الفهرس 
Introduction and aim of work
Anatomical considerationsOnly 14 pages are availabe for public view
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Abstract
The contour of the abdomen is the backbone of body contouring surgery. Patients usually seek abdominoplasty for abdominal wall laxity, excess skin, striae, or diastasis of the rectus muscles.
The ideal patient is within normal limits for his or her weight and height (i.e., body mass index), has no plans for future pregnancies, has a moderate amount of excess of skin and fat, and has a mild diastasis of the rectus muscles.
The inevitable end scar must be as invisible as possible, symmetrical, and located in regions covered with the minimal clothing.
In this study we have chosen comparison between two groups;
• Group I-25 patients who underwent classical abdominoplasty with flank liposuction which will stop the incision at the anterior/superior iliac spine.
• Group II-25 patients who underwent extended abdominoplasty with lateral extension of the lower abdominal incision in the flanks.
In this study we had female to male ratio of 9:1
The first step of patient selection by the inclusion criteria presented with abdominal deformities marked by excess abdominal skin and adipose tissue with muscle laxity (Matarasso type III).
The mean age of the studied groups of patients in this work was 35.36 in Group I and 36.20 in group II.
In both groups there were no skin redundancy and dog ears, no step-off borders, the scar was narrow, the edges were coapted, there was no inflammation, the overall cosmetic result was excellent and the scar was optimum.
Hypothesia in upper lateral thigh was (20%) in group I, (40%) in group II and total (30%). Unilateral loss of sensation in upper lateral thigh was (4%) in group II. The hypothesia and loss of sensation was more in group II than group I. These nerve injuries usually resulted from direct dissection and were minimized by the use of liposuction, which serves to increase flap mobility without the need for direct dissection, but there was no significant difference between the two groups as regards to hypothesisa bilateral and unilateral, age groups and hypothesisa, age groups and loss of sensation, sex and hypothesisa and loss of sensation bilateral and unilateral. The degree of satisfaction was relatively the same in both groups and there was no significant difference between the two groups.
In the present study, the total wound complication rate was (50%) in contrast to Sozer et al. 2007(11-32%) and Costa-Ferreira et al., 2010 (30%). This is because we add the percentage of hypothesia (30%) and loss of sensation in upper lateral thigh (4%) which was not present in other studies to seroma (16%).
Abdominoplasty is one of the most commonly performed aesthetic surgery procedures. Localized and generalized accumulations of lower abdominal fat have tested the skills of plastic surgeons for decades. Patients with localized fat accumulations often desire removal for aesthetic reasons, whereas patients with large, especially circumferential, accumulations desire removal for functional reasons.
Liposuction is a surgical intervention designed to treat superficial and deep deposits of subcutaneous fat distributed in aesthetically unpleasing proportions.
The evolution of liposuction has added a powerful dimension to abdominoplasty. Patients with minimal cutaneous and musculofascial laxity may be good candidates for liposuction as the sole contouring procedure.
The introduction of liposuction techniques in the 1980s has allowed surgeons to limit scar length in certain candidates, transforming abdominoplasty into a minimally invasive procedure. Furthermore, modifications, such as “super-wet” infusion, cannula design revisions, and ultrasound-assisted liposuction, have improved overall outcomes (Richard et al., 2004).
Liposuction is a very effective treatment for recontouring localized fat deposits of the trunk, abdomen, and thighs and decreases the length of abdominoplasty scar and decreases complications such as hypothesia and loss of sensation in upper lateral thigh.
As a whole all patients in this study were uniformly pleased with their results. They were pleased with their new image; the patients got both functioning and cosmetic improvement.