Aesthetic plastic surgery · 2025
Ultrasound-Guided Subscarpal Liposuction in Abdominoplasty: A Safe and Precise Approach for Optimized Vascular and Aesthetic Outcomes.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bruno Agostino, Barbera Mauro, Cilluffo Matteo, Schirosi Marco
Аннотация
BACKGROUND: Subscarpal fat represents a loose, hypovascular layer that contributes to flap tension and ischemic risk in abdominoplasty. This study aimed to evaluate the safety and efficacy of ultrasound-guided subscarpal liposuction using VASER and PAL for improved vascular and aesthetic outcomes.
METHODS: A prospective, single-center comparative study was conducted on 80 patients undergoing abdominoplasty, with or without ultrasound-guided subscarpal liposuction. Key outcomes included ischemic complications, partial flap necrosis, wound healing time, and patient satisfaction (BODY-Q).
RESULTS: The ultrasound-assisted group showed a significantly lower incidence of ischemic complications (1% vs. 12%; p < 0.001) and partial flap necrosis (0% vs. 6%; p = 0.04) compared with controls. Mean wound healing time was shorter (20 ± 5 vs. 28 ± 7 days; p < 0.01), and overall satisfaction scores were higher (90% vs. 72%; p < 0.01). All procedures were completed safely without major vascular injury.
CONCLUSIONS: Ultrasound-guided subscarpal liposuction enhances vascular safety and accelerates wound healing in abdominoplasty while improving contour quality and patient satisfaction. The technique may represent a valuable adjunct to modern abdominoplasty, warranting further multicenter validation.
LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A prospective, single-center comparative study was conducted on 80 patients undergoing abdominoplasty, with or without ultrasound-guided subscarpal liposuction. Key outcomes included ischemic complications, partial flap necrosis, wound healing time, and patient satisfaction (BODY-Q).
RESULTS: The ultrasound-assisted group showed a significantly lower incidence of ischemic complications (1% vs. 12%; p < 0.001) and partial flap necrosis (0% vs. 6%; p = 0.04) compared with controls. Mean wound healing time was shorter (20 ± 5 vs. 28 ± 7 days; p < 0.01), and overall satisfaction scores were higher (90% vs. 72%; p < 0.01). All procedures were completed safely without major vascular injury.
CONCLUSIONS: Ultrasound-guided subscarpal liposuction enhances vascular safety and accelerates wound healing in abdominoplasty while improving contour quality and patient satisfaction. The technique may represent a valuable adjunct to modern abdominoplasty, warranting further multicenter validation.
LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .