Abstract

Surgeons who perform abdominoplasties today typically use one of three general approaches: a horizontal incision through which it is possible to deal with the ptotic and excess skin in the transverse dimension, a vertical resection that allows access for treating the horizontal excess skin at the level of the waist, or certain techniques that deal with both the transverse and horizontal excess. However, these techniques leave operative scars that prevent the patient from wearing a high-cut bathing suit or high-cut underwear. The abdominoplasty described in this article combines the advantages of the horizontal and vertical techniques. Although a vertical component to the scar is unavoidable in certain cases, the procedure respects the need to limit incisions to sites where they will not be visible when the patient wears a high-cut bathing suit.

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