Abstract
Introduction: Fleur-de-lis abdominoplasty is used in vertical and horizontal correction of excess skin. However, determining how much skin to resect can be challenging. In this paper we describe a high-precision skin marking technique for this purpose. Patients and methods: Between April 2012 and June 2016, 24 patients of both sexes were submitted to fleur-de-lis abdominoplasty under peridural anesthesia and sedation, without liposuction, by the same surgeon. Results: The average age was 44 years (range: 23-61). The mean duration of surgery was 144 min (range: 120-160). All scars were adequately aligned. Conclusion: The technique was found to be safe and easy to perform and reproduce. Moreover, high precision helps avoid sinuous and tense scars. Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
Highlights
Fleur-de-lis abdominoplasty is used in vertical and horizontal correction of excess skin
Anchor abdominoplasty was first performed by Weinhold in the early twentieth century
The procedure was later perfected by Somalo (1940), Dufourmentel (1959), Castañares (1967) and Regnald (1975) who introduced the fleur-de-lis design [1,2]
Summary
Fleur-de-lis abdominoplasty is used in vertical and horizontal correction of excess skin. Determining how much skin to resect can be challenging. In this paper we describe a high-precision skin marking technique for this purpose. Anchor abdominoplasty was first performed by Weinhold in the early twentieth century. The procedure was later perfected by Somalo (1940), Dufourmentel (1959), Castañares (1967) and Regnald (1975) who introduced the fleur-de-lis design [1,2]. The procedure corrects excess skin in the vertical and horizontal dimension, but determining the amount of skin to resect can be challenging. The purpose of this study was to provide a stepwise description of a novel technique of skin marking for resection by fleur-delis abdominoplasty in formerly obese patients and identify the advantages associated with it
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