in the first week. Serum iron and transferrin saturation index fell during the first week and remained low. Ferritin levels increased non-significantly from 29.77 to 37.24 ng/mL at week 1, then fell until they were decreased (16.44 ng/mL) by day 56. Conclusions As expected, hemoglobin fell after Abdominoplasty. However, after a one-third recovery of hemoglobin concentrations by week 1 postoperative, they failed to return to preoperative levels by the eighth week. Additionally, by the eighth postoperative week, 45 % of Abdominoplasty patients had developed an iron deficiency and hemoglobin deficit that was higher than that of patients who maintained normal iron stocks.
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suction drains quilting sutures and fibrin sealant in the prevention of seroma formation in Abdominoplasty which is the best strategy
Aesthetic Plastic Surgery, 2012Co-Authors: Marcos Eduardo Bercial, Miguel Sabino Neto, Jose Augusto Calil, Luis Antonio Rossetto, Lydia Masako FerreiraAbstract:Background Seroma is the most common complication in Abdominoplasty and abdominal ultrasound is one of the best noninvasive methods for diagnosing seroma formation. The aim of this study was to compare the use of suction drains, quilting sutures, and fibrin sealant in Abdominoplasty to determine the best strategy to prevent seroma formation.
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effects of Abdominoplasty on female sexuality a pilot study
The Journal of Sexual Medicine, 2012Co-Authors: Maria Jose Azevedo De Brito, Fabio Xerfan Nahas, Rodolpho Alberto Bussolaro, Lia Mayumi Shinmyo, Marcus Vinicius Jardini Barbosa, Lydia Masako FerreiraAbstract:ABSTRACT Introduction Changes in the pubic region resulting from Abdominoplasty may have a psychosexual impact. Thus, it is important to study the influence of physical changes on the sexuality of patients after Abdominoplasty. Aim To evaluate the effects of the elevation of the mons pubis and consequent exposure of the clitoris in the vulvar commissure on the sexual functioning and sexual satisfaction of women who underwent Abdominoplasty. Methods Data were presented as mean ± standard deviation. Nineteen women with a mean age of 35 ± 7 years, mean body mass index of 23 ± 2 kg/m 2 and who expressed a desire to undergo Abdominoplasty were selected from consecutive patients attending the abdominal plastic surgery outpatient unit of a university hospital. Main Outcome Measures Physical change (measured by the distance between the xiphoid process and vulvar commissure [xipho‐vc]), sexual functioning, and sexual satisfaction (assessed with the Sexuality Assessment Scale), and body image (measured using the Body Shape Questionnaire [BSQ]) were evaluated preoperatively and 6 months after Abdominoplasty. Results There was a significant reduction ( P = 0.0004; z = −3.53) in the xipho‐vc distance 6 months after Abdominoplasty compared with baseline (mean difference 3.63 ± 2.79 cm), corresponding to an elevation of the mons pubis and consequent exposure of the clitoris. All patients reported a significant improvement in sexual functioning and sexual satisfaction 6 months after Abdominoplasty when compared with baseline ( P = 0.0001; z = −3.83). BSQ scores indicated an improvement in the patients' concerns about body shape ( P = 0.0003; z = −3.58). Conclusion Our results suggest that physical change and the new position of the clitoris may have a positive impact on sexuality. de Brito MJA, Nahas FX, Bussolaro RA, Shinmyo LM, Barbosa MVJ, and Ferreira LM. Effects of Abdominoplasty on female sexuality: A pilot study. J Sex Med 2012;9:918–926.
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Abdominoplasty and its effect on body image self esteem and mental health
Annals of Plastic Surgery, 2010Co-Authors: Maria Jose Azevedo De Brito, Fabio Xerfan Nahas, Marcus Vinicius Jardini Barbosa, Gal Moreira Dini, Alexandro Kenji Kimura, Andreia Bufoni Farah, Lydia Masako FerreiraAbstract:The impact of Abdominoplasty on the quality of life of Abdominoplasty patients was assessed 1- and 6-months postoperatively. Forty women aged 25 to 60 years were divided into study group (25 patients who underwent Abdominoplasty) and waiting-list control group (15 patients). Three questionnaires (Body Shape Questionnaire [BSQ], Rosenberg Self-Esteem Scale [RSE/UNIFESP], and Short Form 36 Health Survey Questionnaire [SF-36]) were administered to the study group (preoperatively, 1- and 6-months postoperatively) and control group (on 2 occasions 6 months apart). A significant positive impact on body image, self-esteem, and mental health was found 1- and 6-months postoperatively. Significant differences were observed in role physical, role emotional, and vitality 1-month postoperatively. In the control group, significant differences were found for vitality. There was a significant improvement in Comparative perception of body image (6-month assessment) in the study group compared with controls. Abdominoplasty improved body image, self-esteem, and mental health.
Alan Matarasso - One of the best experts on this subject based on the ideXlab platform.
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Traditional Abdominoplasty.
Clinics in plastic surgery, 2020Co-Authors: Alan MatarassoAbstract:The introduction of liposuction in the 1980s permanently altered the landscape of body contour surgery. The abdomen became a ''group'' of contour procedures that were referred to as the abdominolipoplasty system of classification and treatment (Types I-IV). This article describes a full (Type IV) Abdominoplasty with or without liposuction is performed. When extensive abdominal liposuction is performed in conjunction with a full Abdominoplasty, it is also known as lipoAbdominoplasty. The article also describes 10 "special situations" in the Abdominoplasty population.
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combined breast surgery and Abdominoplasty strategies for success
Plastic and Reconstructive Surgery, 2015Co-Authors: Alan Matarasso, Darren M SmithAbstract:: Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining Abdominoplasty with other procedures originates from Abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications. As surgeons began combining Abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. Prevention of venous thromboembolism became a paramount concern. The authors perform Abdominoplasty in conjunction with other procedures more frequently than in isolation, reflecting broader societal demand. Indeed, because of the effects of pregnancy and aging, Abdominoplasty is being performed in conjunction with breast surgery with frequency sufficient to have driven the term "mommy makeover" into mainstream parlance. Consideration regarding length of surgery and the other recommendations in this report allows for the safe and successful execution of this common combination.
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Abdominoplasty and abdominal contour surgery a national plastic surgery survey
Plastic and Reconstructive Surgery, 2006Co-Authors: Alan Matarasso, Richard W Swift, Marlene RankinAbstract:Background:According to the American Society for Aesthetic Plastic Surgery's 2004 Cosmetic Surgery National Data Bank, during the last 7 years, the number of Abdominoplasty procedures performed has increased 344 percent. A national report on Abdominoplasty has not been since 1977. Grazer and Goldwyn
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Classification and patient selection in Abdominoplasty
Operative Techniques in Plastic and Reconstructive Surgery, 1996Co-Authors: Alan MatarassoAbstract:Abdominal contour surgery is currently characterized by a group of procedures, corresponding to variations in individual anatomy. Patient selection is based on an assessment of the soft-tissue layers according to the abdominolipoplasty system of classification and treatment, correlated with the patient's goals. Using these methods, a choice of alternatives that include: liposuction, limited abdominoplasties, and full Abdominoplasty (with or without suction-assisted lipectomy) (types I–IV); or for certain individuals, minimal-access variations in Abdominoplasty [extended liposuction (type 1a), open mini-Abdominoplasty (type 2a), and endoscopic or muscle access Abdominoplasty (type 3a)] are applicable to a spectrum of disorders. In this article, we discuss this concept of staging patients and how it is used to determine treatment alternatives, as well as specific technical considerations necessary to achieving an optimal outcome.
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Minimal-access Variations in Abdominoplasty
Annals of Plastic Surgery, 1995Co-Authors: Alan MatarassoAbstract:: The use of liposuction began a trend toward less invasive abdominal contour surgery and resulted in a variety of techniques based on individual anatomy. An analysis of 170 patients was undertaken to determine which patients benefited from even less invasive techniques that evolved from these concepts. The selection criteria used were based on the physical examination of the skin, fat and muscle layers, and patients' goals, willingness to accept incisions, and tolerance for the recovery period. The options used for this new category of treatment were subtypes of the abdominolipoplasty system (type 1, suction-assisted lipectomy; type 2, miniAbdominoplasty; type 3, modified Abdominoplasty; type 4, full Abdominoplasty) and included extended liposuction (type 1a); "open" miniAbdominoplasty (type 2a); and endoscopically assisted or muscle access Abdominoplasty (type 3a). Also included in this series were patients whose procedures were downstaged to a less extensive alternative and cases during which the Abdominoplasty incision was used for access for another operation. All procedures resulted in smaller or fewer incisions. Results suggested that the current period (1991-present) is marked by less invasive treatment options, characterized by a preponderance of "closed" techniques (60% vs. 40%: 1986-1991). With the availability of technology to treat muscle and adipose tissue through inconspicuous incisions, judgment regarding the capability of the skin to recontour becomes the overriding physical factor in the decision-making process. The outcomes support the conclusion that minimal-access variations in Abdominoplasty are appropriate alternatives, reflecting a philosophical alteration in the approach to patients.
Antonio Costaferreira - One of the best experts on this subject based on the ideXlab platform.
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scarpa fascia preservation during Abdominoplasty randomized clinical study of efficacy and safety
Plastic and Reconstructive Surgery, 2013Co-Authors: Antonio Costaferreira, Marco Rebelo, Luis O Vasconez, Alvaro Silva, Jose AmaranteAbstract:BACKGROUND: Scarpa fascia preservation has been suggested as a way of reducing complications associated with conventional Abdominoplasty. A prospective randomized study was conducted to evaluate the effect on results and complications of preserving the Scarpa fascia during a full Abdominoplasty. METHODS: This was a single-center study conducted from August of 2009 to February of 2011. Patients were assigned randomly to one of two procedures: classic full Abdominoplasty (group A) or a similar type of Abdominoplasty except for the preservation of the Scarpa fascia and the deep fat compartment in the infraumbilical area (group B). Four surgeons were involved in the study. Several variables were determined: general characteristics, time to suction drain removal, total volume of drain output, length of hospital stay, systemic complications, local complications, and aesthetic result. RESULTS: A total of 160 full abdominoplasties were performed in women (group A, 80 patients; group B, 80 patients) equally divided by the four involved surgeons. There were no statistically significant differences between groups with respect to general characteristics, complications (except for the seroma rate), and aesthetic result. The Scarpa fascia preservation group had a highly significant reduction of 65.5 percent on the total drain output, 3 days on the time to drain removal, and 86.7 percent on the seroma rate. CONCLUSION: Preservation of the Scarpa fascia during an Abdominoplasty had a beneficial effect on patient recovery, as it reduced the total drain output, time to drain removal, and seroma rate without compromising the aesthetic result.
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scarpa fascia preservation during Abdominoplasty a prospective study
Plastic and Reconstructive Surgery, 2010Co-Authors: Antonio Costaferreira, Marco Rebelo, Luis O Vasconez, Jose AmaranteAbstract:Background: Preservation of the Scarpa fascia has been suggested as a way of lowering complications associated with conventional Abdominoplasty. Objective evidence regarding this strategy is lacking. The purpose of this investigation was to evaluate the effect of preserving the Scarpa fascia in the infraumbilical area during a full Abdominoplasty. Methods: A prospective study was performed at a single center from November of 2005 to November of 2007 of the patients submitted to Abdominoplasty with umbilical transposition. Two groups were identified: group A, classic full Abdominoplasty ; and group B, full Abdominoplasty with preservation of infraumbilical Scarpa fascia. Several variables were determined: age, body mass index, previous surgical procedures, comorbid conditions, specimen weight, time to suction drain removal, total volume of drain output, and length of hospital stay. Results: A total of 208 full abdominoplasties were performed (group A, 143 patients; group B, 65 patients). There was no statistically significant difference between groups with respect to body mass index, previous abdominal operations, comorbid medical conditions, or weight of the surgical specimen (p > 0.05). The group with preservation of the Scarpa fascia had an average reduction of the total amount of drain output of more than 50 percent (p < 0001). This group also had an average reduction of 2.0 days until the time to drain removal (p < 0.001) and 1.9 days of the hospital stay (p < 0.001). Conclusion: Preservation of the Scarpa fascia during Abdominoplasty has a beneficial effect on patient recovery, as it reduces the total drain output, time to drain removal, and length of hospital stay.
Karol A. Gutowski - One of the best experts on this subject based on the ideXlab platform.
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Evidence-Based Medicine: Abdominoplasty.
Plastic and Reconstructive Surgery, 2017Co-Authors: Karol A. GutowskiAbstract:Learning objectives After reading this article, the participant should be able to: 1. Differentiate between techniques for standard Abdominoplasty and lipoAbdominoplasty. 2. Assess patients for risk associated with Abdominoplasty alone and combined with other procedures. 3. Implement newer modalities for Abdominoplasty perioperative pain management. 4. Better understand the implications and techniques for rectus diastasis correction by rectus sheath plication. 5. Understand the evidence for eliminating the need for drains in Abdominoplasty. Summary This update to past Maintenance of Certification articles offers new perspectives and builds on past knowledge regarding patient assessment, perioperative management, surgical execution, and complications of Abdominoplasty.
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benchmarking outcomes in plastic surgery national complication rates for Abdominoplasty and breast augmentation
Plastic and Reconstructive Surgery, 2011Co-Authors: Amy K Alderman, Dale E Collins, Rachel Streu, James C Grotting, Amy L Sulkin, Peter C Neligan, Phillip C Haeck, Karol A. GutowskiAbstract:Background: The authors evaluated the use of national databases to track surgical complications among Abdominoplasty and breast augmentation patients. Methods: Their study population included all patients with Abdominoplasty or breast augmentation in the Tracking Operations and Outcomes for Plastic Surgeons (TOPS) and CosmetAssure databases from 2003 to 2007. They evaluated the incidence of hematoma, infection, and/or deep venous thrombosis/pulmonary embolism. Chi-square and t tests were used for the analyses. Results: The TOPS and CosmetAssure databases included 7310 and 3350 patients with Abdominoplasty and 30,831 and 14,227 patients with breast augmentation, respectively. In the TOPS and CosmetAssure populations, the complication rates for Abdominoplasty were 0.9 percent and 0.5 percent with hematoma (p = 0.29), 3.5 percent and 0.7 percent with infection (p < 0.001 ) , and 0.3 percent and 0.1 percent with deep venous thrombosis/pulmonary embolism (p = 0.05), respectively. The complication rates for breast augmentation in TOPS and CosmetAssure were 0.6 percent and 0.7 percent with hematoma (p = 0.21), 0.3 percent and 0.1 percent with infection (p < 0.001), and 0.02 percent and less than 0.01 percent with deep venous thrombosis/pulmonary embolism (p = 0.31), respectively. Conclusions: Complication rates for Abdominoplasty and breast augmentation were similar in TOPS and CosmetAssure, providing a measure of cross-validation. The low complication rates support the safety of these procedures when they are performed by plastic surgeons. These data should be used by individual practitioners for outcomes benchmarking.
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benchmarking outcomes in plastic surgery national complication rates for Abdominoplasty and breast augmentation outcomes article
Plastic and Reconstructive Surgery, 2009Co-Authors: Amy K Alderman, Dale E Collins, Rachel Streu, James C Grotting, Amy L Sulkin, Peter C Neligan, Phillip C Haeck, Karol A. GutowskiAbstract:Background:The authors evaluated the use of national databases to track surgical complications among Abdominoplasty and breast augmentation patients.Methods:Their study population included all patients with Abdominoplasty or breast augmentation in the Tracking Operations and Outcomes for Plastic Sur
