Early outcome of total abdominoplasty in thirty cases


  • Iqbal Ahmed Department of Plastic Surgery, M. Abdur Rahim Medical College, Dinajpur, Bangladesh
  • M. Farouqe Hossain Department of Plastic Surgery, Sheikh Hasina National Institute of Burn and Plastic surgery, Dhaka, Bangladesh
  • M. Asaduzzaman Department of Urology, M. Abdur Rahim Medical College, Dinajpur, Bangladesh




Abdominoplasty, Complication, Outcome, Obesity


Background: Abdominoplasty, a popular cosmetic surgery, has improved in recent years. Kelly helped minimize abdominal fat and skin. Medical institutions are diagnosing and treating obesity at an increasing pace. The research aimed to examine early post-abdominoplasty outcomes.

Methods: This prospective observational study was carried out from July 2014 to April 2015. Patients admitted at the plastic surgery department of Dhaka Medical College Hospital and different private hospitals in Dhaka with excess abdominal skin and abdominal wall laxity due to various reasons like previous pregnancy or massive weight reduction were the study population. A total of 30 cases that fulfilled the enrolment criteria were selected from the study population.

Results: Most of the patients (26, 86.67%) were female, 76% of them were married. The mean age at the time of operation was 41.3 years. The overall complication rate was 40% with few major complication (4, 13.33%) and the maximum portion was minor (9, 30%). The most frequent was seroma (3, 10%), infection (2, 6.67%), hematoma (2, 6.67%), wound dehiscence (1, 3.33%), partial flap loss (2, 6.67%) and umbilical stenosis (1, 3.33%), epidermolysis (1, 3.33%), deep vein thrombosis (DVT) (1, 3.33%). Patients’ satisfaction was scored as very good (19, 66.3%), good (9, 30%), satisfactory (2, 6%). No patient scored his satisfaction as poor or very poor.

Conclusions: Abdominoplasty is safe and comfortable. Patients were happy with the treatment and had improved symptoms with little health hazards. There were mild problems, especially with wound healing. Minor difficulties were simply treated in an office.

Author Biography

Iqbal Ahmed, Department of Plastic Surgery, M. Abdur Rahim Medical College, Dinajpur, Bangladesh

Assistant Professor, Department of plastic surgery


Kelly HA. Excision of the fat of the abdominal wall-lipectomy. Surg Gynecol Obstet. 1910;10:229–231.

Babcock WW. The correction of the obese and relaxed abdominal wall with especial reference to the buried silver chain. Am J Obstet. 1916;74:596.

Pitanguy I. Abdominal lipectomy: An approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg. 1967; 40:384–391.

Grazer FM. Abdominoplasty. Plast Reconstr Surg. 1973;51:617– 623.

American Society of Plastic Surgeons. Top five surgical cosmetic procedures in 2010. Available at: http://www. plasticsurgery.org/Documents/news-resources/statistics/ 2010-statisticss/Top-Level/2010-US-cosmetic-reconstructiveplastic-surgery-minimally-invasive-statistics2.pdf. Accessed March 18, 2011.

Bozola AR, Psillakis JM. Abdominoplasty: A new concept and classification for treatment. Plast Reconstr Surg. 1988;82:983– 993.

Matarasso A. Abdominolipoplasty: A system of classification and treatment for combined abdominoplasty and suctionassisted lipectomy. Aesthetic Plast Surg. 1991;15:111–121.

Matarasso A, Swift RW, Rankin M. Abdominoplasty and abdominal contour surgery: A national plastic surgery survey. Plast Reconstr Surg. 2006;117:1797–1808.

Grazer FM, Goldwyn RM. Abdominoplasty assessed by survey, with emphasis on complications. Plast Reconstr Surg. 1977;59: 513–517.

Pitanguy I. Abdominal lipectomy. Clin Plast Surg. 1975;2: 401–410.

Smith MM, Hovsepian RV, Markarian MK, et al. Continuousinfusion local anesthetic pain pump use and seroma formation with abdominal procedures: Is there a correlation? Plast Reconstr Surg. 2008;122:1425–1430.

Khan UD. Risk of seroma with simultaneous liposuction and abdominoplasty and the role of progressive tension sutures. Aesthetic Plast Surg. 2008;32:93–99; discussion 100.

Brink RR, Beck JB, Anderson CM, Lewis AC. Abdominoplasty with direct resection of deep fat. Plast Reconstr Surg. 2009; 123:1597–1603

Araco A, Gravante G, Sorge R, Araco F, Delogu D, Cervelli V. Wound infections in aesthetic abdominoplasties: The role of smoking. Plast Reconstr Surg. 2008;121:305e–310e.

Hester TR Jr, Baird W, Bostwick J III, Nahai F, Cukic J. Abdominoplasty combined with other major surgical procedures: Safe or sorry? Plast Reconstr Surg. 1989;83:997–1004.

Araco A, Gravante G, Araco F, Sorge R, Cervelli V. Postoperative seromas after abdominoplasty: A retrospective analysis of 494 patients and possible risk factors. Plast Reconstr Surg. 2009;123:158e–159e.

Hensel JM, Lehman JA Jr, Tantri MP, Parker MG, Wagner DS, Topham NS. An outcome analysis and satisfaction survey of 199 consecutive abdominoplasties. Ann Plast Surg. 2001; 46:357–363.

Greco JA III, Castaldo ET, Nanney LB, et al. The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations. Ann Plast Surg. 2008;61:235–242.

Araco A, Sorge R, Overton J, Araco F, Gravante G. Postbariatric patients undergoing body-contouring abdominoplasty: Two techniques to raise the flap and their influence on postoperative complications. Ann Plast Surg. 2009;62:613– 617.

Neaman KC, Hansen JE; Analysis of complications from abdominoplasty, a review of 206 cases at a University Hospital. Ann Plast Surg 2007; 58: 292–298.

Hensel JM, Lehman Jr JA, Tantri MP, et al. An outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties. Ann Plast Surg 2001;357–363

Dogan T, Umbilicoplasty in Abdominoplasty,A New Approach,(Ann PlastSurg 2010;64: 718–721)

Teimourium B,Bethesda, Management of Seroma in Abdominoplasty (Aesthetic Surg J 2005;25:510-511.)

Kryger Z.B,Fine N.A,Mustoe T.A,The outcome of abdominoplasty performed under conscious sedation:Six years experience in 153 consecutive cases,(Plast.Reconstr.Surg.113:1807,2004)

Restrepo J.C.C.; and Gutiérrez M.M.G., Abdominoplasty With Anchor Plication and Complete Lipoplasty (AestheticSurg J 2004;24:418-422)

Stuerz K, Piza H, and Kinzl J.F,The Impact of Abdominoplasty After Massive Weight Loss,A Qualitative Study(Ann Plast Surg 2013;71: 547Y549)






Original Research Articles