• David S. Slatton, MD • Aesthetic Plastic Surgery •

3781 Westerre Parkway • Suite E • Richmond, Virginia 23233 • (804) 527-1111 • fax (804) 527-1161

Abdominoplasty

Abdominoplasty procedures may vary and depend on the individual patient’s skin quality and fat deposition. Frequently, Abdominoplasty is combined with liposuction to give results that surpass those obtained by either procedure alone.

The High Lateral Tension Abdominoplasty combines skin excision and liposuction for abdominal contour improvement. With this technique for abdominoplasty, lateral tension is emphasized because tissue laxity increases from the midline laterally (to the sides) with age and/or with weight fluctuation. Permanent stitches are used to secure the deep fat layers of tissue which creates a more narrow scar and prevents a "ledge" effect which occurs if absorbable stitches are used on the deep fat layers. An internal corset is created by suturing the tissue which surrounds the muscles of the abdomen. The belly button position is transposed. Liposuction of the upper and lateral abdomen improves appearance and not infrequently allows the contour of the upper abdomen to show definition where it did not exist before. Not only is the abdomen tightened with this technique, but the anterior thigh is also lifted as well. These features are unique to the High Lateral Tension abdominoplasty technique, and are not as readily achieved (if at all) with traditional abdominoplasty techniques.

When the High Lateral Tension Abdominoplasty is combined with liposuction of the back and flank regions, the operation becomes one of Total Truncal Rejuvenation. People often don’t initially consider liposuction of their backs and flanks because they do not often look at themselves from behind. However, the combination of the High Lateral Tension Abdominoplasty and back and flank liposuction allows improvement of the whole torso and often improves the way clothes fit.