Ananda A Dorai
Plastic Surgeon, Malaysia
Title: Lipo-abdominoplasty : A safe and effective technique
Biography
Biography: Ananda A Dorai
Abstract
Lipoabdominoplasty is a technique which combines liposuction with abdominoplasty in a single operation. It is a safe and effective technique which delivers excellent aesthetic results. Lipoabdominoplasty has minimal morbidity and offers excellent patient satisfaction. A retrospective study was conducted from January 2015 to March 2018 (39 months) on all lipoabdominoplasty cases. A total of 26 cases were identified. There were 21 (80.7%) female and 5 (19.2%) male patients. Mean age was 40.38 years with a range from 19-64 years. Mean Body Mass Index (BMI) was 28.7 (range from 21.5-38.9). Mean volume of fat aspirated was 1451.9 cc (range 100-3950 cc). A total of 5 (19.2%) cases had seroma post operatively which was treated conservatively by aspiration. Three cases of seroma had BMI of more than 35. There was no seroma in any case with BMI of <25. Progressive tension suturing was performed in 15 cases. The incidence of seroma with the progressive tension suturing technique was 6.6% (1 case), compared to 36.3% in the non-progressive tension suturing group (4 cases). No case of wound dehiscence or wound infection was noted. Lipoabdominoplasty can be effectively used to contour the abdomen and produce an aesthetically pleasing result. The incidence of seroma is higher in cases with BMI of over 35. Progressive tension suturing and selective medial undermining of the abdominal skin flap may reduce the incidence of seroma in future cases.
