Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University156910.18499/2070-478X-2022-15-3-192-197Research ArticleLiposuction as a Stage of AbdominoplastyVinnikYurii Semenovich<p>Doctor of Medical Sciences, Professor, Head of the Department</p>yuvinnik@yandex.ruhttps://orcid.org/0000-0002-8995-2862PakhomovaRegina Alexandrovna<p>Doctor of Medical Sciences</p>PRA5555@mail.ruhttps://orcid.org/0000-0002-3681-4685BabadzhanianAkop Manasovich<p>clinical resident, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University,</p>Akop-b@mail.ruhttps://orcid.org/0000-0002-5112-9686KochetovaLyudmila Viktorovna<p>Candidate of Medical Sciences, Associate Professor</p>dissovetkrasgmu@bk.ruhttps://orcid.org/0000-0001-5784-7067FedotovIvan Andreevich<p>surgeon</p>belacot@mail.ruhttps://orcid.org/0000-0001-8728-0823SindeevaLyudmila Victorovna<p>Doctor of Medical Sciences, Associate Professor, Head of the Department</p>lsind@mail.ruhttps://orcid.org/0000-0003-0469-9552Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityClinical Hospital «Russian Railways-Medicine» in Krasnoyarsk290920221531921971102202201082022Copyright © 2022, Vinnik Y.S., Pakhomova R.A., Babadzhanian A.M., Kochetova L.V., Fedotov I.A., Sindeeva L.V.2022<p>Introduction. Modern options of plastic surgery tend to improve clinical outcomes, introduce minimally invasive methods, increase the quality of the cosmetic effect, provide long-term preservation of the effect, and use the most efficient and safe procedures. In this paper, the authors reviewed the main options for performing liposuction as a stage of abdominoplasty. The aim of research was to study the clinical outcomes of abdominoplasties combined with liposuction performed in plastic clinics in Krasnoyarsk, and systematize their approaches.<br />Materials and methods. This prospective and retrospective study involved 172 patients who underwent abdominoplasty with liposuction or liposuction in the Center for Plastic Surgery and Outpatient Healthcare and the Department of Plastic and Reconstructive Surgery of the Clinical Hospital "RZD-Medicine", Krasnoyarsk. The average age of women was 38 years.<br />Results and discussions. The ways of combining liposuction and abdominoplasty are extremely diverse due to effect of liposuction on the clinical outcomes of abdominoplasty. The volume of liposuction, the terms of liposuction, the area and access of surgical intervention are the most important issues for providing an aesthetic result. According to our findings, 30 women (24%) were performed solely liposuction of the anterior abdominal wall, 10 (8%) women were performed mini-abdominoplasty combined with liposuction, 31 women underwent mini-abdominoplasty or abdominoplasty without liposuction (29%), abdominoplasty combined with liposuction was performed in 54 (42%), which was the largest proportion compared to other types of interventions. <br />Systematization of liposuction options used in plastic clinics in Krasnoyarsk allows developing a scheme for the major, most commonly used approaches to combine these types of operations. Local complications are more common in women with BMI=30-40. In the postoperative period, local complications were observed in 5.8% of cases; systemic complications were not detected in this study.<br />Conclusion. Effectiveness analysis of the results obtained demonstrated that the most effective way of the intervention is to perform liposuction during abdominoplasty. Liposuction as a stage of abdominoplasty with a competent and personalized approach improves the effectiveness of abdominoplasty and allows achieving an ideal aesthetic result.</p>degrees of abdominoptosisabdominoplastyliposuctionlocal complicationsseromahematomaстепени абдоминоптозаабдоминопластикалипосакциялокальные осложнениясеромагематома[Kurek MF, Anichkin VV. Contouring: problems and solutions. Problemy zdorov'ya i ekologii. 2012;1(31):12-17. (in Russ.)][Plegunova SI, Zotov VA, Poberezhnaya OO. Variants of techniques in abdominoplasty: a historical digression and a modern view of the location of surgical incisions. 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