Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Positioning

Background: Abdominoplasty is one of the most commonlyperformed cosmetic procedures. Achieving functional andaesthetic outcome is a major goal. The scar's final position isaffected by multiple factors, so it is important to attempt todecrease, the possibility of distortion in the outcome. Perfectscar is a main aim, and a hidden scar is one of the mostdesirable concerns.Objective: Aim of study is to assess the result of fixationof lower abdominal flap in high lateral tension abdominoplastyand its long-term impact on scar positioning.Patients and Methods: Thirty patients were enrolled inthis study, divided into 2 groups with group (A) underwenthigh lateral tension abdominoplasty without lower flap fixation,and group (B) with lower abdominal flap fixation, objectiveand subjective assessments; including measurements andpatients' satisfaction (VAS scale) was obtained. Statisticalanalysis of the collected data was done.Results: Rise of scar was more in group (A) (withoutlower flap fixation) than group (B) (with lower flap fixation).Patients' satisfaction scores were excellent in (80%) cases ingroup (B) and (60%) in group (A).Conclusion: Symmetry and proportion are essence ofaesthetic surgery. Fixation of lower abdominal flap in abdominoplastyis highly advised according to our results to reacha cosmetic balance and patients' satisfaction with a hiddenwell designed symmetric scar.