Background and objective.

For preoperative marking in abdominal dermolipectomy, the vulvar notch and the base of the penis are frequently used as reference to locate the marking of the incision. However, these points may vary in each individual and we consider them not suitable for locating the height of the incision.

Therefore, we propose a new measurement protocol that allows to get a more geometric and harmonic pubis by determining the height of the incision in relation to the level of the pubis.

Methods.

Our method for performing a preoperative marking for the location of the horizontal scar in dermolipectomy is described, so as the lateral portions.

Results.

Marking is based on the inverted triangular shape of the pubic area, taking as an initial reference the origin of the inguinal fold on the skin surface, where it becomes deep. In addition, the tracing of a horizontal line that serves as a refe- rence for marking the lateral portions of the horizontal scar is described.

Conclusions.

Our proposal considering some constant ana- tomical points, allows obtaining a future abdominal scar with a more adequate height in dermolipectomy maintaining the harmony and geometry of the pubis.

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