INTRODUCTION: Lipoabdominoplasty has been as a safe showed technique with good aesthetic results, bringing a new view to the approach to the body's contour. OBJECTIVES: This study shows a personal experience with lipoabdominoplasty, widely detaching the periumbilical and supraumbilical areas, based on the vascular anatomy of the abdominal wall in its lateral section. The study also shows the frequent association with multiple surgical procedures. METHODS: 138 patients were treated during the period from January 2002 to December 2009, who had a recommendation for both classical abdominoplasty and simultaneous liposuction of the abdomen. Patients with morbid obesity or with no clinical conditions for surgery were excluded. Surgery was carried out by doing the lipoabdominoplasty with the detachment of supraumbilical cutting and of the perimbilical area, more amplified laterally, whereas the infraumbilical cutting was not submitted to liposuction, but removed in its entirety together with Scarpa's fascia. In conjunction with the lipoabdominoplasty, liposuction was done in at least three areas (back, flanks and abdomen), often associated with other plastic surgery procedures or surgeries of other specialties (total of fifty percent of patients). RESULTS: All the procedures had outcomes deemed satisfactory by patients, carried out on the average of three hours, with minor local complications that were easily solved. CONCLUSION: Lipoabdominoplasty without liposuction of the infraumbilical cutting and with the removal of Scarpa's fascia, even though carried out with a larger detachment in the periumbilical and supraumbilical areas, proved to be a secure surgery, capable of being associated with other surgical procedures.
Abdome; Lipectomy; Plastic surgery
