Abdominoplasty: effectiveness of classification of Bozola and Psillakis - 27 years of note from the author

ABSTRACT

Introduction:

The author recalls the classification proposed by Bozola and Psillakis in 1988, and "aesthetic pathologies" abdominal divided into 5 groups identical to initial treatment in this segment body as excess skin, subcutaneous fat trunk, diastasis of the rectus muscles, external obliques, and deployment vertical position of the navel. Proposed model abdomen aesthetically beautiful like "lira" as he had done with elevations and depressions, highlights and shadows, creating relief. Define beauty and possibility of its reproduction.

Objective:

To assess the practicality of their diagnosis and treatments of the proposed classification and evolution of the same in the 27 subsequent years with different tactics from those described initially, keeping unchanged the classification.

Method:

Describes the five treatment groups and percentages of each of the last 200 operated cases. 614 cases were operated from 2001 to 2011, with possible outcomes to obtain.

Results:

The classification was effective in 99% of the operated cases.

Conclusion:

The classification proposed by Bozola and Psillakis remains unchanged, the treatments included new tactics, now more extensive and intense liposuction (vibroliposuction) plications of the rectus and obliques through tunnels hipsters in areas without major perforating vessels that supply skin and subcutaneous tissue of the abdomen, it refixando aponeurotic wall, reducing seroma and hematoma. And reducing traction and skin resection, with better quality of scars, and results.

Keywords:
Abdominoplasty; Abdomen/Surgery; Liposuction