Outcomes of High Superior Tension Lipoabdominoplasty Versus Traditional Abdominoplasty

Nowadays, abdominoplasty techniques undergo a continuous process of evolution. One of the most interesting techniques is high superior tension lipoabdominoplasty (HSTLA). HSTLA includes a lipoabdominoplasty with selective undermining (to preserve vascular perforators and lymphatics), high tension sutures in the peri umbilical area (to progressively move the abdominal flap caudally) and quilting sutures (to close the dead space). The objective of this study was to evaluate the outcome of HSTLA compared to traditional abdominoplasty (TA). This study included two groups: Group I: consisted of 19 patients subjected to high HSTLA and Group II: consisted of 26 patients subjected to TA. The outcomes of both groups are compared. As compared with TA, HSTIA technique significantly reduces the incidence of seroma formation and loss of sensation of the lower abdominal flap together with decrease in the incidence of partial wound dehiscence and skin edge necrosis. Also HSTIA significantly decreases the need for blood transfusion and shortens the hospital stay with more satisfactory results to patients and surgeons. HSTLAP is a better way to treat the abdominal region producing better aesthetic results with fewer complications with more satisfaction to patients and surgeons when compared to TA.