Repair of the Severe Muscle Aponeurotic Abdominal Laxity with Alloplastic Mesh in Aesthetic Abdominoplasty

Background Abdominoplasty is the most frequently performed surgical procedure for body contour; in our expe￾rience, we have observed some patients with prominent bulging that is difficult to treat and that presents results that are unsatisfactory or have recurrences to conventional treatments.

This leads us to carry out an analysis of the elements responsible for the containment and abdominal format. We determined that it may be due to an inability of an important sagging aponeurotic muscle of primary origin to support the abdomen and could be caused by predis￾posing factors.

For these specific cases, we developed a treatment proposing the use of a mesh. Methods We present these cases over a period of 24 years. Fourteen patients were treated with primary and secondary abdominoplasties.

The abdominal wall reinforcement was performed by placing polypropylene mesh at the sub￾muscular plane, fixed with U-stitches on the fascia transversalis, seeking to strengthen the muscle and the fascia transversalis.

Results The results were satisfactory after long-term observation, gaining resolution of the abdominal bulges. Only two complications occurred; the presence of localized chronic pain and the appearance of umbilical fistula.

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You can read more here: 2018 – Repair of the Severe Muscle Aponeurotic Abdominal Laxity – Aesth Plast Surg – Impresso (USA)