Liposculpture is a surgical procedure designed to reduce and reshape subcutaneous fat deposits in various body districts.

At the level of the abdominal wall, liposculpture has numerous applications both in terms of fat reduction and remodeling. Through special cannulae introduced at subcutaneous level through small orifices, the adipose tissue is broken down and suctioned.

Notes on anatomy and modern techniques in abdominal liposculpture

The abdominal wall is a structure organized into multiple layers. The is found primarily in a superficial layer between the skin and the musculature.

The muscular wall is therefore directly underneath the adipose layer and in turn conditions its shape, especially as the state of contraction or relaxation varies.

These anatomical features imply that when performing abdominal liposculpture, the surgeon must also have a deep knowledge of the underlying muscular-aponeurotic anatomy, as well as an innate sense of aesthetics and proportion.

The abdominal wall is a contractile and dynamic structure, therefore the shape of the adipose tissue of a liposculpture should be evaluated in the long term not only when the patient is lying down but also when standing and during certain movements.

In the post-operative period it is necessary to wear a sheath containing and appropriately shaped according to the specific need for a certain period. There are generally no stitches to be removed, but small patches in correspondence of the access routes for the cannulae.

The level of post-operative pain is low or absent and within a few days it is possible to resume normal activities. To be able to appreciate the result of an abdominal liposculpture, weeks or months of settling are necessary, during which tissues are tightened and recompacted, leaving the final result with greater definition.

In our experience liposculpture is placed not only as an isolated maneuver but also as an aesthetic complement to the repair of the diastasis recti, generally in the context of the same operating session, in cases that require it.

Latest generation instruments for abdominal liposculpture

Through special cannulas introduced at subcutaneous level, the adipose tissue is broken down and suctioned.

The instrumentation used for the procedure can vary from the traditional suction cannulae to the more modern Vaser, which consists in associating the cannula with an ultrasonic handpiece to facilitate tissue breakdown.

It is also possible to replant the adipose, properly treated, in different regions as needed with a procedure called lipofilling.

Recently, special surgical devices called J-Plasma have become available. These devices use radiofrequencies to induce greater skin recompaction in the post-operative period.

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