Most people are concerned about their physical appearance. When body contour shows aesthetic and functional deformity because of a genetic condition or as an acquired characteristic resulting from obesity, weight loss, pregnancy, or any other cause, the abdomen is one of the most frequently affected regions. Functional and aesthetic deformities of the abdominal wall due to skin flaccidity, lipodistrophy, and diastasis of the fascia and muscles cause many negative psychological, physiological, and aesthetic effects. Abdominoplasty and liposuction attempt to correct those problems. For the past few years, there has been considerable progress in methods to undermine the abdominoplasty flap and treat abdominal wall fat. Lipoabdominoplasty was developed as a safe aesthetic and functional option combining complete abdominal liposuction and full abdominoplasty in the same surgical procedure, promoting the benefits of both techniques.
. There are two components: (1) superficial liposuction, which undermines the flap, making it free to slide to the pubis; and (2) preservation of the abdominal perforating vessels. This technique is more than simply using liposuction while performing abdominoplasty. It is a wider concept that respects abdominal anatomy and substitutes cannula undermining instead of traditional undermining. As a consequence, blood supply from abdominal perforating vessels is preserved.