Repair of the Severe Muscle Aponeurotic Abdominal Laxity with Alloplastic Mesh in Aesthetic Abdominoplasty

Aesthetic Plastic Surgery
Alberto M L CaldeiraJohn Jaulis

Abstract

Abdominoplasty is the most frequently performed surgical procedure for body contour; in our experience, we have observed some patients with prominent bulging that is difficult to treat and that presents results that are unsatisfactory or have recurrences to conventional treatments. This leads us to carry out an analysis of the elements responsible for the containment and abdominal format. We determined that it may be due to an inability of an important sagging aponeurotic muscle of primary origin to support the abdomen and could be caused by predisposing factors. For these specific cases, we developed a treatment proposing the use of a mesh. We present these cases over a period of 24 years. Fourteen patients were treated with primary and secondary abdominoplasties. The abdominal wall reinforcement was performed by placing polypropylene mesh at the sub-muscular plane, fixed with U-stitches on the fascia transversalis, seeking to strengthen the muscle and the fascia transversalis. The results were satisfactory after long-term observation, gaining resolution of the abdominal bulges. Only two complications occurred; the presence of localized chronic pain and the appearance of umbilical fistula. We emphasize the importance of avoidi...Continue Reading

References

Dec 1, 1965·American Journal of Surgery·E JacobsA D Hall
Jan 1, 1984·Aesthetic Plastic Surgery·S CarreirãoI Pitanguy
Dec 1, 1978·Aesthetic Plastic Surgery·J M Psillakis
Apr 4, 2014·Aesthetic Plastic Surgery·Stefan DanillaSergio Sepúlveda

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Citations

Mar 1, 2019·Plastic and Reconstructive Surgery·David J Boudreault, David A Sieber
Mar 19, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bruce KatzDilyana Kenolova
Apr 4, 2019·Aesthetic Plastic Surgery·Alberto M L CaldeiraJohn Jaulis
Feb 23, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Liza Van KerckhovenKatarina Segers
Aug 10, 2021·Plastic and Reconstructive Surgery. Global Open·Rachita SoodGregory A Dumanian

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