Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Position | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 01 February 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.188862.1257 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hany Saad Setta1; Abdel Rahman M Abdel Aal1; Niveen Al Mahmoudy  2
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| 1Plastic ,burn and maxillofacial surgery department , faculty of medicine, Ainshams university ,Cairo ,Egypt | ||||
| 2Plastic, burn and maxillofacial surgery, Ain shams university,cairo, Egypt | ||||
| Abstract | ||||
| Abstract 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. 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) with average difference of migration 0.5±0.4 cm along the scar. 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 | ||||
| Keywords | ||||
| abdominoplasty; scar shift; hidden scar | ||||
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