Liposuction and abdominoplasty in body contouring: synergy or antagonism?

Objective. To compare the complication rate after lipoabdominoplasty and conventional abdominoplasty by systematic review of literature data over the last 5 years. Material and methods. This review examines clinical studies on human subjects published between 01/01/2019 and 01/01/2024. Results. After primary screening, we found 406 manuscripts. This number decreased to 158 after excluding duplicates. According to exclusion criteria, we excluded 108 articles from further analysis. Final analysis enrolled 21 eligible articles. Conclusion. The incidence of suture failure is higher after lipoabdominoplasty compared to traditional abdominoplasty. The incidence of skin necrosis after lipoabdominoplasty varies depending on surgical technique. Infectious complications are significantly more common in traditional abdominoplasty. The overall complication rate after lipoabdominoplasty is 0.40-49.8%, for abdominoplasty — 1.94-30.2%. The factors related to somatic status are essential in addition to surgical methods.