Assisted liposuction with abdominoplasty versatility and results

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Background Abdominoplasty is an important and common procedure in plastic surgery; the final results may not always be esthetically pleasing. To overcome these problems, abdominoplasty has been paired with liposuction, which amazingly led to a lower complication rate. The procedure has been updated to prove, in its current form, to be trouble-free. Aim The aim of this study was to evaluate the safety and surgical outcome of assisted abdominoplasty with liposuction for abdominal contouring. Patients and methods A total of 30 female patients underwent assisted liposuction with abdominoplasty in the Banha University Hospital. All patients indicated for traditional abdominoplasty were selected from the plastic surgery outpatient clinic for this procedure; all had generalized abdominal lipodystrophy, skin laxity, and musculoaponeurotic flaccidity. Results In 11 (36.7%) cases, we observed the presence of seroma, and it was solved with aspiration with a syringe. There were five (6.7%) cases of umbilical complications and two cases of wound dehiscence, and secondary suturing was done. The superior and inferior borders were effectively accommodated, because of the uniform thickness of the fatty tissue as a result of liposuction. Consequently, we observed that there was a low incidence of ‘dog-ear’ deformity, which was managed by liposuction and the final scar was shorter. We also observed an improvement in the body shape and in the body contour with marked improvement in subcostal, umbilical, and suprapubic girths, resulting in a more youthful abdomen. Conclusion Combining abdominoplasty and abdominal liposuction is a safe procedure that achieves gratifying results. It promotes a more youthful abdominal silhouette, better matching between the abdominal flap and the pubis, and a shorter scar. We believe that it is a safer way to treat the abdominal region than classical abdominoplasty and has a fewer complications.