Does High Superior Tension Abdominoplasty Reduce Risk of Necrosis?

asked 2 years ago by kricket88 in Canada
Latest answer by S. Sean Younai, MD
Question viewed 781 times
Tags: necrosis

In regards to High Superior tension abdominoplasty, from a leyman's perspective, it seems that this is the preferable technique for abdominoplasty to avoid complications like seromas, necrosis etc and potentially eliminates need for the drains as the technique focuses on closing the dead spaces. Do most plastic surgeons employ this technique when performing a standard abdominplasty and if not,why? I like the idea of the tension being transferred to the umbilicus level as opposed to the suprapubic area as the first is more well vascularized. My biggest concern is necrosis and that technique seems to diminish the risk substantially.

9 answers to Does High Superior Tension Abdominoplasty Reduce Risk of Necrosis?

High Tension Abdominoplasty is Superior

High tension abdominoplasty or tummy tuck is a superior technique of tummy tuck. it lifts the thighs, tightens the abdominal muscles, and narrows the waist line. It can have a higher risk of skin necrosis if patient does not follow instructions well after surgery or smokes.

S. Sean Younai, MD
Beverly Hills Plastic Surgeon

www.beautifulself.com

Best Tummy Tuck technique

Hi there- It is critical for you to understand that your long term happiness and safety will depend most on the surgeon you choose, and NOT on the technique he or she chooses to perform on you... If performed by a well- educated, well-trained, and experienced surgeon, there are any number of abdominoplasty techniques which could be expected to achieve a wonderful result in an appropriately chosen patient. Those last few words are emphasized because a mistake I see many women make is that of thi more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

High superior tension abdominoplasty. The future of body contouring

This is a great question and something that I do routinely, though not the most common technique. The procedure is based on limited undermining and aggressive liposuction with progressive tension sutures above the umbilicus to decrease dead space and decrease the skin tension at the lower incision. The advantages, in theory are improved contour because you can liposuction safely in the upper abdomen, better skin healing and improved scarring because of better skin vascularity and less... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

Smoking is the biggest risk for skin necrosis after tummy tuck

High tension or quilting sutures in tummy tuck do indeed transfer and distribute the tension along the full abdomen, and we have found that the seroma rate is very low. Why don't all surgeons use this technique? Surgeons generally will use what they have the most experience with and what they believe will give their 'best' result. Choosing a surgeon can be challenging, though board certification and community reputation are a start. Skin necrosis or breast down can be increased by... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

High superior tension tummy tuck flattens your upper abdomen.

Hi. 1) Most people, including a number of plastic surgeons, do not yet know about this tummy tuck technique. It was described by two French surgeons three years ago, and it has become our standard operation in New York City. It produces a really flat upper abdomen, and an inverted belly button. It also take some tension away from the lower flap, as you point out. Try to find a surgeon who uses it. 2) But you should be clear that the big advantage of this technique is NOT that it lowers... more

George J. Beraka, MD
Manhattan Plastic Surgeon

High Lateral or Superior Tension Abdominoplasty

There are many ways to do an abdominoplasty. It is not important exactly how the surgeon does the procedure or what he/she calls the type of procedure. What is important is the result. All techniques are designed to improve the results and reduce problems. There is no one technique that is better than another. Almost all surgeons adopt the parts of each technique that tends to improve his/her results. Removing tension, preserving blood supply and not operating on smokers are the major ways... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Progressive Tension Suture abdominoplasty minimizes problems

The procedure you are describing is a variation of the PTS abdominoplasty, but not really different. You are correct that the progressive tension suture approach reduces the tension at the edge of the skin flap and lowers the chances of a seroma. I published an article on the technique about ten years ago and have been using it routinely. Although there are proponents of the technique who don't use drains at all, I still find them useful but we are able to remove them much earlier. Another... more

Richard Baxter, MD
Seattle Plastic Surgeon

Superior high tension abdominoplasty

In general all abdominoplasty have risk. We are seeing newer techniques that are reported to decrease the rate of seroma and need for drains, however not all surgeons perform all techniques equally well and not all people have the same anatomy and physiology. In general superior high lateral tension is a great procedure however on occasion not as much skin is removed centrally (around the umbilicus ) and on occasion the belly button incision will not completely be removed. The quilting... more

Charles Perry, MD
Sacramento Plastic Surgeon

Abdominoplasty and high tension or quilting sutures for seroma or hematoma prevention

In my opinion the number one cause of necrosis is smoking. Therefore stoping smoking is the best way to diminish this risk. A high tension abdominoplasty does not necessarily reduce the risk of seromas or need for drains. Some people believe that the use of quilting sutures reduces this risk as well as improving blood supply by minimizing tension. However, this is controversial and you can read this here. http://www.ncbi.nlm.nih.gov/pubmed/15785272 http://www.ncbi.nlm.nih... more