摘要

Objectives: To define the ideal shape of the abdomen following abdominoplasty with reasonable position of the scar in order to limit its upper migration and settle a method to enhance the results and fix the scar in its position Introduction: Abdominoplasty is one of the most commonly performed cosmetic procedures.Achieving functional and aesthetic outcome is a major goal.Perfect scar is a main aim and a hidden scar is one of the most desirable issues. Aim of study:is to assess the result of fixation of the lower abdominal flap in abdominoplasty and it’s long term impact on scar positioning Materials / method: 50 patients were enrolled in this study divided into 2 groups with group A underwent abdominoplasty without lower flap fixation and groupB with lower flap fixation.Objective and subjective assessment including measurements ,scar scale and satisfaction for both patients and doctors Results: Upward shifting of the scar was more in group A.The upward shifting was more in midline than other measurement points .Patients’ as well as surgeons’ satisfaction scores were excellent in 80% in group B and 60% in group A Conclusion: Symmetry and proportion are essence of aesthetic surgery.Fixation of lower abdominal flap in abdominoplasty is highly advised according to our results,reaching a cosmetic balance and patients‘satisfaction with a hidden well designed symmetric scar