Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist

Summary:. Standard abdominoplasty scars may extend beyond the boundaries of the abdomen. Contemporary styles of body exposure and bathing suits demand that those incisions be hidden inside the “bikini line.” Although a smaller incision used for a mini abdominoplasty might be confined to the abdomen,...

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Main Authors: Raghda E. Tallal, MD, Mina A. Estawrow, MD, Khaled A. Reyad, MD
Format: Article
Language:English
Published: Wolters Kluwer 2022-06-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004319
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author Raghda E. Tallal, MD
Mina A. Estawrow, MD
Khaled A. Reyad, MD
author_facet Raghda E. Tallal, MD
Mina A. Estawrow, MD
Khaled A. Reyad, MD
author_sort Raghda E. Tallal, MD
collection DOAJ
description Summary:. Standard abdominoplasty scars may extend beyond the boundaries of the abdomen. Contemporary styles of body exposure and bathing suits demand that those incisions be hidden inside the “bikini line.” Although a smaller incision used for a mini abdominoplasty might be confined to the abdomen, larger incisions to remove massive amounts of fat and skin excess from the abdomen routinely require extensions toward the groin or iliac areas. Preoperative marking of the incision in an abdominoplasty procedure plays a key role in the shape, length, and position of the resulting scar. Undermining, traction, and resection of redundant tissue also influence these outcomes; therefore, we aim to standardize the abdominoplasty excision pattern. A uniform hexagon design for skin excision was used in 22 patients, with measures that may be used universally, for all patients with moderate skin redundancy. The design was applied successfully to decrease the ultimate scar width, and asymmetry and increase waist definition. All patients’ wounds healed uneventfully. The scar width in all patients did not cross the mid-axillary line. The scar was shorter than the standard abdominoplasty scar that may extend beyond the mid-axillary line. This hexagonal pattern of skin excision provides a quick and consistent technique for skin excision and resultant shorter scar.
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spelling doaj.art-5c04c79560924cfc8892eeacefae50d12022-12-22T03:04:09ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-06-01106e431910.1097/GOX.0000000000004319202206000-00047Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient WaistRaghda E. Tallal, MD0Mina A. Estawrow, MD1Khaled A. Reyad, MD2From the Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, Egypt.From the Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, Egypt.From the Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, Egypt.Summary:. Standard abdominoplasty scars may extend beyond the boundaries of the abdomen. Contemporary styles of body exposure and bathing suits demand that those incisions be hidden inside the “bikini line.” Although a smaller incision used for a mini abdominoplasty might be confined to the abdomen, larger incisions to remove massive amounts of fat and skin excess from the abdomen routinely require extensions toward the groin or iliac areas. Preoperative marking of the incision in an abdominoplasty procedure plays a key role in the shape, length, and position of the resulting scar. Undermining, traction, and resection of redundant tissue also influence these outcomes; therefore, we aim to standardize the abdominoplasty excision pattern. A uniform hexagon design for skin excision was used in 22 patients, with measures that may be used universally, for all patients with moderate skin redundancy. The design was applied successfully to decrease the ultimate scar width, and asymmetry and increase waist definition. All patients’ wounds healed uneventfully. The scar width in all patients did not cross the mid-axillary line. The scar was shorter than the standard abdominoplasty scar that may extend beyond the mid-axillary line. This hexagonal pattern of skin excision provides a quick and consistent technique for skin excision and resultant shorter scar.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004319
spellingShingle Raghda E. Tallal, MD
Mina A. Estawrow, MD
Khaled A. Reyad, MD
Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
Plastic and Reconstructive Surgery, Global Open
title Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
title_full Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
title_fullStr Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
title_full_unstemmed Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
title_short Hexagonal Skin Excision in Lipoabdominoplasty Aiming for a Smaller Scar and Efficient Waist
title_sort hexagonal skin excision in lipoabdominoplasty aiming for a smaller scar and efficient waist
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004319
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AT minaaestawrowmd hexagonalskinexcisioninlipoabdominoplastyaimingforasmallerscarandefficientwaist
AT khaledareyadmd hexagonalskinexcisioninlipoabdominoplastyaimingforasmallerscarandefficientwaist