Lipoabdominoplasty with Progressive Tension Suture and PAL(Power assisted lipoplasty)

Background: Abdominoplasty is a commonly performed aesthetic surgical procedure worldwide.

Classic abdominoplasty was merged with liposuction in the past decade to create a new technique—lipoabdominoplasty—that was proven to be safe and effective and that improves body contour.¹

Also, PAL(power assisted lipoplasty) is a handy, atraumatic, time- and fatigue-sparing technique.²

In this article, we describe lipoabdominoplasty with the effectiveness of progressive traction suture (PTS) technique and PAL.

 Methods: Twenty two patients were identified with a mean age of 39 years, mean BMI of 21.8 kg/m² and mean follow-up time of 20 months . All patients underwent lipoabdominoplasty with PAL(Microaire) throughout the abdomen and flanks. Abdominal rectus plication was performed in 100% of cases. All patients were operated on under general anesthesia and stayed overnight in our clinic.

Results: No patients developed seroma. Scar revisions were needed in 18%. Residual liposuction was applied under sedation in one patient.

Conclusions: The lipoabdominoplasty with progressive tension sutures and PAL can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.

References

1. Epstein S, Epstein M, Gutowski K. Lipoabdominoplasty without drains or progressive tension sutures: an analysis of 100 consecutive patients. Aesthet Surg J 2015;35:434-440
2. Scuderi N, Tenna S, Spalvieri C, De Gado F. Power-assisted lipoplasty versus traditional suction-assisted lipoplasty: comparative evaluation and analysis of output Aesthetic Plast Surg 2005;29:49-52