الفهرس 
ABDOMINOPLASTY H ISTORYOnly 14 pages are availabe for public view
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Abstract
Abdominoplasty is one of the most commonly performed aesthetic procedures. Despite the advent and popularity of liposuction, which surely is less invasive and offers a more rapid recovery, abdominoplasty has undergone a significant
evolution over the past several decades and still represents nowadays a widely performed procedure .
Functional and aesthetic deformities of the abdominal wall due to skin flaccidity, lipodystrophy, and diastasis of the fascia and muscles cause many negative psychological, physiological, and aesthetic effects. Abdominoplasty and liposuction attempt to correct those problems. For many years abdominoplasty was considered to be a relatively easy procedure to perform, but its results were not always satisfactory from a cosmetic point of view. In the evolution of aesthetic abdominal surgery many surgical treatments have been proposed, as surgeons searched for innovations. The goals have been an improvement of shape with minimal morbidity and a low complication rate. For the past few years, there has been considerable progress in methods to undermine the abdominoplasty flap and treat abdominal wall fat .
Traditional abdominal plastic surgery is associated with a high rate of morbidity, because of the necessity for undermining of large areas of the flap where the perforating vessels are sectioned, taking into consideration that they represent 80 percent of the blood supply of the abdominal wall. However, a progressive adaptation of this technique is necessary, starting with cases in which there is a large amount of skin flaccidity and sufficient adipose accumulation to permit liposuction and easy liberation of the flap .
The Lipoabdominoplasty technique is not simply using liposuction while performing abdominoplasty. It represents a much wider concept, respecting the complete abdominal anatomy. Lipoabdominoplasty is based on the selective undermining of the abdominal flap in the superior midline, resulting in the preservation of arteries, veins, lymphatic vessels, and nerves. The classic undermining was replaced with cannula undermining. As a result, we preserve the blood supply from the abdominal perforating vessels. This represents an important way of ensuring patient safety.
According to current records, lipoabdominoplasty was developed by Saldanha in 2000 and published for the first time in 2001 as a safe option to correct aesthetic and functional abdominal deformity while achieving better aesthetic results with technical simplicity for surgeons. In that publication, Saldanha standardized a selective undermining between the medial borders of the rectus abdominal muscles and used the term ‘‘lipoabdominoplasty’’ for the first time. Lipoabdominoplasty combines 2 traditional techniques, abdominoplasty and liposuction.