Reverse Abdominoplasty

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45 year old woman who complained of excess skin in the upper abdomen. A reverse tummy tuck was planned with the incision at the inframammary folds bilaterally with a small M-shaped incision through the presternal area. A trimming of the upper abdominal skin was performed removing approximately 1.5-2 inches of redundant skin centerally and approximately 1 inch of skin more laterally. After trimming the skin, Scarpia's fascia of the upper abdominal flap was sutured to the rib periosteum with 0 Ethibond suture. The subcutaneous tissue was then closed with Insorb staples and the skin was closed with 4-0 Monocryl. A nice result was obtained.

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