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November 1, 2025Plastic & Reconstructive Surgery Global OpenOpen Access

Comparative Analysis of Aesthetic Abdominoplasty Versus Simple Abdominal Closure in Deep Inferior Epigastric Perforator Flap Breast Reconstruction

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Authors

MCMario CherubinoFPFerruccio PaganiniGLGiuseppe A.G. Lombardo

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Overview

Retrospective analysis reveals aesthetic closure may improve donor-site appearance in breast reconstruction, but not justified due to longer surgery times.

Key Points

  • This study compares aesthetic and standard abdominal closure techniques after DIEP flap breast reconstruction.
  • Retrospective analysis of 46 patients undergoing DIEP flap breast reconstruction from 2021 to 2024.
  • Group 1 received standard closure with Vicryl sutures, while Group 2 had aesthetic closure using barbed quilting sutures and optional liposuction.
  • Outcomes evaluated included operative time, hospital stay, complications, and aesthetic satisfaction at 6 months.
  • Aesthetic closure (Group 2) had a longer operative time of 524 minutes compared to 435 minutes in Group 1 (P = 0.01).
  • No significant difference in hospital stay was observed (5.2 vs. 5.6 days, P = 0.62).
  • Aesthetic satisfaction scores were higher in Group 2 for both patients (7.24 vs. 6.86, P = 0.86) and surgeons (7.84 vs. 7.57, P = 0.58).
  • Complication rates were similar in both groups, with no instances of flap loss, bulging, or hernia.

Cite This Study

Cherubino et al. (2025) studied this question.

synapsesocial.com/papers/6925435ec0ce034ddc357fb4https://doi.org/10.1097/gox.0000000000007196
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aesthetic Breast Reconstruction With De-epidermized Deep Inferior Epigastric Artery Perforator Flap and Thoracoabdominal Advancement Flap2025 · 3 citations
  2. 2“DIEP Flap vs PAP Flap vs LAP Flap: A Propensity Matched Analysis of Aesthetic Outcomes, Complications, and Satisfaction”2024 · 7 citations
  3. 3Inset techniques for the DIEP flap – what improves aesthetic outcomes?2024 · 2 citations
  4. 4Clinical and donor-site outcomes of DIEP versus TRAM flaps in post-mastectomy breast reconstruction: a systematic review and meta-analysis2026
  5. 5Eight Women With Autologous Fat Transfer and Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Which Do They Prefer, and Why?2026