Abdominoplasty With Dermal-Fat Graft: Simultaneous Repair of Hernia and Diastasis – A Retrospective Case-Series

Background:Abdominoplasty, a widely sought-after cosmetic surgery, addresses esthetic concerns and the integrity of the abdominal structure.This investigation explored the use of autologous dermal fat grafts in eight patients undergoing abdominoplasty to concurrently address multiple abdominal wall pathologies, such as hernias and rectus diastasis.The primary aim of this study was to assess the viability and safety of this innovative technique for harmonizing functional and esthetic outcomes. Methods:This study encompassed a retrospective case series conducted by a single surgeon.The surgical procedure included abdominoplasty using dermal fat grafts created from surplus tissue excised during surgery: detailed operative techniques and postoperative care aligned with established abdominoplasty procedures.The assessment employed a unique evaluation framework with seven components to analyze outcomes, encompassing patient and surgeon satisfaction, hernia status, and esthetic enhancements. Results:The outcomes demonstrated the technical feasibility and safety of using autologous dermal fat grafts during abdominoplasty.All eight patients underwent the procedure successfully without complications associated with synthetic mesh repair.The technique effectively resolved functional concerns and aligned with the esthetic objectives of abdominoplasty, leading to high patient satisfaction. Conclusions:While displaying promise, this study acknowledges limitations such as its retrospective nature and small sample size.It emphasizes the necessity for further prospective, controlled studies involving larger cohorts to validate this innovative approach's long-term effectiveness in addressing functional and esthetic abdominal concerns.Successful integration of dermal fat grafting during abdominoplasty presents potential benefits for patients seeking comprehensive abdominal wall reconstruction.