Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 6, Volume 47, Issue 3, July 2023, Pages 193-199 PDF (13.27 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.309701 | ||
| Authors | ||
| Hany Saad Setta1; Abdel Rahman M Abdel Aal1; Niveen Fathy Al Mahmoudy* 2 | ||
| 1The Department of Plastic, Reconstructive and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||
| 2Plastic, burn and maxillofacial surgery, Ain shams university,cairo, Egypt | ||
| Abstract | ||
| Background: Abdominoplasty is one of the most commonly performed cosmetic procedures. Achieving functional and aesthetic outcome is a major goal. The scar's final position is affected by multiple factors, so it is important to attempt to decrease, the possibility of distortion in the outcome. Perfect scar is a main aim, and a hidden scar is one of the most desirable concerns. Objective: Aim of study is to assess the result of fixation of lower abdominal flap in high lateral tension abdominoplasty and its long-term impact on scar positioning. Patients and Methods: Thirty patients were enrolled in this study, divided into 2 groups with group (A) underwent high lateral tension abdominoplasty without lower flap fixation, and group (B) with lower abdominal flap fixation, objective and subjective assessments; including measurements and patients' satisfaction (VAS scale) was obtained. Statistical analysis of the collected data was done. Results: Rise of scar was more in group (A) (without lower flap fixation) than group (B) (with lower flap fixation). Patients' satisfaction scores were excellent in (80%) cases in group (B) and (60%) in group (A). Conclusion: Symmetry and proportion are essence of aesthetic surgery. Fixation of lower abdominal flap in abdominoplasty is highly advised according to our results to reach a cosmetic balance and patients' satisfaction with a hidden well designed symmetric scar. | ||
| Keywords | ||
| Abdominoplasty; Deep fascial anchoring; Scar shift; Hidden scar | ||
| References | ||
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