SciELO - Scientific Electronic Library Online

vol.44 número3Clasificación y grado de necrosis en colgajo cutáneo aleatorio en ratas tras tratamiento con células madre precondicionadas con hipoxia y retardo del colgajo índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


CALDEIRA, Alberto M. L.; CARRION, Kelly  y  JAULIS, John. Pragmatic management fot the treatment of complex abdominal deformities. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.3, pp.269-277. ISSN 1989-2055.

Background and Objective

Big abdominal deformities or abdominal surgical sequeals defy surgeon’s expertise and technique. The difficulties approaching these patients are caused principally by poor skin tissue in the abdominal region, where multiple scars, adherences, retractions, traumatic and iatrogenic injuries can be found.

This paper shows different approaches to successfully classify and manage some of these difficult cases maintaining an aesthetic component to it.


We review the complex abdominal deformities presenting 3 cases that were followed throughout their evolution, which help to exemplify the pragmatic management for the treatment of complex abdominal deformities.


Abdominal aesthetic surgery needs a global approach relative to the body contour. The classification of the wall deformity of complex abdominoplasties comprises an anatomical categorization, dividing the abdomen into lower, middle and upper, with or without excess skin, and provides subsequent surgical treatment. Surgical techniques have different approaches to treat the entire thoracoabdominal area by achieving reconstruction of the abdominal wall with a better result of the patient’s body contour. These procedures include tissue expansion techniques, umbilical repositioning, secondary abdominoplasty, medial abdominoplasty, and reverse abdominoplasty.


Our proposal can treat complex abdomens through a different management approach changing strategies and preserving the basic concepts to achieve a harmonious and desi-red aesthetic result. Surgeons must be separated from the established surgical approaches incorporating other alternatives.

Palabras clave : Abdominoplasty; Reverse abdominoplasty; Inverse abdominoplasty; Liposuction; Lipofilling; Abdominal burn; Tissue expanders.

        · resumen en Español     · texto en Español     · Español ( pdf )