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.
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