Abstract
Liposuction of the abdomen area can produce skin contraction that may yield excellent results even in obese patients. This requires careful thinning of the fat layer, using 3 mm spatula cannulas toward the end of the case. The dermis must be treated with care, then the skin positioned appropriately with sticky foam in order to effect proper shape. Aggressive action with larger cannulas can unfortunately produce skin slough in some cases, however. Miniabdominoplasty may be appropriate occasionally after these cases. Full abdominoplasty may be problematic for skin integrity.
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