Flankplasty systematization based on surgical anatomy

▪ ABSTRACT

Introduction:

The study explores body contouring surgery in patients undergoing bariatric surgery. In recent years, this type of surgical intervention has gained prominence due to the increase in the search for reparative procedures after significant weight loss. The text emphasizes the importance of flankplasty, a technique that aims to improve body contour.

Methods:

A literature review was carried out to elucidate the anatomy of the deep fat of the thoracolumbar fascia, and a parallel was made with the flankplasty technique used in our service in post-bariatric patients undergoing 360° or 270° abdominoplasty at Daher Lago Sul Hospital, in Brasília-DF.

Results:

Deep liposuction of the flanks, often necessary in body contouring surgeries, may not be sufficient to remove fat deep into the thoracolumbar fascia and during this procedure, there is an increased risk of retroperitoneal injuries. However, flankplasty, which involves resection of fat deep into the thoracolumbar fascia, has been shown to provide satisfactory results and minimize these risks.

Conclusion:

The study focuses on the importance of precise anatomical knowledge, highlighting the relevance of flankplasty as a valuable technique to improve aesthetic results and reduce complications in post-bariatric patients, complementing bariatric surgery and improving the patient’s quality of life.

Keywords:

Plastic surgery procedures - Body contouring - Body image - Subcutaneous fat, abdominal - Adipose tissue - Anatomy - Lipectomy

Institution: Hospital Daher LagoSul, Brasília, DF, Brazil.

Publication History

Received: 15 September 2023

Accepted: 30 April 2024

Article published online:
22 May 2025

• REFERÊNCIAS

• 1 Aly A, Mueller M. Circumferential truncal contouring: the belt lipectomy. Clin Plast Surg 2014; 41 (04) 765-774
• 2 Somalo M. Dermolipectomia circular del tronco. Sem Med 1940; 47: 1435-1435
• 3 Gemperli R, Munhoz AM, Marques Neto AA. Fundamentos da Cirurgia Plástica. Rio de Janeiro: Thieme Brasil; 2016
• 4 Richter DF, Stoff A. Circumferential body contouring: the lower body lift. Clin Plast Surg 2014; 41 (04) 775-788
• 5 Lockwood T. High-lateral-tension abdominoplasty with superficial fascial system suspension. Plast Reconstr Surg 1995; 96 (03) 603-615
• 6 Lockwood TE. Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg 1991; 87 (06) 1009-10018
• 7 Sabiston DC, Townsend Jr CM, Beuchamp RD, Everds BM, Mattox KL. Sabiston tratado de cirurgia: A Base Biológica da Prática Cirúrgica Moderna. 20ª. Rio de Janeiro: Guanabara Koogan; 2019: 1085-1086
• 8 Cintra Junior W, Modolin MLA, Colferai DR, Rocha RI, Gemperli R. Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients. Rev Col Bras Cir 2021; 48: e20202638
• 9 Andrade MV, Barbosa EC, Lauck AJM, Noleto DC, Freitas TVM, Hartmann AA. Abdominoplastia pós-bariátrica: os impactos na saúde, na qualidade de vida e no bem estar social do paciente. Rev Educ Saúde 2021; 9 (Suppl. 01) 8-8
• 10 Cintra W, Modolin M, Rocha RI, Gemperli R. Abdominoplastia circunferencial simples e composta: evolução técnica, experiência de 10 anos e análise das complicações. Rev Bras Cir Plást 2021; 36 (01) 21-27
• 11 Silva SL. Variações anatômicas do tecido celular subcutâneo pós-perda ponderal. Rev Bras Cir Plást 2010; 25 (04) 675-678