Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning
Setta, H., Abdel Aal, A., Al Mahmoudy, N. (2023). Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning. EKB Journal Management System, 47(3), 193-199. doi: 10.21608/ejprs.2023.309701
Hany Saad Setta; Abdel Rahman M Abdel Aal; Niveen Fathy Al Mahmoudy. "Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning". EKB Journal Management System, 47, 3, 2023, 193-199. doi: 10.21608/ejprs.2023.309701
Setta, H., Abdel Aal, A., Al Mahmoudy, N. (2023). 'Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning', EKB Journal Management System, 47(3), pp. 193-199. doi: 10.21608/ejprs.2023.309701
Setta, H., Abdel Aal, A., Al Mahmoudy, N. Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning. EKB Journal Management System, 2023; 47(3): 193-199. doi: 10.21608/ejprs.2023.309701

Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 6, Volume 47, Issue 3, July 2023, Page 193-199  XML PDF (13.27 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2023.309701
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Authors
Hany Saad Setta1; Abdel Rahman M Abdel Aal1; Niveen Fathy Al Mahmoudy email 2
1The Department of Plastic, Reconstructive and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
2Plastic, burn and maxillofacial surgery, Ain shams university,cairo, Egypt
Abstract
Background: 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.
Objective: 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).
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
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