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Clin Plast Surg. 2019 Jan;46(1):41-48. doi: 10.1016/j.cps.2018.08.006. Epub 2018 Oct 24.

Abdominal Contouring and Combining Procedures.

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The Body Contouring Center, 47 Brodezky Street, Tel- Aviv, Israel. Electronic address:
Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA.


The abdomen is the most common area of concern among patients with massive weight loss (MWL). Abdominal contouring techniques in the MWL population include panniculectomy, standard abdominoplasty, fleur-de-lis abdominoplasty, reverse abdominoplasty and various combinations of these techniques as part of circumferential procedures such as, circumferential abdominoplasty, and lower body lift. The authors believe that the optimal surgical approach to the abdomen is an integration of the patient aesthetic preferences and the surgeon assessment and experience. The authors recommend to limit total body reconstruction of MWL patients to 2 stages, and include the abdominal area in the first stage.


Abdominal contouring; Combined procedures; Patient safety; Surgical technique

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