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Retrospective Analysis of Type II Psillakis-like Mini-Abdominoplasties in a Single Cosmetic Surgery Practice: A Pilot Study

Introduction: Mini-abdominoplasty is a surgical procedure available to patients with mild skin laxity and no underlying structural deficits including hernias or diastasis recti. This procedure can be performed safely with local anesthesia and minimal recovery time. Materials and Methods: All patients at a single private practice undergoing mini-abdominoplasties between 2005 and 2009 were identified. All procedures were performed using intravenous sedation, tumescent anesthesia, limited undermining, and without rectus plication or umbilical stalk resection. Identified patients were asked to complete a postprocedure questionnaire regarding postoperative complications and patient satisfaction. Results: Eight patients underwent mini-abdominoplasties, 7 of whom had concomitant liposuction. All patients were contacted and completed the questionnaire. No major postoperative complications were reported. Patient-reported pain, bruising, and edema following the procedure were mild in nature. Patient-evaluated overall improvement in the appearance of their abdomen was 78.13%. Conclusions: Type II Psillakis-like mini-abdominoplasty performed with tumescent anesthesia and intravenous sedation offers a safe and effective management of redundant abdominal skin tissue with high patient-reported improvement.