Objectives: Robotics in surgery is becoming the gold standard of minimally invasive surgery for many different disciplines in the surgical field and in plastic surgery it has been used for harvesting the latissimus dorsal for breast reconstructive cases as well as some cases in microsurgery. In 2014, Dr Marco saw the many potentials in incorporating and adapting the use of robotic surgery into his field of interest – muscles aponeurotic rectus plication also known as abdominoplasty. The core muscles play an important role in all of our daily activities as well as in our physiological function.

Introduction: The many advantages of robotic has shown superior comparing to the use of endoscopy with things such as an improve in terms of a 3D image with high definition and up to 10 times magnification, and allows the surgeon to direct every movements of the tiny instruments using console controls and the robotic arms movements replicates the surgeon’s hands movements and eliminate hand tremors and allows one to have very precise vision and control during the procedure as compared to endoscopy. Seeing these many advantages the author embarked on his training journey.

Materials / method: In 2015, the author delivered his inaugural case of muscles aponeurotic rectus plication (abdominoplasty) using the da vinci robotic incorporating with some special self-designed instruments.

Results: He will discuss on the advantages comparing to open and endoscopy methods, his learning curve in the journey of embarking robotics and comments on the latest and futuristic developments on robotic surgery in the use of plastic surgery.

Conclusion: The author will discuss a series of cases performed with robotics and showing the pre, intra and post follow up results.

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