Skip to main content

Modified Lipoabdominoplasty Without Surgical Drains

  • Chapter
Aesthetic Plastic Surgery of the Abdomen

Abstract

Subcutaneous drains are used to prevent seromas in many plastic surgery procedures including abdominoplasties, but they are not tolerated well by patients and cause discomfort during the recovery period. Combined lipoabdominoplasty without extensive abdominal flap undermining creates a surgical field that eliminates the need for drains without increasing seroma rates. The specifics of the technique include discontinuous undermining of the anterior abdomen with liposuction, limited direct undermining in the midline, preservation of a thin layer of fibrofatty tissue on the superficial abdominal wall fascia, and surgical site compression with properly fitted compression garments for at least 2 weeks after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kosins AM, Scholz T, Cetinkaya M, Evans GRD. Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis. Plast Reconstr Surg. 2013;132(2):443–50.

    Article  CAS  PubMed  Google Scholar 

  2. Pollock H, Pollock T. Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg. 2000;105(7):2583–6.

    Article  CAS  PubMed  Google Scholar 

  3. Pollock TA, Pollock H. Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases. Aesthet Surg J. 2012;32(6):729–42.

    Article  PubMed  Google Scholar 

  4. Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009;29(3):221–5.

    Article  PubMed  Google Scholar 

  5. Rosen AD. Use of absorbable running barbed suture and progressive tension technique in abdominoplasty: a novel approach. Plast Reconstr Surg. 2010;125(3):1024–7.

    Article  CAS  PubMed  Google Scholar 

  6. Fang RC, Lin SJ, Mustoe TA. Abdominoplasty flap elevation in a more superficial plane: decreasing the need for drains. Plast Reconstr Surg. 2010;125(2):677–82.

    Article  CAS  PubMed  Google Scholar 

  7. Saldanha OR, Pinto EBS, Matos WN, Lucon RL, Magalhães F, Bello EM. Lipoabdominoplasty without undermining. Aesthet Surg J. 2001;21(6):518–26.

    Article  CAS  PubMed  Google Scholar 

  8. Weiler J, Taggart P, Khoobehi K. A case for the safety and efficacy of lipoabdominoplasty: a single surgeon retrospective review of 173 consecutive cases. Aesthet Surg J. 2010;30(5):702–13.

    Article  PubMed  Google Scholar 

  9. Saldanha OR, Federico R, Daher PF, Malheiros AA, Carneiro PR, Azevedo SF, Saldanha Filho OR, Saldanha CB. Lipoabdominoplasty. Plast Reconstr Surg. 2009;124(3):934–42.

    Article  CAS  PubMed  Google Scholar 

  10. Heller JB, Teng E, Knoll BI, Persing J. Outcome analysis of combined lipoabdominoplasty versus conventional abdominoplasty. Plast Reconstr Surg. 2008;121(5):1821–9.

    Article  CAS  PubMed  Google Scholar 

  11. Epstein S, Epstein MA, Gutowski KA. Lipoabdominoplasty without drains or progressive tension sutures: An analysis of 100 consecutive patients. Aesthetic Surg J. 2015;35:434–40.

    Google Scholar 

  12. Antonetti JW, Antonetti AR. Reducing seroma in outpatient abdominoplasty: analysis of 516 consecutive cases. Aesthet Surg J. 2010;30(3):418–25.

    Article  PubMed  Google Scholar 

  13. Arantes HL, Rosique RG, Rosique MJ, Melega JM. The use of quilting suture in abdominoplasty does not require aspiratory drainage of prevention of seroma. Aesthetic Plast Surg. 2010;34(1):102–4.

    Article  PubMed  Google Scholar 

  14. Avelar JM. Abdominoplasty without panniculus undermining and resection: analysis and 3-year follow-up of 97 consecutive cases. Aesthet Surg J. 2002;22(1):16–25.

    Article  PubMed  Google Scholar 

  15. Baroudi R, Ferreira CAA. Seroma: how to avoid it and treat it. Aesthet Surg J. 1998;18(6):439–41.

    Article  CAS  PubMed  Google Scholar 

  16. Brink RR, Beck JB, Anderson CM, Lewis AC. Abdominoplasty with direct resection of deep fat. Plast Reconstr Surg. 2009;123(5):1597–603.

    Article  CAS  PubMed  Google Scholar 

  17. Khan S, Teotia SS, Mullis WF, Jacobs WE, Beasley ME, Smith KL, Eaves 3rd FF, Finical SJ, Watterson PA. Do progressive tension sutures really decrease complications in Abdominoplasty? Ann Plast Surg. 2006;56(1):14–21.

    Article  CAS  PubMed  Google Scholar 

  18. Khan U. Risk of seroma with simultaneous liposuction and abdominoplasty and the role of progressive tension sutures. Aesthetic Plast Surg. 2008;32(1):93–9.

    Article  PubMed  Google Scholar 

  19. Nahas FX, Ferreira LM, Ghelfond C. Does quilting suture prevent seroma in abdominoplasty. Plast Reconstr Surg. 2007;119(3):1060–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karol A. Gutowski M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Gutowski, K.A., Epstein, M.A., Sweeney, W. (2016). Modified Lipoabdominoplasty Without Surgical Drains. In: Di Giuseppe, A., Shiffman, M. (eds) Aesthetic Plastic Surgery of the Abdomen. Springer, Cham. https://doi.org/10.1007/978-3-319-20004-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-20004-0_18

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20003-3

  • Online ISBN: 978-3-319-20004-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics