Miniabdominoplasty
Miniabdominoplasty (mini tummytuck), what is it
Mini abdominoplasty (mini tummytuck) are defined as those procedures with removal of excess skin and traction of skin-adipose flap of the lower abdominal quadrants only .
Neither the extensive disconnection at the upper quadrants nor the umbilical reimplantation typical of full abdominoplasty (tummytuck) is performed.
Despite the lesser extent of slip flap dislodgement, the skin incision in miniabdominoplasty can also be quite extensive, depending on the case.
In any case, if the criteria of correct level and shape are met as we saw in the previous chapter, the mini-abdominplasty scar will be well harmonized and masked as in this case.
In more restrained cases, the incision resumes an eventual cesarean by improving its characteristics while removing some excess skin.
Therefore, we will no longer talk about mini abdominoplasty (tummytuck) being able to declassify this even smaller option as scar correction and suprapubic facelift as we see in this case.
Miniabdominoplasty, indications and contraindications
Miniabdominoplasty is indicated in cases of excess skin, even abundant skin, but predominantly in the lower abdominal quadrants.
In cases of excess skin and laxity of even the upper abdominal quadrants, on the other hand, the miniabdominoplasty should be avoided in favor of a full abdominoplasty (tummytuck).
In the case of diastasis recti, the traditional anterior access provided by a miniabdominoplasty does not allow adequate tissue exposure for complete manual midline reconstruction (anterior rectus plication).
Therefore, if a miniabdominoplasty is proposed in conjunction with the traditional anterior rectus plication, the surgery should be considered incomplete at the outset.
This limitation is completely solved by robotic surgery where miniabdominoplasty and diastasis repair are perfectly matched because they act on two independent layers.
Miniabdominoplasty surgery and postoperative course
Mini-abdominoplasty surgery requires at least one or two nights of inpatient stay in an appropriate facility (same-day discharge proposals should be avoided).
This is followed by ambulatory management especially in the two weeks after surgery .
Subcutaneous drain pipes may be used and will be removed more or less early depending on the case.
The first choice anesthesia is general anesthesia, exactly as in full abdominoplasty (tummytuck), second choice are sipnal anesthesia.
