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abdominal flap Abdominal lipectomy abdominal wall abdominale abdominoplasty adequate adipose tissue Aesth Plast Surg Aesthetic Plastic Surgery aesthetic results anesthesia aponeurosis arm lift avoid axillary Baroudi body contour brachial sulcus breasts buttocks Chir Plast Chirurgie Clin Plast Surg closure complications crural cutaneous deformity denuded depression Dexon dissection elbow excess skin excess tissue excision fascia flaccidity gluteal region Gonzalez-Ulloa Guerrerosantos hernias iliac crest improve inguinal lateral lipectomy lipodystrophy liposuction lower flap lymphatics mammaplasty marked mastopexy medial muscle obese patient operation panniculus adiposus pendulous abdomen performed Pitanguy Plast Reconstr Surg Plast Surg 1975 Plastic Surgery posterior aspect postoperative preoperative view present problems prosthesis ptosis Regnault removed resection scar secondary abdominoplasty secondary hip-buttock-thigh plasty seromas skin and adipose skin and fat stitches superficial supine position surgeon surgical procedure surgical technique suture suture line tension thigh torsoplasty trochanteric region umbilical umbilicus undermining upper arm upper incision Vilain xiphoid process