New Concepts on Abdominoplasty and Further Applications

 

Description:

This book documents the important advances that have been achieved in abdominoplasty over the past 15 years, in particular through the introduction of a nontraumatic approach associated with minimal morbidity owing to the avoidance of resection of abdominal panniculus and damage to the perforating vessels. The surgical principles of this procedure, including in combination with liposuction, are fully described by its developer, Juarez Avelar, with the aid of a wealth of color illustrations. A miniabdominoplasty option is also discussed and recent significant technical contributions such as various new plication techniques and means of minimizing complications are clearly presented. In addition, a series of chapters explain how the surgical principles underlying the described nontraumatic method of abdominoplasty can now be applied to other areas of the body, for example to improve rhytidoplasty, ear reconstruction, body contouring, and medial thigh lifting. This book enables the plastic surgeon to apply the latest abdominoplasty techniques effectively and safely.

 

Table of Contents:

Part I: Surgical Fundaments of New Concepts on Abdominoplasty

Chapter 1: New Concepts in Abdominoplasty: Origin and Evolution

Introduction

Technique

Discussion

Conclusions

References

Chapter 2: Anatomy of the Abdominal Panniculus

Introduction

Technique

Discussion

Torso

Conclusions

References

Chapter 3: Surgical Principles and Classification of Abdominolipoplasty or Lipoabdominoplasty

Introduction

Technique

Lipoabdominoplasty or Abdominolipoplasty: A Method Without Panniculus Undermining and Resection

Surgical Principles

Technique

Preoperative Demarcations

Liposuction

Skin Resection

Reinforcement of the Muscular Aponeurotic Abdominal Wall

Classification of Lipoabdominoplasty or Abdominolipoplasty

Discussion

Advantages of the Technique

Conclusions

References

Chapter 4: Lower Lipoabdominoplasty

Introduction

Technique

The Operation

Surgical Principles of the Technique

Plication of the Musculoaponeurotic Wall

Discussion

Conclusions

References

Chapter 5: Upper Lipoabdominoplasty

Introduction

Technique

Selection of Patients

Surgical Demarcations

The Operation

Surgical Preparation

Liposuction

Skin Resection

Suture and Closure of the Wound

Local Dressing the Bandaging

Complications

Discussion

Conclusions

References

Chapter 6: Lower and Upper Abdominolipoplasty

Introduction

Technique

Selection of Patients

Surgical Demarcations and Operation

Complications

Discussion

Conclusions

References

Chapter 7: Full Lipoabdominoplasty

Introduction

Technique

The Operation

Complications

Discussion

Surgical Principles of My Method

Conclusions

References

Chapter 8: Creation of the New Umbilicus: My Technique on Abdominolipoplasty and Further Applica

Introduction

Technique

Surgical Demarcations

The Operation

Preparation and Liberation of the Umbilicus

Reimplantation of the Umbilicus

Suture of the Umbilicus

Dressing

Complications

Further Applications of the Technique

Discussion

Conclusion

References

Chapter 9: Abdominolipoplasty

Introduction

Anatomy of Abdominal Wall

Vascularization of Abdominal Wall

Innervation of the Abdominal Wall

Muscle: Aponeurotic System of the Abdominal Wall

Technique

Surgical Technique in Abdominolipoplasties

Surgical Technique

Anesthetic Considerations

Complications in Abdominolipoplasties

Discussion

Conclusion

Bibliography

Part II: Further Applications of New Concepts on Abdominoplasty

Chapter 10: Importance of Concepts in Abdominoplasty and Liposuction in Breast Reconstructions

Introduction

Technique

Discussion

Conclusion

References

Chapter 11: Robotic Procedure for Plication of the Muscle Aponeurotic Abdominal Wall

Introduction

History of Robots

Training to Be a Robotic Surgeon

Patient Selection

Materials and Methods

Surgical Robots

Anaesthesia

Infiltration

Incisions

Dissection and Elevation of the Abdominal Flap

Rectus Plication

Complications

Discussion

Conclusion

References

Chapter 12: Lipoabdominoplasty Combining a Wide Undermining of the Upper Abdomen with Complete B

Introduction

History

Methods

Patient Selection

Surgical Procedure

Surgical Marking

Tumescent Infiltration and Assisted Liposuction

Liposuction of the Abdomen

Undermining of the Lower Abdomen Flap

Extensive Detachment of the Upper Abdomen

Anatomical Basis for a More Extensive Displacement

Rectus Muscle Aponeurotic Plication

Traction of the Abdominal Flap

Resection of the Lower Abdominal Skin Flap

Exteriorization of the Umbilicus

Closing Sutures

Results

Discussion

Conclusion

References

Chapter 13: Rhytidolipoplasty: Improvement by Tunnelization Through New Concepts of Abdominolipopl

Introduction

Technique

Local Infiltration, Tunnelization, and Liposuction

Complications

Discussion

Conclusions

References

Chapter 14: Ear Reconstruction: Preservation of Perforator Vessels on the Pedicle to Improve Res

Introduction

Surgical Planning

Classification of Congenital Abnormalities of the Ear

Etiology of Traumatic Ear Deformities

Technique

Creation of the Cutaneous Covering

Complications

Discussion

Conclusions

References

Chapter 15: Reverse Lower Blepharoplasty: An Eclectic Procedure Without Cutaneous Undermining

Introduction

Technique

Complications

Discussion

Conclusion

References

Chapter 16: Medial Thigh Lipoplasty: New Concepts (A Technique Without Skin and Panniculus Undermin

Introduction

Technique

Surgical Demarcations

Liposuction Procedure

Skin Incisions and Cutaneous Resection

Postoperative Dressing and Cares

Complications

Discussion

Conclusions

References

Chapter 17: Flanklipoplasty and Torsolipoplasty

Introduction

Technique

Surgical Demarcation

Complications

Discussion

Conclusions

References

Chapter 18: Gluteus Lipoplasty: Improvement Results on Buttocks Through New Concepts on Abdominopl

Introduction

Technique

Patient Evaluation

Surgical Demarcations

Buttock-Lifting Operation

Complications

Discussion

Conclusion

References

Chapter 19: Plication of the Abdominal Wall in Lipoabdominoplasty

Introduction

Technique

Complications

Discussion

Conclusions

References

Chapter 20: Dorsolipoabdominoplasty

Introduction

Material and Methods

Surgical Technique

Marking

Anesthesia

Surgery

Phase 1

Phase 2

Phase 3

Phase 4

Abdominoplasty in Morbid Obesity

Discussion

Conclusion

References

Chapter 21: Buttock Lipografting and Augmentation Combined with Avelar’s Abdominoplasty

Introduction

Technique

Anatomical and Image Studies (Magnetic Resonance and Intraoperative Ultrasonography)

Safety Triangles and Danger Triangle to Avoid Neurovascular Complications

How to Avoid Buttock Asymmetry

Surgical Technique

Technical Surgery to Improve Shape Results

Technical Results

Complications

Discussion

Conclusions

References

Chapter 22: Vertical Abdominoplasty: Indications and Refinements

Introduction

Preoperative Preparation

Technique

Postoperative Care

Complications

References

Chapter 23: Abdominoplasty After Massive Weight Loss

Introduction

Physiopathology of Deformities

Tissue Biodynamics and Repair Vectors

Pattern of Fat Deposits

Degree of Subcutaneous Tissue Reduction

Adherence Zones

Lower Body Readjustment Vectors

Planning and Surgical Technique

Anterior Transverse Approach

Circumferential Approach

Combined Anterior Approach

Combined Circumferential Approach

Results

Complications

Lesser Adverse Events

Seroma

Dehiscence and Wound Separation

Scar Alterations

Compressive Injuries from Intraoperative Placement

Major Adverse Effects

Hematomas

Skin and Fat Necrosis

Hypothermia

Infection

Thromboembolism

Discussion

References

Chapter 24: Silicon Breast Implant Inclusions Through Abdominal Approach

Introduction

Technique

Complications

Discussion

Conclusion

References

Chapter 25: Post-Bariatric Abdominoplasty

Introduction

Technique

Preoperative Care and Exams

Surgical Planning

The Umbilical Scar

The External Oblique Muscular Aponeurotic Flap Approach

Surgical Marking

The Operation

Surgical Technique

Discussion

Conclusions

References

Part III: Surgical Principles on Abdominoplasty

Chapter 26: Historical Evolution of Abdominoplasty

References

Chapter 27: Abdominoplasties: Classification (Bozola and Psillakis) and Concepts of Treatment Str

Introduction

Abdomen Classifications (“Esthetic Pathologies”) and Their Respective Treatments

Comments

References

Chapter 28: Abdominoplasty Planning

Introduction

Previous History

Habits

Abdomen Anatomy

Vascularization

Physical Exam

Abdomen Classification

Laboratory Exams

Photography

References

Chapter 29: Abdominoplasty in Male Patients

Introduction

Indications

What Is Different About Men?

Surgical Procedures

Classic Transversal Abdominoplasty

Vertical Abdominoplasty

Abdominoplasty in Inverted T

Other Types of Abdominoplasty

Results

Complications

Conclusions

References

Chapter 30: Challenges in Abdominoplasty

Introduction

Case by Case and Methods

Case #1

Case #2

Case #3

Discussion

Conclusion

References

Chapter 31: Abdominoplasty: The Role of the External Oblique Muscle

Introduction

Surgical Technique: Oblique Muscle Plication Technique [7]

Surgical Technique: Oblique Muscle Advancement Technique [1, 8, 9] (Fig. 31.2)

Complications

Discussion

Conclusion

References

Chapter 32: Correction of Minor Abdominal Diastasis and Acquired and Congenital Deformities of t

Introduction

Technique

Surgical Demarcation and the Operation

Complications

Discussion

Conclusion

References

Chapter 33: Abdominoplasty on Patients with Previous Surgical Scars

Introduction

Scar on the Upper Third of the Abdomen

May Be Vertical or Horizontal

Scar on the Middle Third of the Abdomen or Periumbilical Area

Horizontal

Vertical

Scar on Lower Third of the Abdomen (Infraumbilical)

Extensive or Multiple Scars

Xipho-Pubic Scar

Lateral Scars (Costal Marginal, Flanks)

Abdomen with Major Scarring

Complications

References

Chapter 34: The “Lying” H-Shaped with Double Contour Plication of the Anterior Aponeurosis Wa

Introduction

Operative Technique

Results and Complications

Discussion

Conclusion

References

Chapter 35: Reverse Abdominoplasty

Indications

Technique

Conclusions

References

Chapter 36: Extended Reverse Abdominoplasty: A Technical Alternative for Breast Reconstruction

Introduction

Method

Marking

Dissection

Plicature of the Abdominal Rectus Muscles

Progressive Tunneling

Adhesion Points on the Abdominal Wall

Omphaloplasty

Skin Suture and Flap Definition for Breast Reconstruction

Late Breast Reconstruction

Anatomical Principles

Other Anatomical Considerations of Surgical Interest

Inclusion Criteria

Complications

Discussion

Further Reading

Chapter 37: Abdominoplasty: Pearls and Pitfalls

Choice of Surgical Technique

Summary

References

Chapter 38: Complications During and After Abdominoplasties

Introduction

Method

Results

Discussion

Conclusion

References

Erratum to: New Concepts on Abdominoplasty and Further Applications

Index

 

 

 

 

 

An aparitie	16 Dec. 2016
Autor	Juarez M. Avelar
Dimensiuni	16.05 x 3.71 x 24.21 cm
Editura	Springer
Format	Hardcover
ISBN	9783319278490
Limba	Engleza
Nr pag	624