The Triangular technique for abdominal myofascial plication.

Abstract

Abstract:Introduction: Abdominoplasty has two main principles: First: removal of abdominal wall excess fat and skin. Second: narrowing of the waistline. Myofascial plication is a fundamental part of abdominoplasty that is done by most surgeons to strengthen the weakened abdominal wall as well to achieve a narrow waistline. Despite numerous techniques were depicted for anterior abdominal wall plication, there is no general agreement among plastic surgeons about the ideal technique. In this article, the authors are demonstrating and evaluating the triangular technique for myofascial plication. Patients and Methods: Between January 2019 and February 2020, the authors applied the triangle plication technique on 19 women with rectus muscle diastasis who underwent anterior abdominal wall plication as a part of conventional abdominoplasty. The patients were followed up for 7-12 months post-operative. The results were assessed mainly by measuring the reduction in the waist to hip ratio, patients' satisfaction on a scale of 0 to 10, and by an external observer using the Global Aesthetic Improvement SCORE (GAIS). Results:Patients’ satisfaction, were graded as excellent in 95% of cases and the GAIS ranged between 4 – 5 in 95% of cases with 17.3% average reduction of ratio waist to hip measures and 19.3% average reduction of the vertical length of the rectus sheath.Conclusion:Abdominal myofascial triangular plication is a simple technique that results in improvement of the trunk contour with a narrower waistline and facilitates tension-free closure of abdominoplasty incision and with high patients’ satisfaction rates. Keyword: Abdominoplasty, Myofascial, Plication, triangle technique