Abstract

The appropriate patient for standard abdominoplasty has excessive, loose, sagging abdominal skin; lax abdominal fascial wall; and/or diastasis recti. Preoperative evaluation allows for appropriate selection of the patient for this procedure. Preoperative skin markings in the upright position facilitate an aesthetic result and symmetrical skin resection. The basic abdominoplasty follows a routine procedure: skin undermining, abdominal wall plication, excess skin resection, lipectomy, umbilicoplasty, and final closure with resection of dog ears. It is, necessary that the skin-flap blood supply is preserved as described to prevent skin flap necrosis. Postoperative care is aimed at preventing seroma accumulation.

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