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ABDOMINAL WALL: KEYSTONE OF SUCCESS

Focus program

Room: Webinar
Date: Wednesday 10 November 2021 at 11:00 to 12:30
Format: FOCUS SESSION > lectures covering a major topic of the congress

Chair

Dr Sebastien GARSON

Plastic Surgeon

France

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
11:00		Introduction		112333
11:05	Dr Giuliano BORILLE	Medium definition abdominoplasty: thinning flap technique	View	112334
11:20	Prof Maurice Y NAHABEDIAN	Optimizing outcomes in abdominoplasty and diastasis repair		112335
11:35	Dr Marco Aurelio FARIA CORREA	Robotic abdominoplasty	View	112336
11:50		Discussion and Q&A with the audience		112338

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Introduction

Dr Giuliano BORILLE

Plastic Surgeon

Brazil

Other author(s) :

Medium definition abdominoplasty: thinning flap technique

Objectives: To introduce the Medium Definition Abdominoplasty technique

Introduction: The Medium Definition Abdominoplasty, could be considered a version of the classic Lipoabdominoiplasty, described by Saldanha. Since this procedure, is based on thinner flaps and wider subcutaneous undermining, not limited by the central tunnel as described by Saldanha.

Materials / method: 250 patients underwent a Medium Definition Liposuction and abdominoplasty ( 2018- 2020)
Patient Selection

Careful patient selection is critical to achieve ideal asthetic results. The patient should follow a consistent exercise and diet routine and must have an overall athletic look with a lack of abdominal definition.

Selection Criteria:

1. Patients with hypertrophic and palpable rectus abdominis muscle under isometric contraction

2. Body Fat Index of 23% or less

Results: These thinner flaps will be connected to the deeper muscle anatomy trough customized handcrafted abdominal pads (cotton, bandage and gauze), producing well-controlled fibrosis between the muscle transition and skin. This guided fibrosis will create definition, exposing real muscle volume and replacing the role of external energy devices in skin retraction

Conclusion: Combining Medium Definition Liposuction with abdominoplasty, allows the correction of eventual muscle aponeurotic defects through suture plication and skin excess removal in order to produce a natural athletic look. It’s a safe and reproducible approach when applied as described by the authors.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Prof Maurice Y NAHABEDIAN

Plastic Surgeon

United States

Other author(s) :

Optimizing outcomes in abdominoplasty and diastasis repair

Dr Marco Aurelio FARIA CORREA

Plastic Surgeon

Singapore

Other author(s) : Dr. Marco Faria Correa

Robotic abdominoplasty

Objectives: Background/Goals
The author presents his more than 30years experience in treating rectus diastasis by muscle aponeurotic abdominal wall plication in both open method and subcutenouscopic method. In 1991, he develops a research project to adapt endoscopic method to the subcutaneous tissue for performing rectus plication through minimal incision. In 2015, he designed special retractors and pioneered the use of daVinc robotics system to perform muscle aponeurotic rectus plication gasless.

Introduction: this paper is about the use of robotic for rectus plication in minimally invasive abdominoplasty

Materials / method: Since 1989 the author is working on a new concept of performing recti plication in the patient who is presenting with small and medium abdominal wall deformities like ventral and umbilicus hernia and rectus diastasis by using the previous existing c- section scar. In 1991, he developed a set of instruments to adapt video surgery to the subcutaneous territory.
With 25 yrs experience and more than 300 cases of muscle aponeurotic subcutaneous endoscopy rectus plication with successful results. In 2014, we foresee that the possibilities of using the da Vinci surgical system to facilitate the surg

Results: Results/Complications
Robotic muscle aponeurotic plication is essentially the same as the endoscopic muscle aponeurotic plication. The only difference is only the use of different surgical equipment. The plication material and the method used are the same. The more than 300 cases of endoscopic muscle aponeurotic muscle plication and so far 31 cases of robotic muscle aponeurotic plication are presenting with satisfactory results with a minimal rate of complication and leaving inconspicuous scars.

Conclusion: Muscle aponeurotic plication is a time-proven successful method to repair rectus diastasis. The literature is rich in studies comparing different methods and materials and evaluating the efficacy and longevity of muscles aponeurotic muscle plication. Our more than 20 years follow up of our patients telly with the observation of many authors and support our current method.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Discussion and Q&A with the audience

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IMCAS Academy International Program

ABDOMINAL WALL: KEYSTONE OF SUCCESS

Chair

Lectures of the session

IMCAS Academy International
Program