Because it corrects flaccidity and improves abdominal wall deformities, muscle-aponeurotic plication is an important component of abdominoplasty and lipoabdominoplasty. Vertical, horizontal, or mixed plications are possible. Although vertical plication is the most prevalent, horizontal plication is becoming more popular as part of the TULUA procedure. We believe that a mixed plication in the shape of a "Fleur de Lys" is a better kind of correction because it corrects both vertical and horizontal flaccidity. The horizontal plication is done perpendicular to the straight muscles and corrects the abdominal wall's vertical elongation.
Methods and Materials: We performed on abdominoplasty and lipoabdominoplasty patients with the "Fleur de Lys" plication from February 2015 to May 2019.
144 "Fleur de Lys" plications were performed in 140 women (97.2%) and four men (2.8%) over this time period, with ages ranging from 25 to 63 years (average 48 years). A total of 136 cases (94.4%) were primary procedures, with 8 instances (5.56%) being patients who had previously had abdominoplasty. We had no consequences from the increased intra-abdominal pressure; instead, we had minor dehiscences in 5 patients (3.5%) and seroma in 10 cases (7.8 percent ).
Conclusion: Because it corrects the vertical and horizontal flaccidity present in operated abdominoplasty and lipoabdominoplasty patients, the mixed plication technique in "Fleur de Lys" is a more anatomical method of correcting muscle-aponeurotic flaccidity. Its execution is technically simple, and the results obtained are as expected, with minimal complications.Author(S) Details
Marcos-Quispe Jorge
Departament of Plastic Surgery and Burns, “Guillermo Almenara Irigoyen” Hospital, Vitalis Clinic, Peru.
Nuñez Gustavo
Departament of Plastic Surgery and Burns, “Guillermo Almenara Irigoyen” Hospital, Future Medic Clinic, Perú.
Marcos-Quispe Henri
Plastic Surgery, Vitalis Clinic, Perú.
Jovick Militza
Plastic Surgery, Future Medic Clinic, Perú.
Marcos- Quispe Mirek
Vitalis Clinic, Peru.
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