Lipoabdominoplasty represents a change of traditional concepts about undermining. It can be performed through limited undermining, by using a liposuction cannula to move the flap down.
Before this new concept, it wasn’t safe to perform lipoplasty and abdominoplasty at the same surgical time.
In this lecture we can see that now it is quite safe to perform them together and even get better results because this approach preserves almost all perforating vessels of the abdomen, branches of the deep epigastrics – superior and inferior ones.
Also it maintains all abdominal anatomic structures, including the Scarpa fascia, which has a fundamental importance to decrease the postoperative edema, because the lymphatic vessels are preserved.
Finally, it results in fewer complications and surgical revisions.
Baker Gordon Symposium on Cosmetic Surgery.