什么是逆向腹部成形术，谁需要它?

在我的办公室咨询中，经常有人要求重塑腹部轮廓. 最常见的技巧是各种形式的 抽脂术 有或没有 腹壁整形术. Another tool in our repertoire which can yield effective results is the “Reverse Abdominoplasty.” The classic indications for a regular 腹壁整形术 is a torso which has loose excess inelastic skin of the lower abdomen, 腹壁直肌分离(分离), 以及不同程度的多余脂肪组织. 该技术消除了下腹部多余的皮肤和脂肪组织, 将直肌重新连接在一起，收紧腹壁, and excess abdominal fatty tissue can be reshaped with 抽脂术 to provide a pleasing shape.

A 反向腹壁整形术 是否适合上腹皮肤松弛的患者, 谁通常没有完全的分离，这影响了下腹部轮廓, 下腹可能有多余的脂肪组织，但皮肤没有多余. The technique is to start with incisions that follow the lower breast fold then cross the lower sternum to connect both sides of the abdomen. 这些疤痕通常隐藏得很好，即使在两件式泳衣. The full thickness skin is elevated down the abdomen preserving the vital blood supply on either side of the belly button. 如果上直肌需要收紧，这可以进行. 任何腹部多余的脂肪也可以在这个时候通过抽脂来纠正. The elevated released excess abdominal skin can be addressed in several ways depending on the needs of the patient:

1. If a women who has the upper abdominal skin excess and also desires rejuvenation of the breast the excess elevated skin of the abdomen can be utilized as a self-augmentation under the breast to provide added fullness and shape. 这通常与 乳房提升 (乳房肥大手术)，可以避免种植的需要和费用. I have even performed this procedure with a woman who many years ago had bilateral mastectomies for breast cancer and we reconstructed her with implants. She had experienced some weight fluctuation and was becoming very active and requested the elimination of her breast implants but still desired a smaller breast to remain. 十大网赌排行榜使用了逆向腹部成形术去除多余的皮肤, 去除外皮, and placed it in her implant space to fill the void and added tissue volume and shape provided with fat grafting harvested from her back, thighs, 下腹使她的胸部更小但形状还算合理.
2. The Reverse Abdominoplasty could be incorporated as part of a treatment plan to tighten the upper abdominal contour. 切口抬高后腹部多余松弛皮肤, the surgeon can remove the undesirable portion and fixate the remaining tissue to the rib fascia of the lower breast fold to avoid the scars from migrating inferiorly thus preventing the exposure of the scars on the upper abdomen. I have used this as a primary surgical procedure for women with loose skin of the upper abdomen that would not respond favorably to 抽脂术 alone. I have also used this as a secondary procedure on women who have previously had an 腹壁整形术 with good results but over time the lower abdomen has maintained its results yet the upper abdomen has become loose and has excess as a result of weight changes, 阳光照射, 当然还有重力. 多余的皮肤可以被去除，为整个腹部提供一个漂亮的紧致外观.
3. Another situation for the 反向腹壁整形术 is for women with loose upper abdominal skin combined with previous augmentation mammoplasty in which the implants have become mal-posed and have drifted inferior and lateral to the correct position. 在这种情况下, the excess elevated tissue can be utilized as an autologous (meaning from your own body) soft tissue sling to help reposition and stabilize the implant similar to an Acellular Dermal Matrix (ADM) graft without the significant added cost of the product to provide long lasting results.

One of the aspects in my profession of plastic surgery I am most proud of is the innovative nature of the field. We take problem sets that patients present to our office and we create unique methods that achieve a sound result with the least amount of surgery and the lowest costs to ensure successful and happy patients. The 反向腹壁整形术 is an example of one of these offshoot procedures which fills a vital niche in my practice.

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