Double mini-lipoabdominoplasty - upper and lower: CASE REPORT

• DOI: https://doi.org/10.22533/at.ed.1594152405013

• Palavras-chave: sagging; abdominal wall; abdominoplasty; lipoabdominoplasty; mini-lipoabdominoplasty; plastic surgery;

• Keywords: sagging; abdominal wall; abdominoplasty; lipoabdominoplasty; mini-lipoabdominoplasty; plastic surgery;

• Abstract:

  Significant weight gain followed by significant weight loss, whether through diet, surgery or after pregnancy, causes the skin and abdominal wall to undergo structural changes related to diastasis of the rectus abdominis muscles. 1.

  Depending on the sagging of the skin and abdominal wall 4,5,6, partial abdominoplasty, traditional abdominoplasty or lipoabdominoplasty can be used 6,7,8. 
  When sagging involves only the upper region of the abdomen, reverse lipoabdominoplasty can be used, resecting excess skin located in the epigastrium, with a single scar line in the inframammary folds. 9,10. The indications for each procedure are individualized according to patient complaints and physical examination11.

  In this case report, the double mini-lipoabdominoplasty technique is presented, with lower (suprapubic) and upper (epigastric) traction, following the fundamentals of tensioned reverse abdominoplasty by Deos)17, without mobilization of the navel.