The Aesthetic Surgery Journal is pleased to publish two Continuing Medical Education (CME) articles on abdominoplasty. According to the American Society for Aesthetic Plastic Surgery (ASAPS) annual statistics, abdominoplasty was the fifth most common surgical procedure performed in 2017,1 with over 140,000 procedures. This shows an increase of nearly 5% from 2016 and the number of such procedures has grown 28% since 2012. One might ask, “Why do we need two CME articles?” The answer is simple: the spectrum of patients seeking excisional abdominal contouring continues to grow. Abdominoplasty is an ever-evolving procedure carrying with it high patient satisfaction. The procedure is dictated by proper patient analysis and an appreciation of the underlying anatomy coupled with the patient’s goals. It is no longer the same operation performed on all patients. Additionally, our knowledge of patient safety and the risk associated with abdominoplasty has grown tremendously over the past 3-5 years. We recognize that this procedure is associated with a risk of venous thromboembolism (VTE),2 but we are better educated on preventive measures as a result of new research published in journals such as the Aesthetic Surgery Journal. Both articles offer the reader the opportunity to obtain CME credits by answering clinically relevant questions. Drs Shestak and Rosenfield have taken different approaches to updating us on this commonly performed procedure. Dr Rosenfield describes the pertinent anatomy and expands on the evaluation of potential patients.3 He thoroughly reviews the surgical options, including a number of different techniques, treatments, and various technologies that may be used to optimize outcomes following abdominoplasty. These surgical options are clearly illustrated by photographs that highlight the various procedures. Dr Rosenfield also reviews possible complications and comprehensively discusses the aesthetic concerns unsatisfied patients may have. Dr Shestak’s article updates the reader on a significant number of publications addressing patient safety in abdominoplasty procedures.4 The article reviews clinical options relevant to the high-risk patient. The data highlighted are essential knowledge to properly educate our patients regarding the risks of this procedure. The reduced focus on the technical aspects of abdominoplasty and the expanded coverage of risks, safety, and complications nicely complements Dr Rosenfield’s publication. Both authors have done an excellent job of reviewing the literature and enhancing our knowledge about this procedure. After reading these papers, one can appreciate the various procedures available to contour the abdomen and their associated risks and outcomes. I consider these papers a must for anyone interested in abdominoplasty. I hope you enjoy them as much as I did. Disclosures The author declared no potential conflicts of interest with respect to the research, authorship, and publication of this article. Funding The author received no financial support for the research, authorship, and publication of this article. REFERENCES 1. Cosmetic surgery national data bank statistics . Aesthet Surg J . 2018 ; 38 ( suppl 3 ): 1 - 24 . PubMed 2. Keyes GR , Singer R , Iverson RE , Nahai F . Incidence and predictors of venous thromboembolism in abdominoplasty . Aesthet Surg J. 2018 ; 38 ( 2 ): 162 - 173 . Google Scholar Crossref Search ADS PubMed 3. Rosenfield LK , Davis CR . Evidence-based abdominoplasty review with body contouring algorithm . Aesthet Surg J . 2019 ;39( 6 ): 643 - 661 . 4. Shestak KC , Rios L , Pollock TA , Aly A . Evidenced-based approach to abdominoplasty update . Aesthet Surg J . 2019 ; 39 ( 6 ): 628 - 642 . © 2019 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: firstname.lastname@example.org This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
Aesthetic Surgery Journal – Oxford University Press
Published: May 16, 2019
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