Trends in abdominoplasty: More outpatient surgery and concomitant liposuction

Board recertification data show maintained safety profile, reports Plastic and Reconstructive Surgery®

2023-12-22

(Press-News.org) Waltham — December 22, 2023 — 

Abdominoplasty continues to be a safe and effective procedure, with more cases performed on an outpatient basis and increased use of concomitant liposuction, according to a new 16-year analysis in the January issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). The journal is published in the Lippincott portfolio by Wolters Kluwer.

"Taking advantage of quality-improvement data submitted by US Board-certified plastic surgeons, our study provides new insight on the evolution of the abdominoplasty technique," comments lead author Michael J. Stein, MD, MAS, FRCSC, FACS of Lenox Hill Hospital, New York, N.Y.

Shifts in 'tummy tuck' techniques and outcomes from 2005 to 2021

Abdominoplasty – sometimes called "tummy tuck" – is a cosmetic surgical procedure to improve the appearance of the abdomen. In 2022, ASPS Member Surgeons performed nearly 162,000 abdominoplasty procedures, according to ASPS statistics.

To assess the evolution of practice patterns and surgical techniques, Dr. Stein and colleagues analyzed data from the Continuous Certification process of the American Board of Plastic Surgery (ABPS). In that process, plastic surgeons submit information on specific "tracer procedures" as evidence of ongoing improvement in clinical practice.

The researchers analyzed data on 8,990 abdominoplasty cases submitted by 390 ABPS-certified plastic surgeons between 2005 and 2021. To assess trends over time, cases were divided into early (2005-14) and recent (2015-21) cohorts.

The study period saw an increased rate of outpatient abdominoplasty, without an overnight hospital stay, from 77% to 81%; and increased use of heparin to prevent blood clot-related complications. Patients treated in more recent years were more likely to undergo multiple surgical procedures, particularly liposuction to reduce fat in the abdominal tissue flap.

'Abdominoplasty remains a safe and reliable procedure'

Other technical changes included decreased use of wide tissue undermining, vertical plication of the abdomen, and postoperative of surgical drains – although all these techniques continued to be used in most abdominoplasty cases. The researchers note that while the observed changes are statistically significant, they are "best appreciated as positive or negative practice trends between cohorts, rather than clinically significant changes in practice."

"Abdominoplasty remains a safe and reliable procedure over the study period, with a slight but statistically significant decrease in adverse events in the recent cohort," Dr. Stein and coauthors conclude. "Careful pre-operative evaluation of patients should identify risk factors that increase the risk of complications."

Senior author and past ASPS President Dr. Alan Matarasso of Manhattan Eye, Ear and Throat Hospital has contributed to similar reviews using ABPS Continuous Certification data for other "tracer" procedures – most recently including a report on trends in cosmetic breast augmentation. Fellow authors include Drs. Arun Gosain and Peter Rubin.

Dr. Matarasso comments: "While not without potential sources of bias, the use of ABPS Continuous Certification data – with mandatory reporting of large numbers of common procedures by Board-certified plastic surgeons – provides unique insights into trends in surgical practice and benchmarks to inform further safety and quality improvement efforts."

Read Article [ Clinical Practice Patterns in Abdominoplasty: 16-Year Analysis of Continuous Certification Data from the American Board of Plastic Surgery ]

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health.

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About Plastic and Reconstructive Surgery

For over 75 years, Plastic and Reconstructive Surgery® (http://www.prsjournal.com/) has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair and cosmetic surgery, as well as news on medico-legal issues.

About ASPS

The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

About Wolters Kluwer

Wolters Kluwer (EURONEXT: WKL) is a global leader in information, software, and services for professionals in healthcare, tax and accounting, financial and corporate compliance, legal and regulatory, and corporate performance and ESG. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services.

Wolters Kluwer reported 2022 annual revenues of €5.5 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 20,900 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

For more information, visit www.wolterskluwer.com, follow us on LinkedIn, Facebook,

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Trends in abdominoplasty: More outpatient surgery and concomitant liposuction

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