The unfavorable breast contours resulting from a reductive mastoplasty and mastopexy influenced the authors into developing a technique that provided reduction of the breast base and axillary pole, convenient medial position of the lateral pole, and substantial conification of the breast tissue to help project the areolomamillary complex to the apex of that cone. From March 1987 to December 1994, 205 operations were performed with this technique, which consists of the construction of three glandular flaps and maximum preservation of the skin covering. The results obtained proved to be very satisfactory and more lasting.

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You can read more here:1999 – Mastoplasty – The Triple-Flap Interposition Technique – Aesth. Plast. Surg. (USA)

Despite the significant evolution of mammaplasty techniques, some undesirable changes on the operated breasts result in evident dissatisfaction for both patients and doctors. The main reason is that the breast has a tendency to resume its previous shape months after the operation. In pursuit of a procedure that would avoid this untoward morphologic evolution, we set to work on the development of a new approach of broad fixation to maintain the breast shape and to avoid ptosis by using the inferior third of the pectoralis major muscle. The authors report their experience with 46 consecutive cases of breast reduction and mastopexy operated between March 1994 and November 1995, studying the surgical procedure employed, its advantages, limitations, and possible complications.

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You can read more here: 2000-P~1

Regarding the difficult task of performing breast reconstructions, the choice among different meth￾ods is still a dilemma. Ho¨lmstrom and Lossing1 intro￾duced the lateral thoracodorsal flap, which was modi￾fied by the senior author. We report three cases in
which this flap was used. A 34-year-old woman underwent mammaplasty at age 19 with disastrous results. In 1998, liposuction of her
anterior abdomen was performed and resulted in multi￾ple areas of deep adherences located on the superior abdomen. Years later, she underwent further surgery in which the reverse lateral thoracodorsal flap was applied. The second and the third patients suffered from post￾operative infections and so had this flap applied months later.

The flap, a laterally based, fasciocutaneous, wedge￾shaped flap, whose base was placed on a line extending from the anterior axillary fold to the sternal region, was applied bilaterally. Its axis was long and extended from the level of the submammary fold along the sixth and seventh ribs. It was deepithelized and attached to the pectoralis major muscle to provide projection of the areolo-mammalar complexes, volume, and a pleas￾ant, conical form to the breasts.

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You can read more here:2008-A~1

Focus on the Importance of Lipomid-Abdominoplasty in the Body Contouring Surgery

Abstract

Background During the last few years, the surgical prin￾ciples of abdominoplasty remained unchanged. Therefore, many observed results have misaligned, high and straight abdominal transverse scars, leading to the final positioning of the umbilical scar to be very close to the transverse scar, which gives the impression of a short abdomen. We pro￾pose that the abdominoplasty should change the basic conception of its marking, because we believe that it is important to place the transverse scar lower in the medial and pubic region, and higher in the lateral extremities, thus allowing a rotation of the flap of the anterior flanks back lumbar in the median inferior direction. Materials We analyzed 136 patients with abdominal deformities and subjected them to lipomid-abdominoplasty making a marking with strong upper concavity and lateral sides of the scar oriented to the lower transverse line of the abdomen, 4 cm equidistant from the root of the thigh. We also associate liposuction as a complementary treatment to body contouring.

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You can read more here: 2019 – Focus on the Importance of Lipomid-Abdominoplasty in the Body Contouring Surgery – Aesth Plast Surg. – Online (USA)

During the last few years, the surgical principles of abdominoplasty have remained unchanged. Therefore, many patients undergoing this technique have misalignment and high and straight transverse scars of the abdomen, with the final position of the umbilical scar being very close to the transverse scar, making the abdomen seem short.

We propose modifying the basic concept of marking in abdominoplasty, because we believe it is important to position the transverse scar lower in the medial and pubic region and higher at the lateral ends, allowing anterior lumbar flap rotation in an inferomedial direction. Methods: We retrospectively analyzed 146 patients with abdominal defects and subjected them to lipo￾mid-abdominoplasty, marking with strong upper concavity and guiding the sides of the scar towards the lower transverse line of the abdomen, 4 cm equidistant from the root of the thigh.

We also define liposuction as a complementary treatment to body contouring. Results: We consider that mid-abdominoplasty parameters are applicable in most cases, obtaining satisfactory results both in patients with flatness and supraumbilical abdominal lipodystrophy and patients with an “apron” abdomen with considerable flaccidity and diastasis of the abdominal rectus.

Conclusion: It is important to determine the area of the abdominal defect and its classification to establish treatment strategies and association with complementary procedures. A lower marking with respect to the treatment areas will allow a more aesthetic scar and a harmonic body contour as well as an adequate placement of the umbilical scar, pubis, and lateral ends of the transverse abdominal scar.

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You can read more here: 2020-Other trends in abdominoplsty.

You can see the article in Portuguese here: https://dralbertocaldeira.com.br/outras-tendencias-na-abdominoplastia/

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)