Evaluation of Liposuction as a Part of Abdominoplasty and Simultaneous Hernioabdominoplasty

Introduction. According to the estimates of many countries, liposuction comprises a sought-after aesthetic surgery, achieving a leading position among popular surgical interventions in recent decades. For instance, the records of the American Society of Plastic Surgeons show, that liposuction occupied the 4th place in 2020, 3rd — in 2019, and 2nd — in 2000. Liposuction is frequently included in other aesthetic surgeries. In 2019–2023 the Plastic Surgery Unit of the Mother and Child Clinical Hospital, Ufa, performed this surgical intervention an isolated operation, and as part of abdominoplasty, mammoplasty, brachioplasty, and face-lifting. Aim. To analyze the clinical data of the Plastic Surgery Unit of the Mother and Child Clinical Hospital, Ufa, on the experience of performing liposuction as a stage of the anterior abdominal wall correction in isolated abdominoplasty and simultaneous hernioabdominoplasty. Materials and methods. The study involved 56 patients: women with overweight or obesity, suffering from aesthetic and functional problems in the anterior abdominal wall associated with pregnancy and childbirth. Surgical treatment and outpatient follow-up were performed in the Plastic Surgery Unit of the Mother and Child Clinical Hospital, Ufa from 2019 to 2023. Group 1 of patients included 33 people who underwent abdominoplasty combined with liposuction, group 2 comprised 23 patients, who had hernioabdominoplasty with liposuction. Results and discussion. Liposuction refers to a technique for removing excess fat deposits and improving the contours of the anterior abdominal wall. Liposuction stands as the main component of surgical intervention on the anterior abdominal wall, simplifying the stages of detachment of the anterior abdominal wall and redistribution of the skin-fat flap. The complication rates in abdominoplasty with liposuction and hernioabdominoplasty with liposuction differ insignificantly. Conclusion. Liposuction as a part of abdominoplasty or hernioabdominoplasty contributes to the improvement of surgical treatment outcomes.

1. Vinnik Y.S., Karapetyan G.E., Pakhomova R.A., Kochetova L.V., Babajanyan A.M., Gulikyan G.N. Abdominoplasty surgery of the XXI century. Moscow Surgical Journal. 2020;70(6):29–34 (In Russ.). DOI: 10.17238/issn2072-3180.2019.6.29-34

2. Hotta T.A. 2012 statistics for plastic surgical and nonsurgical procedures. Plast Surg Nurs. 2013;33(2):57–60. DOI: 10.1097/PSN.0b013e318294cf1d

3. Agapov D.G., Poberezhnaya A.V., Mazen H.R.M. Modern aspects of abdominoplasty. Sciences of Europe. 2017;(17-2):15–20 (In Russ.).

4. Sazhin A., Zolotukhin I., Seliverstov E., Nikishkov A., Shevtsov Y., Andriyashkin A., et al. Prevalence and risk factors for abdominal wall hernia in the general Russian population. Hernia. 2019;23(6):1237–42. DOI: 10.1007/s10029-019-01971-3

5. Adamian R.T., Velikhanov R.R., Dashtoyan G.E. Surgical treatment of anterior abdominal wall hernia combined with abdominal ptosis. Plastic Surgery and Aesthetic Medicine. 2019;4:50–3 (In Russ.). DOI: 10.17116/plast.hirurgia201904150

6. Mageramov D.M., Medeubekov U.Sh. Surgical correction of deformities of the anterior abdominal wall. Reality and prospects. Bulletin of Surgery of Kazakhstan. 2017;1:48–53 (In Russ.).

7. Blotta R.M., Costa S.D.S., Trindade E.N., Meurer L., Maciel-Trindade M.R. Collagen I and III in women with diastasis recti. Clinics (Sao Paulo). 2018;73:e319. DOI: 10.6061/clinics/2018/e319

8. Plegunova S.I., Zotov V.A., Poberezhnaya O.O. Abdominoplasty techniques: a historical perspective and current view on making incisions. Fundamental and Clinical Medicine. 2018;3(1):77–89 (In Russ.).

9. Logan J.M., Broughton G. 2nd. Plastic surgery: understanding abdominoplasty and liposuction. AORN J. 2008;88(4):587–600; quiz 601–4. DOI: 10.1016/j.aorn.2008.07.018

10. Ramirez O.M. Abdominoplasty and abdominal wall rehabilitation: a comprehensive approach. Plast Reconstr Surg. 2000;105(1):425–35. DOI: 10.1097/00006534-200001000-00069

11. Aslanov A.D., Logvina O.E., Kalibatov R.M., Kugotov A.K., Edigov A.T., Kardanova L.Yu., et al. Tensioned hernioplasty and abdominoplasty in patients with morbide obesity. Moscow Surgical Journal. 2020;2:45–53 (In Russ.). DOI: 10.17238/issn2072-3180.2020.2.45-53

12. American Society of Plastic Surgeons, Plastic Surgery Statistics Report. [cited 2023 June 22]. Available from: https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-fullreport-2020.pdf

13. Sozer S.O., Basaran K., Alim H. Abdominoplasty with circumferential liposuction: a review of 1000 consecutive cases. Plast Reconstr Surg. 2018;142(4):891–901. DOI: 10.1097/PRS.0000000000004819

14. Hoyos A.E., Prendergast P.M. High Definition Body Sculpting. Art and Advanced Lipoplasty Techniques. Moscow: GEOTAR Media; 2020. 256 p. (In Russ.) DOI: 10.33029/9704-5838-9-HDBS-2020-1-256

15. Kets B.I., Seydik N.S. (ed.) Body contour correction. Moscow: Reed Elsevier; 2011. 244 p. (In Russ.).

16. Kosinets V.A., Shturich I.P., Ukrainets E.A. Experience of combined abdominoplasty and tension-free hernioplasty of the anterior abdominal wall. Novosti Khirurgii. 2012;20(2):101–4 (In Russ.).

17. Chumburidze I., Shtllman M., Orekhov A., Yavruyan O. Hernioplasty in combination with abdominoplasty in obese patients. Vrach (The Doctor). 2018;29(6):75–9 (In Russ.). DOI: 10.29296/25877305-2018-06-17