سید نجات حسینی - Dept.of General Surgery, Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
علی عماری - Dept.of General Surgery, Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
محمد مسعود وکیلی - Dept. of Health Education & Health Promotion, Zanjan University of Medial Sciences, Zanjan, Iran.

Background and Objective: Nowadays obesity is a common problem.Obesity can cause abdominal deformation and dissatisfaction regarding body appearance. This study explored the use of a new surgical technique based on a special incision to reform flank skin laxity and dog ear with aggressive liposuction in women with abdominal deformities. Materials and Methods: From May ۲۰۱۴ to February ۲۰۱۶, ۲۵ women were chosen for this study. All women had a body mass index of greater than ۲۸ kg/m۲ in addition to flank folding, bulging and excess fat, abdominal and flank skin sagging and laxity. The new  incision apex was tucked ۵-۷ centimeters into the medial of the inferior flap. An important point in this new technique was that the paramedian perforator was preserved.  Results: All women were between ۳۳ and ۶۲ years old (mean age of ۴۷ ± ۷.۲ years old). The average amount of  liposuction aspirate was ۲,۳۵۰ mL (۱۷۰۰-۳۲۰۰ mL) and the size of the average excised skin ellipse was ۲۳.۶۲×۱۶.۰۸ cm (from ۱۹×۱۵ to ۲۷×۱۸ cm). There was a significant association between body mass index and resolved abdomen and flank fat in the second month after surgery. Dog ear, skin laxity, bulging and fat deposit correction were assessed and scored two and four months after surgery. Conclusion: Aggressive abdominal and flank liposuction can be safely done while preserving the paramedian perforator. This yields a good cosmetic result in the abdomen and flank and prevents bulging in the incision end and flank. The use of this abdominoplasty technique is recommended for patients with high body mass indexes.

Aggressive Liposuction, Flank Skin Laxity, Dog Ear, Obesity