产后患者腹壁成形术：吸脂术后的形态修复

目标: To investigate the clinical application of abdominoplasty in the morphological restoration of postpartum patients who had unsatisfactory outcomes after lumbar and abdominal liposuction. And share our experience and cases. 介绍: Postpartum women often experience issues such as uneven skin texture, skin laxity, and local deformities following lumbar and abdominal liposuction. These problems can be partially addressed through additional local fat aspiration or filler injections, though multiple sessions are typically required for significant improvement. Abdominal wall reconstruction not only removes excess fat but also corrects loose skin and reconstructs a deformed navel. 材料 / 方法: A retrospective analysis was performed on 20 postpartum patients with abdominal fat accumulation who underwent lumbar and abdominal circumferential liposuction (with laser/radiofrequency assistance) between 2022 and 2025 and were dissatisfied with the postoperative results. All patients received abdominoplasty, including incision design, liposuction, flap dissection, rectus sheath reconstruction, umbilicus reconstruction, and progressive tension reduction. Preoperative and postoperative BMI, patient satisfaction (GAIS score), and complications were evaluated. 结果: During the 6‑month follow‑up, no significant changes in BMI were observed. Nineteen patients were satisfied with the outcomes, while one patient was dissatisfied due to residual abdominal folds. Complications included one case of inverted T‑shaped scar and three cases of localized hypertrophic scars. No fat liquefaction or flap necrosis occurred. Four typical cases demonstrated satisfactory correction of abdominal wall deformities. 总结: For postpartum patients with skin laxity and localized deformities following lumbar and abdominal liposuction, abdominoplasty is an effective and safe reconstructive option despite the possibility of noticeable scarring, provided that thorough preoperative communication is conducted.