Abstract
The author presents his insights concerning mini-abdominoplasty technique, introduces new concepts and reports his more than 30 years’ experience in treating the functional and cosmetic deformities of the abdominal wall by using minimal incisions open methods and minimally invasive methods to treat rectus diastasis and lipodystrophy in patients without redundant skin. In 1989, he realized that:
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The rectus plication should not be limited to the lower abdomen but in its extension at all from the pubic bone to the xiphoid process.
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No skin resection when there was no flabbiness or redundant skin.
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Perform the entire procedure through the pre-existent scars, without adding longer scars.
In 1991, the author started research project adapting endoscopic methods to the subcutaneous territory and started doing endoscopic gasless subcutaneous rectus plication-endoscopic abdominoplasty to treat patients with no redundant skin and no previous scar. With approximately 300 cases done from 1991 to 2016, observing optimal functional and cosmetic results, in patients with more than 20 years’ follow-up, it proved the efficacy and longevity of the endoscopic abdominoplasty method, giving to the author the enthusiasm for bringing the technique to the next level by introducing in plastic surgery the new emerging technology of robotic surgery, incorporating robotic da Vinci Surgical System in his practice to perform muscle-aponeurotic rectus plication-robotic abdominoplasty.
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Faria-Correa, M.A. (2023). MILA-Minimally Invasive Robotic and Endoscopic Lipo-Abdominoplasty. In: Avelar, J.M., Cavalcanti Ribeiro, R. (eds) Body Contouring. Springer, Cham. https://doi.org/10.1007/978-3-031-42802-9_11
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