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Getting the Best Results in Abdominoplasty: Current Advanced Concepts

Boudreault, David J. M.D.; Sieber, David A. M.D.

Plastic and Reconstructive Surgery: March 2019 - Volume 143 - Issue 3 - p 628e-636e
doi: 10.1097/PRS.0000000000005378
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Learning Objectives: After studying this article and viewing the videos, the participant should be able to: 1. Describe the safe techniques recommended for patients undergoing a lipoabdominoplasty. 2. Demonstrate safe planning techniques for marking a patient for a lipoabdominoplasty. 3. Summarize the various techniques for performing rectus plication. 4. State the current understanding of chemoprophylaxis for outpatient surgical patients. 5. Determine the appropriate placement and shape of the ideal umbilicus.

Summary: Abdominoplasty and lipoabdominoplasty surgery is one of the core procedures performed by plastic surgeons in the United States. As with most plastic surgery, it is part art and part science. In this article, the authors try to summarize the science behind this procedure, and point to the generally accepted artistic aspects that are currently still under debate. As this procedure has one of the highest morbidity and mortality rates in the specialty, the authors have also reviewed safe practices.

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Palo Alto and San Francisco, Calif.

From Illuminate Plastic Surgery; and Sieber Plastic Surgery.

Received for publication September 20, 2018; accepted October 29, 2018.

Disclosure:The authors have no financial interests in this research project or in any of the techniques or equipment used in this study.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

David A. Sieber, M.D., Sieber Plastic Surgery, 450 Sutter Street, Suite 2630, San Francisco, Calif. 94108,

Copyright © 2019 by the American Society of Plastic Surgeons