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Progressive Tension Sutures: A Technique to Reduce Local Complications in Abdominoplasty

Pollock, Harlan M.D.; Pollock, Todd M.D.

Plastic and Reconstructive Surgery: June 2000 - Volume 105 - Issue 7 - p 2583-2586
Cosmetic Section: Techniques in Cosmetic Surgery

Abdominoplasty has evolved as a very effective and satisfactory procedure, especially when combined with liposuction and the repair of diastasis recti. However, local complications, including hematoma and seroma formation, flap necrosis, and hypertrophic scars, continue to plague this procedure. The authors present a relatively simple and reproducible technique that allows extensive liposuction in conjunction with abdominoplasty; they think this technique reduces the incidence of local complications. This technique, the use of progressive tension sutures, has been used in their practice for more than 15 years. A retrospective review of 65 consecutive abdominoplasty patients demonstrates a very low local complication rate when compared with historical controls. In this series of both full and modified abdominoplasty patients who were followed for an average of 18 months, the authors had no hematomas, seromas, or skin flap necrosis.

Dallas, Texas

From the University of Texas Southwestern Medical Center.

Received for publication June 28, 1999;

revised December 13, 1999.

Harlan Pollock, M.D. 8305 Walnut Hill Lane, Suite #210 Dallas, Texas 75231 hp@drpollock.com

Presented at the Annual Meeting of the American Society for Aesthetic Plastic Surgery, Dallas, Texas, May 17, 1999.

©2000American Society of Plastic Surgeons