Management of upper abdominal laxity after massive weight loss: reverse abdominoplasty and inframammary fold reconstruction

Aesthetic Plastic Surgery
Siamak Agha-Mohammadi, Dennis J Hurwitz

Abstract

Central to body contouring after weight loss surgery is treatment of the abdominal region, often through a circumferential abdominoplasty. This procedure, however, neglects the laxity of the lower thoracic/upper abdominal region. A reverse abdominoplasty with reconstruction of a new inframammary fold (IMF) corrects this deformity through removal of excess skin along the IMF. Since 2002, we have performed 88 reverse abdominoplasty procedures within the context of a single or staged total-body lift (TBL). A retrospective chart review of 129 TBL cases indicated that 88 patients had a combined or staged reverse abdominoplasty and circumferential abdominoplasty. Complication rates were noted as localized or generalized. Fifty-three of our patients had combined reverse abdominoplasty and circumferential abdominoplasty and 35 had the reverse abdominoplasty during a second stage. The complication rates for both groups were about 5% per patient per procedure with differences that were not statistically significant. Also, the revision rates for reverse abdominoplasty and circumferential abdominoplasty were similar for both groups, indicating patient satisfaction with the procedures. In selected patients, effective treatment of the abdomi...Continue Reading

References

May 1, 1979·Annals of Plastic Surgery·R BaroudiC G Carvalho
Sep 1, 1977·International Surgery·C Rebello, T Franco
Apr 21, 2004·Annals of Plastic Surgery·Dennis J Hurwitz
Apr 28, 2006·Annals of Plastic Surgery·Dennis J Hurwitz, Siamak Agha-Mohammadi
Jun 15, 2006·Plastic and Reconstructive Surgery·Berish StrauchThomas Baum
Jul 29, 2006·Plastic and Reconstructive Surgery·Rod J RohrichJayne Coleman
Jul 25, 2008·Annals of Plastic Surgery·Gerrit J Halbesma, Berend van der Lei
Dec 4, 2008·Plastic and Reconstructive Surgery·Siamak Agha-Mohammadi, Dennis J Hurwitz
May 14, 2010·Aesthetic Plastic Surgery·Siamak Agha-Mohammadi, Dennis J Hurwitz

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Citations

Aug 17, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ulrich M RiegerGerhard Pierer
Nov 22, 2014·Plastic and Reconstructive Surgery·Dennis J Hurwitz
Jul 25, 2019·Plastic and Reconstructive Surgery. Global Open·Abdulaziz AsiryCharlotte Vaysse
Jul 28, 2019·Annales de chirurgie plastique et esthétique·N IsolaN Bertheuil

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