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Editorial Plastic and Aesthetic Research

Body contouring: “less is more and don’t

throw anything away”

Raffaele Rauso

Department of Dentistry, University of Foggia, 71121 Foggia, Italy.
Correspondence Author: Dr. Raffaele Rauso, Centro Polispecialistico Santa Apollonia, Via Martiri del Dissenso 95, 81055 Santa Maria
Capua Vetere (CE), Italy. E-mail: dr.raffaele.rauso@gmail.com

Year after year, body contouring (BC) request in getting considered the central region of the abdomen prohibited
higher, this is confirmed by the most respected society for lipo-suction.
in the field of aesthetic plastic surgery; this is related
[1]
[8]
not only by post bariatric surgery’s patients seeking, but In 2001, the Brazilian plastic surgeon Saldanha et al., for the
also by patients that due to bad habits, sedentary job, etc. first time, described the so called “li-poabdominoplasty”,
lost their ideal physical shape and look for getting better a technique characterized by selective undermining
and heathy. Results achieved after surgical BC procedures between the medial borders of the rectus abdominal
can be terrific, changing patient's self esteem, however muscles combining abdominoplasty and liposuction. [9,10]
sometimes are not so good as patients can expect: why?
The new and conservative concept is based on the
BC surgical procedures have more than a century of preservation of the abdominal perforating vessels
[6]
history, during this period were refined and improved, (subcutaneous pedicle); this technique conserves about
reducing surgical risk and gaining better results. An easy 80% of the blood supply of the abdominal flap compared
example of how BC procedures changed during the time with traditional abdominoplasty, moreover, lymphatic
can be shown by tummy tuck surgery. nodes and nerves are preserved, which is an improvement
on traditional abdominoplasty. [8-11]
Traditional abdominal plastic surgery result in a high
rate of morbidity stemming from the necessity for a This is a great example how in BC surgery: “less is more”;
large undermining of the flap in which the perforating and how the exact knowledge of the anatomy let to
vessels are sectioned, [2-5] consequently, the vascularity achieve better and safer results.
of the remaining flap is supplied only by the intercostal,
subcostal, and lumbar per-forating branches, which are The same concept can be extended in BC performed after
situated in the back and flank regions. Moreover the massive weight loss; in buttock reshaping, as a logical
[6]
occurrence of ischemic processes with tissue necrosis extension of Millard’s principle: “don’t throw anything
and dehiscence of the suture has been described when away”; it is imperative not just excising tissue’s excess,
ab-dominoplasty is associated with liposuction. but use it for buttock’s shape remodeling. [12]

[7]
In 1995, Matarasso focused on the complications of After massive weight loss, buttock lowers and flattens,
combined liposuction and abdominoplasty, he considered in this clinical cases, the gluteal dermal flaps (the tissue
the back and the flanks safe areas, did not regard the that would be discarded in a simple dermolipectomy) can
lateral region of the abdomen as a safe area, and be harvested and used to get better body proportions. [9]
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DOI: How to cite this article: Rauso R. Body contouring: “less is more
10.20517/2347-9264.2016.44 and don’t throw anything away”. Plast Aesthet Res 2016;3:271-2.
Received: 09-06-2016; Accepted: 21-06-2016
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 271