A report of 736 high definition lipoabdominoplasties performed in conjunction with circumferential Vaser liposuction

Background: Several innovations and modifications to abdominal lipectomy procedure have been performed through the years. Despite the recent improvements, the lack of natural results, including high scars, navel deformities and "tense" abdomen are still challenging. The objective is to present an alternative technique of combined 360-degree truncal liposuction with abdominal definition, abdominoplasty and neoumbilicoplasty. Methods: From January 2005 to June 2017, 736 VASER assisted lipoabdominoplasties were performed. Only healthy women with body mass index below 33 were included. A 3-step procedure was done: 1. Truncal Liposculpture. 2. dermolipectomy and plication of the rectus abdominis muscle. 3. Neo-umbilicoplasty through a butterfly technique. The following included photos and medical assessment with a mean of 2 years (up to 5 years). A non-standardized survey was performed to self-evaluate the results. Results: 670 patients answered the survey (91%). 615 patients were satisfied with the procedure (91.79%). Minor complications were reported: seroma (7.3%), prolonged bruising (10%) and swelling (18%). Neither flap necrosis nor infections were reported. Neo umbilicoplasty was performed in all patients. Additional procedures were required in 4.6%. Conclusions: The Ultrasonic-assisted assisted Lipoabdominoplasty is an alternative lipectomy technique that prevents stigmata of the procedure. The abdominal definition improves the shape and recreate the superficial anatomy. Neoumbilicoplasty shape, form and choice of its position over the abdominal wall gives significant improvements in results. Financial Disclosure Statement: The authors received no financial support for the research, authorship, and publication of this article. Statement of financial interest:Dr. Hoyos was an unpaid speaker and advisor for the product development team of Sound Surgical, (now Valeant Pharmaceuticals International) up to May 2013. Since May 2013 he receives royalties for the liposuction kits named after him. During the time of the study the authors did not have financial interest nor receive any financial support of the products or devices mentioned in this article Corresponding author: Alfredo Hoyos, MD., Address: Carrera 15 # 83 – 33, Suite 304, Bogotá, Colombia. alhoyos@gmail.com ©2018American Society of Plastic Surgeons

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