Background and objective.

The concept of abdominoplasty has been redefined in recent years, being the management of the musculoaponeurotic component a key element to improve abdominal wall contour. However, indications for plication are not clearly established, and countless techniques have been described by various authors.

The objective of this work is to review the evidence regarding the surgical techniques of plication and propose a new classification for them.

Methods.

A search was carried out in the literature about surgical techniques of plication in abdominoplasty, and from this, an original classification for abdominoplasty plications is presented.

Results.

Our classification is based on 3 topographic elements. First, the main anatomical region where the plication is performed (Type I or linea alba, Type II or rectus abdominis and Type III or oblique muscles). Second, the relationship with umbilicus level (above, below or above-and-below). And third, the orientation in the space (vertical, transverse or oblique).

Conclusions.

Our classification provides an objective nomenclature for the description of plications in abdominoplasty, thus helping to define its indications and improve the communication of results.

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