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TITLE Scar Revision after
WRITER Manager

 

 

Scar Revision after lipoabdominoplasty


Sang Yub Yoon


Silhouette Clinic CBBC (Center of Breast and Body Contouring)


Purpose of study: The popularity of Abdominoplasty appears to be increasing. Lipoabdominoplasty (Abdominoplasty combined with lipoplasty with limited central panniculus undermining) has several advantages which minimize the complications. I report the experience of lipoabdominoplasty for focusing the scar revision.


Subjects and Methodology; From May 2007 to January 2015, 300 patients have got the lipoabdominoplasty (3 patients lipominiabdominoplasty) and resulted in high satisfaction rates without significant complication, such as, untreatable seroma, full-thickness flap necrosis, pulmonary embolism and deep vein thrombosis. But 43.3% (n = 130) patients got scar revision because of wide, noticeable, hypertrophic, and asymmetric scars (Fig. 1 and 2). Some patients got tattoo for camouflage the scars (Fig. 3 and 4).


Results; I observed good results and high patient satisfaction with respect to abdominal profile appearance. Overall, patients were able to return to their routine activities approximately 2 weeks postoperatively. I also found a low complication rate among patients who underwent lipoabdominoplasty. Epidermolysis was observed in 2% of cases and hematoma 0.3%. But scar revision is relatively common. So, I explain the patient that scar revision is not a complication. 


Conclusion; This lipoabdominoplasty help to reduce surgical trauma and to preserve lymphatic and vessel system that are the main factor affecting complication formation. Some of the patients complain about the visible scars. So, plastic surgeon should bear in mind that scar revision is normal process to improve the final result.


 


Legend


Fig. 1. (Above, left) Preoperative views of a 43-year-old woman with striae and wrinkles on the abdomen. (Above, right) Postoperative views 8 months after lipoabdominoplasty. Note; long, reddish, wide and visible scar. (Below, left & right) Postoperative views 4 years after lipoabdominoplasty.


fig 1 - lipoabd.JPG




Fig. 2. (Above, left) Preoperative views of a 37-year-old woman with striae, redundant skin and wrinkles on the abdomen. (Above, right) Postoperative views 6 months after lipoabdominoplasty. Note; asymmetric, brown, lifted and visible scar. (Below, left) scar revision design. (Below, right) Postoperative views 3 years after scar revision.



fig 2 -lipoabd.JPG



Fig. 3. Tattoo to camouflage the scars




fig 3 - lipoabd mosaic.jpg



Fig. 4. (Above, left) Preoperative views of a 41year-old woman with multiple striae on the abdomen. (Above, right) Postoperative views 2 weeks after scar revision and 7 months after initial lipoabdominoplasty. (Below, left & right) Postoperative views 4 months after scar revision. She got tattoo for camouflage the visible scar.




fig 4 - lipoabd mosaic.jpg



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lipoabd eposter mosaic.jpg


30's 156cm 50kg lipo.830/1530cc, 486g, after 7mo before surgery after surgery 30's Female 156cm 50kg on abdomen droop skin so bad. after surgery 7 months change before surgery on abdomen flat and sleder waist
Mid-40's 159cm 56kg lipo3000cc, exc1060g, after surgery 7mo before surgery after surgery 159cm,56kg Mid-40's She got a surgery becaus so bad droop skin and strechmarks. On abdomen lipo 3L andthen remove droop skin 1kg more after surgery 7 months she will get scar revision surgery. after surgery on abdomen chang flat and slender waist.
Ealry 40's 161cm, 52kg after surgery 8 months before surgery after surgery Early40's 161cm 52kg Liposuction 1L and remove droopy skin 520g This pictures after surgery 8 months You can see on abdomen flat and slender waist
Scientific and safe surgery through know-how on Lipomastia surgery. You may find more satisfactory postoperative results because Silhouette Lipomastia surgery is carried out with both glandular tissue resection using a specialcannular tube enabling a delicate tube by considering your current Lipomastia status and fine liposuction by generally considering the three-dimensional shape of the breasts. . . Before surgery.Early 20sHeight 170Weight 65 . . . Ultrasonic liposuction 130cc-200ccExcision 21g-18g 34 months after surgery. You can see the shape of normal-looking chest.Advanced liposuction equipmentand professional medical staff.Scientific and safe surgery through know-how on Lipomastia surgery accumulated for many years.Safe Anesthesia System.Minimization of swelling and bruises by rapid surgery through systematic anesthesia system.Systematic preoperative checkup system.All tests required for Lipomastia surgery including breast cancer are carried out in the hospital.A single surgery without recurrence.Clear removal of Lipomastia by a single surgery by surely removing the root cause.Delicate minimal incision.Shorter recovery period and no scars exposed after surgery by conducting surgery with minimal incision.Professional customized follow-up management system.More elastic and smooth breast line by personalized follow-up management through professional dermatology.
Simple tests are enough to finish an operation on the day.(lipomastia surgery) Silhouette Lipomastia Center is a specialized plastic surgery center with the record of operating more than 6,000 surgical cases.Silhouette lipomastia center is a clinic specialized in chest contouring. We have much know-how in dealing with chest pain.An anesthesiology specialist stays in the center full time. For most of the time, patients receive sleeping anesthesia (sedation).As it has been known, general anesthesiais safe anddoes notharmmemories. However, it is true that many peoplehaveanxiety aboutgeneral anesthesia and feel resistance.As the clinic hardly performs general anesthesia, simple tests are enough to finish an operation on the day. . . . Before surgery.Early 20sHeight 173Weight 74 Ultrasonic liposuction 140cc-150ccExcision 18g-26g 17 months after surgery.The chest looks flat.Silhouette Lipomastia Center’s specializedanesthesiasystems for the safety of patients first.Wehave athoroughly-managedanesthesiasystem and have an anestheology specialist.Form pre-operation status to post-operation recovery, anesthesia status isreal-timemonitored by anesthesia professionals.The center has emergencyequipments (electric heartpaddles) and high-techmedicalequipments in place for its top priority of patients’ safety.
Lipomastia in adolescence is usually normal. In the breasts of men, the fattissueand fibroglandular tissue builds up to likelargebreastsofwomen, called “Lipomastia (fatty type lipomastia)This occursusuallygo throughpuberty and willact as acomplexorseverestress.Butbreastenlargementbegan inadolescenceis usuallynormal.Usually lipomastia will be disappeared from theprocess by whichan adult, usually before20years of age.Therefore, wehaveto waitabout1-3 yearsofhigh schoolage,If lipomastia remained after to be adult, surgicaltreatment is required.Throughout liposuction process, fat tissue isremoved and Using tissue shaver, fibroglandular tissueexcisionis performed. Before surgery.Early 20sHeight 175Weight 64 Liposuction 10cc-10ccExcision 14g-7g 6 months after surgery.The chest looks flat. There are more than twenty different ways to remove the breast tissue. These methods are slightly differently for each clinics. Silhouette Lipomastia Center is a specilalized plastic surgery center with the record of operating more than 6,000 surgical cases. We perform the “Invisible scar and perfect chest contouring” operation.
Delicate minimal incision faster recovery time Currently, many people are regaining confidence through Lipomastia surgery.We recommend accurate diagnosis and appropriate surgery rather than worrying alone.Perfect fat removalMinimal incision mammary gland removalCertain skin elasticityIf incision area gets wider, it is quite probable thatthe period for healing scars will get longer and scars will remain.Considering scars and faster recovery time, Silhouette Lipomastia conducts the surgery with minimal incision of the periareolararea.Before surgery Middle 20sHeight 181Weight 86 Ultrasonic liposuction 250cc-260ccExcision 16g-17g 10 months after surgery. You can definitely see the difference before and after surgery.The development of the mammary gland by metabolic diseases such as hypothyroidism, endocrine diseases accompanied by hormone disorder.Lipomastia is caused by mammary gland developed by hormone imbalance symptom due to various reasons and excessively accumulated fat tissue.It is one of the symptoms that occur in more men than you think and there is no significant functionalinconvenience but we recommend you to treat it through surgery because many of them feel psychologically stressful due to complex or poor self-esteem.In many cases, both fat and mammary gland are developed so surgery customized for your current Lipomastia status is required.Liposuction alone may not correct the periareolar area and removing the mammary glandthrough the machine may cause unsatisfactory results because it is not removed completely.You may find more satisfactory postoperative results because SilhouetteLipomastia surgery is carried out with both glandular tissue resection using a specialcannular tube enabling a delicate tube by considering your current Lipomastia status and fine liposuction by generally considering the three-dimensional shape of the breasts.
Man boobs accurate Diagnosis and Perfect Surgery! Currently, many people are regaining confidence through Lipomastia surgery.We recommend accurate diagnosis and appropriate surgery rather than worrying alone.If incision area gets wider, it is quite probable thatthe period for healing scars will get longer and scars will remain.Considering scars and faster recovery time, SilhouetteLipomastia conducts the surgery with minimal incision of the periareolararea.Before surgery. Late 20sHeight 175Weight 88 Ultrasonic liposuction 370cc-330ccexcision 24g-20g 6 months after surgery.You can definitely see the difference before and after surgery.The development of the mammary gland by metabolic diseases such as hypothyroidism, endocrine diseases accompanied by hormone disorderLipomastia is caused by mammary gland developed by hormone imbalance symptom due to various reasons and excessively accumulated fat tissueIt is one of the symptoms that occur in more men than you think and there is no significant functionalinconvenience but we recommend you to treat it through surgery because many of them feel psychologically stressful due to complex or poor self-esteem.In many cases, both fat and mammary gland are developed so surgery customized for your current Lipomastia status is required.Liposuction alone may not correct the periareolar area and removing the mammary glandthrough the machine may cause unsatisfactory results because it is not removed completely.You may find more satisfactory postoperative results because SilhouetteLipomastia surgery is carried out with both glandular tissue resection using a specialcannular tube enabling a delicate tube by considering your current Lipomastia status and fine liposuction by generally considering the three-dimensional shape of the breasts.
No general anesthesia for operation on the day Silhouette Lipomastia Center is a specialized plastic surgery center with the record of operating more than 6,000 surgical cases.Operation is done through small 2-3mm incision hole and post-operative scars are not visible.The glandular tissue excision is performed through areola incision.During endoscopic operation, to remove a large mammary gland, areola incision becomes necessary again, requiring small and delicate instruments.Based on rich experiences, Silhouette lipomastia center develops and uses special instruments on its own for effective operation.Before surgery. Early 20sHeight 173Weight 70 Ultrasonic liposuction 240cc-250ccExcision 10g-10g 4 months after surgery.You can see the shape of normal-looking chest.Silhouette lipomastia center is a clinic specialized in chest contouring. We have much know-how in dealing with chest pain.An anesthesiology specialist stays in the center full time. For most of the time, patients receive sleeping anesthesia (sedation).As it has been known, general anesthesiais safe anddoes notharmmemories. However, it is true that many peoplehaveanxiety aboutgeneral anesthesia and feel resistance.As the clinic hardly performs general anesthesia, simple tests are enough to finish an operation on the day.
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