INTRODUCTION: The authors propose changes in the post-bariatric abdominoplasty technique to address some imperfections (tension on the T-junction, poor placement of the horizontal scar and unaesthetic umbilical scar) seen with the classic standardization (e.g. en-bloc skin resection and maintenance of the umbilicus). METHODS: Assessment was realized on 67 patients who had previously been submitted to bariatric surgery and undergone modified vertical abdominoplasty with staged skin resection (first the vertical component and then the horizontal one), neo-onphaloplasty and dermolipectomy of the pubic area. RESULTS: The new standardization led to reduction on the previous described downsides of the technique (better scar positioning and less tension). CONCLUSIONS: The new systematization provided an easier pre-operatory marking and improved aesthetic results.
Morbid obesity; Bariatric surgery; Lipectomy
