Resumo

CENTURION, P.; OLIVENCIA, C.; ROMERO, C.  e  GAMARRA GARCIA, R.. Short scar lipoabdominoplasty without neoumbilicoplasty in tipe III abdomen (Matarasso). Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.4, pp.271-282. ISSN 1989-2055.

We present an innovative surgical technique for treatment of abdominal region, in which we combine liposculpture and limited-incisions abdominoplasty without neoumbilicoplasty, in Type III Matarasso Classification patients. We conducted a retrospective study of patients undergoing surgery with this new proposal, between 2002 to 2008. The deep and superficial body liposculpture also included anterior abdominal wall. The surgical technique is based on the use of small incisions at the suprapubic region up to 18 cm long, with dissection of a supraaponeurotical tunnel of 10 cm approximately, with desinsertion of the navel, plication of the rectus abdominis muscle diastasis and subsequent inferior reinsertion of the umbilicus. We use a plaster splint for postoperatory time. We evaluated 64 lipoabdominoplasties, all in women with a mean age of 41.9 years. The average operative time was of 3 hours and a half, with an average aspirated volume of 1000 ml of the anterior abdominal wall. In 14,1 % of the patients we observed seroma as a complication. As a conclusions, this technique allows good body aesthetics results, to obtain a shorter scar, a thin anterior abdominal flap and the absence of umbilical scar.

Palavras-chave : Lipoabdominoplasty; Matarasso type III abdomen; Neoumbilicoplasty; Abdominoplasty.

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