Abdominoplasti: Güncel Konseptler

Year 2024, Volume: 15 Issue: 3, 501 - 505, 30.09.2024

Ömer Faruk Taner

https://doi.org/10.18663/tjcl.1521751

Abstract

Karın germe ameliyatları bariatrik cerrahi girişimlerinin artması nedeni ile son dönemde yeniden sık yapılan ameliyatlar arasına girmiştir. Bu cerrahi, estetik olduğu kadar fonksiyonel amaçlar güdülerek de yapılmaktadır. Abdominoplasti yapmak için kullanılan farklı cerrahi teknikler vardır. Çoğu teknik, karnın alt kısmındaki derinin eksizyonuna ve ortaya çıkan defekti örtmek için karnın üst kısmındaki derinin gerilmesine dayanır. Her hastaya tek tekniğin uygulanması mümkün değildir. Teknik seçiminde hastanın özenli değerlendirilmesi esastır. Liposuction tekniklerinin gelişimi cerrahi girişime çok büyük bir destek olmuştur. Bu yazıda abdominoplastinin bugüne kadar olan gelişimi, liposuction tekniklerinden bahsedilmiştir. Ayrıca, liposuction tekniklerinin gelişiminden önce abdominal flebin tanjansiyel eksizyonu ile abdominal flep kalınlığını azaltmaya yönelik cerrahi yaklaşımın sonuçları paylaşılmıştır. Karın şekillendirme prosedürleri hastalara sadece imajlarında bir düzelme sağlamaz aynı zamanda yaşam kalitelerinde bir iyileşmede sağlar. Birçok seçeneğe rağmen, her hastanın ihtiyacı ve talepleri değerlendirilerek hem güvenli hem de etkili bir vücut şekillendirme prosedürü seçmek esastır.

Keywords

Abdominoplasti, liposuction, bariatrik cerrahi

An Overview of Abdominoplasty

Abstract

The number of tummy tuck surgeries has recently increased significantly, largely due to the rise in bariatric surgery procedures. This surgical procedure is undertaken for both functional and aesthetic reasons. Several surgical techniques may be employed in the performance of an abdominoplasty. Most techniques are based on the excision of the skin in the lower abdomen and the stretching of the skin in the upper abdomen to cover the resulting defect. It is not feasible to utilize a singular technique for each patient. A meticulous assessment of the patient is imperative in determining the optimal technique. The advent of liposuction has provided a valuable adjunct to surgical intervention. This article outlines the evolution of abdominoplasty and the role of liposuction techniques in its development. Furthermore, the outcomes of the surgical method for reducing abdominal flap thickness by tangential excision of the abdominal flap before the advent of liposuction techniques are presented. Abdominal contouring procedures offer patients not only an enhancement in their appearance but also an improvement in their quality of life. Despite the numerous options, it is crucial to select a body contouring procedure that is safe and effective by evaluating the needs and expectations of each patient.

Keywords

Abdominoplasty, liposuction, bariatric surgery

References

• Seeras, K., et al., Anatomy, Abdomen and Pelvis: Anterolateral Abdominal Wall, in StatPearls. 2024, StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.: Treasure Island (FL).
• Fukano, M., et al., Recovery of Abdominal Muscle Thickness and Contractile Function in Women after Childbirth. Int J Environ Res Public Health, 2021. 18(4).
• Nahabedian, M.Y., Management Strategies for Diastasis Recti. Semin Plast Surg, 2018. 32(3): p. 147-154.
• Rassam, M. and B. Davoudi, Abdominoplasty Surgery. Eurasian Journal of Chemical, Medicinal and Petroleum Research, 2024. 3(3): p. 703-713.
• Baroudi, R., E.M. Keppke, and F.T. Netto, Abdominoplasty. Plast Reconstr Surg, 1974. 54(2): p. 161-8.
• Ramirez, A.E., et al., Abdominoplasty: My Preferred Techniques. Annals of Plastic Surgery, 2021. 86(3S).
• Lockwood, T., High-lateral-tension abdominoplasty with superficial fascial system suspension. Plast Reconstr Surg, 1995. 96(3): p. 603-15.
• O'Kelly, N., et al., Standards and Trends in Lipoabdominoplasty. Plast Reconstr Surg Glob Open, 2020. 8(10): p. e3144.
• Shestak, K.C., The extended abdominoplasty. Clin Plast Surg, 2014. 41(4): p. 705-13.
• Shiffman, M.A. and S. Mirrafati, Aesthetic Surgery of the Abdominal Wall. 2005: Springer Berlin Heidelberg.
• Khansa, I. and J.E. Janis, The 4 Principles of Complex Abdominal Wall Reconstruction. Plast Reconstr Surg Glob Open, 2019. 7(12): p. e2549.
• Regan, J.P. and J.T. Casaubon, Abdominoplasty, in StatPearls. 2024, StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.: Treasure Island (FL).
• Markman, B., Anatomy and physiology of adipose tissue. Clin Plast Surg, 1989. 16(2): p. 235-44.
• Zwick, R.K., et al., Anatomical, Physiological, and Functional Diversity of Adipose Tissue. Cell Metab, 2018. 27(1): p. 68-83.
• Samra, S., et al., Complication rates of lipoabdominoplasty versus traditional abdominoplasty in high-risk patients. Plast Reconstr Surg, 2010. 125(2): p. 683-690.
• Vieira, B.L., et al., Is There a Limit? A Risk Assessment Model of Liposuction and Lipoaspirate Volume on Complications in Abdominoplasty. Plast Reconstr Surg, 2018. 141(4): p. 892-901.
• Baroudi, R., Body Sculpturing. Clinics in Plastic Surgery, 1984. 11(3): p. 419-445.
• Taner, O.F., Abdominoplasty Ameliyatlarında "Tangential Excision" Yöntemi, in Plastic Surgery Clinic. 1989, T.C. Ministiry of Health.
• Illouz, Y.G., A new safe and aesthetic approach to suction abdominoplasty. Aesthetic Plast Surg, 1992. 16(3): p. 237-45.
• Brauman, D., R. van der Hulst, and B. van der Lei, Liposuction Assisted Abdominoplasty: An Enhanced Abdominoplasty Technique. Plast Reconstr Surg Glob Open, 2018. 6(9): p. e1940.
• Kanjoor, J.R. and A.K. Singh, Lipoabdominoplasty: An exponential advantage for a consistently safe and aesthetic outcome. Indian J Plast Surg, 2012. 45(1): p. 77-88.
• Rangaswamy, M., Lipoabdominoplasty: A versatile and safe technique for abdominal contouring. Indian J Plast Surg, 2008. 41(Suppl): p. S48-55.
• Smith, L.F. and L.F. Smith, Jr., Safely combining abdominoplasty with aggressive abdominal liposuction based on perforator vessels: technique and a review of 300 consecutive cases. Plast Reconstr Surg, 2015. 135(5): p. 1357-1366.
• Flores González, E.A., et al., A New Surgical Approach to Body Contouring. Plast Reconstr Surg Glob Open, 2021. 9(5): p. e3540.
• Matarasso, A., Abdominolipoplasty: a system of classification and treatment for combined abdominoplasty and suction- assisted lipectomy. Aesthetic Plast Surg, 1991. 15(2): p. 111-21.
• Heller, J.B., et al., Outcome analysis of combined lipoabdominoplasty versus conventional abdominoplasty. Plast Reconstr Surg, 2008. 121(5): p. 1821-1829.
• Ahmad, J., et al., The American Society for Aesthetic Plastic Surgery (ASAPS) Survey: Current Trends in Liposuction. Aesthetic Surgery Journal, 2011. 31(2): p. 214-224.
• Collins, P.S. and K.E. Moyer, Evidence-Based Practice in Liposuction. Ann Plast Surg, 2018. 80(6S Suppl 6): p. S403-s405.
• Saldanha, O.R., et al., Lipoabdominoplasty. Plast Reconstr Surg, 2009. 124(3): p. 934-942.