TULUA Abdominoplasty

Transverse Plication Technique

1st Edition - July 8, 2024
Editor: Francisco Javier Villegas-Alza
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 1 8 8 2 - 1
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 0 2 3 - 7
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 1 9 8 2 - 8

Renowned globally for its effectiveness and innovation in abdominal contour surgery, discover the pioneering TULUA Abdominoplasty technique, developed by Dr. Francisco Javier… Read more

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Renowned globally for its effectiveness and innovation in abdominal contour surgery, discover the pioneering TULUA Abdominoplasty technique, developed by Dr. Francisco Javier Villegas-Alzate. Offering first-of-its-kind coverage of this effective, alternative surgical technique, TULUA Abdominoplasty: Transverse Plication Technique provides expert, up-to-date guidance from international leaders in abdominoplasty. This comprehensive guide offers unparalleled insights and detailed, step-by-step instructions essential for modern plastic surgeons. Ideal for plastic surgeons seeking advanced techniques and unparalleled results, TULUA Abdominoplasty sets a new standard in surgical excellence and patient care.

Cover Image
Title page
Copyright
Contributors
Foreword 1
Foreword 2
Preface
Contents
Part 1 Fundamentals
1 Essentials of Anterior Abdominal Wall Anatomy for Abdominoplasty
Objective
Introduction
Anterior Abdominal Outline
Discussion
Conclusion
References
2 Surface Abdominal Anatomy, Aesthetics, and Proportionality
Objective
Introduction
Anatomy
Landmarks
Abdominal Fat
Muscles
The Rectus Abdominis
External Oblique Muscles
The Umbilicus
Abdominal Aesthetics
Conclusion
References
3 History and Evolution in Abdominoplasties: Evolving to the TULUA Concept
Objective
Introduction
History
Horizontal Incisions
Vertical Incisions
Mixed Incisions
Periumbilical Incision and Miniabdominoplasty
Lipoabdominoplasty
High-Definition Abdominal Procedures
Complementary Procedures
Conclusion
References
4 Developments for a Safer Lipoabdominoplasty
Objective
Introduction
Method
Discussion
Conclusion
References
5 From ELMA to TULUA
Objective
Introduction
Methods
Elma Protocol
Abdominoplasty
Results
Complications
Discussion
Conclusion
References
6 Abdominal Wall Laxity Correction With Plicatures
Objective
Introduction
Some Definitions First
Diastasis Correction
Wall Laxity Correction
Discussion
Conclusion
References
7 The Origins and Experience of the Transverse Plication During Abdominoplasty in Colombia, Its Uses, Evolution, and Scope
Objective
Introduction
Theoretical Basis
Methods
Results
Discussion
Conclusion
References
8 Neoumbilicoplasty
Objective
Introduction
Embryological and Anatomical Considerations
Conclusion
References
CHAPTER 9 Complications and Prevention Pearls in Lipoabdominoplasty
Objective
Introduction
Local Complications
Systemic Complications
References
10 TULUA Abdominoplasty, Animal Experiments
Objective
Introduction
Materials and Methods
Surgical Technique
Results
Discussion
Conclusion
References
11 TULUA Paradigm Shifting: Detailed Description of the Concepts That Originated the Technique
Objective
Introduction
Conclusion
References
Part 2 Surgical Techniques and TULUA Indications
12 TULUA: A Surgical Guide to the Basic Technique
Objective
Introduction
Surgical Technique
Patient Selection
Operating Room
Markings
Prepping and Draping
Wet Liposuction
Pannus Resection
Transverse Plicature
Woud Closure
Neoumbilicus
Postoperative Period
Results
Discussion
Conclusion
References
13 TULUA Corrects and Prevents Primary or Secondary Upper Abdomen Redundancy
Objectives
Introduction
Normal Anatomy and Aesthetics of the Epigastrium
Patient Examination
Surgery Tips
Results
Case Examples
Discussion
Conclusion
References
14 TULUA Hernio-Abdominoplasty: Hernia Management During Abdominoplasty
Objective
Introduction
Diagnosis
Classification of Hernias
TULUA Hernio-Abdominoplasty
Discussion
Conclusion
References
15 TULUA Abdominoplasty in Postbariatric Patients
Objective
Introduction
Methods
Patient Selection
The Surgery
Results
Discussion
Conclusion
References
16 Secondary TULUA Lipoabdominoplasty
Objective
Introduction
Methods
Results
Discussion
Conclusion
References
17 How to Prevent and Solve Complications of Previous Abdominoplasties and Liposuction With TULUA
Objective
Introduction
Abdominoplasty Scar
Umbilicus
Seroma
Discussion
Conclusion
References
18 Avoiding Tissue Necrosis After Abdominoplasty in the Patient With Subcostal Scars Using TULUA Lipoabdominoplasty
Objective
Introduction
Results
Discussion
Conclusion
References
19 TULUA Lipoabdominoplasty Resects More Tissue Than Conventional Methods While Still Maintaining a Low Scar Placement
Objective
Introduction
Theoretical Basis
Patient Selection
Technique
Cases and Results
Discussion
Conclusion
References
20 TULUA With Additional Vertical Plicature: The Combination of Vertical and Transverse Plications Adds Advantages
Objective
Introduction
Methods
Clinical Case Examples
Results
Discussion
Conclusion
References
CHAPTER 21 TULUA-HD: High-Definition Liposuction Combined With Transverse Plicature Abdominoplasty
OBJECTIVE
Introduction
Patient Selection
Preoperative Markings
Surgery Technique
Results
Complications
Discussion
Future of High-Definition Liposuction
Conclusion
References
CHAPTER 22 TULUA With Abdominal Volumization Using Intramuscular Fat Grafting
OBJECTIVE
Introduction
Methods
Results
Discussion
Conclusion
References
CHAPTER 23 Caldeira-Midi-TULUA Abdominoplasty: Incomplete Subumbilical Resection, and Neoumbilicoplasty During Lipoabdominoplasty
OBJECTIVE
Introduction
Methods
Discussion
Conclusion
References
CHAPTER 24 LIPO-MIT “Mini-TULUA”: Liposuction With Anatomical Definition, Infraumbilical Resection, Short Incision, and Transverse Plicature
Objective
Introduction
Methods
Results
Discussion
Conclusion
References
CHAPTER 25 TULUA-DIEP: Optimizing Abdominal Donor Site During Free Flap Breast Reconstruction Using Transverse Plication Abdominoplasty
Objective
Introduction
Methods
Results
Discussion
Conclusion
References
CHAPTER 26 TULUA-Hemi DIEP: Donor Abdominoplasty Following Flap Banking for Microsurgical Breast Reconstruction
Objective
Introduction
Operative Technique
Results
Discussion
Conclusion
References
27 Pregnancy After Tulua
Objective
Introduction
Case Report
Literature Review
Discussion
References
28 Female External Genitalia in the Context of Transverse Plication TULUA Abdominoplasty
OBJECTIVE
Introduction
Surgical Technique
Reduction of the Labia Minora
Clitoral Hood Reduction
Augmentation of the Labia Majora
Reduction of Labia Majora
Treatment of the Mons Veneris (Pubis)
Other Plastic Surgery of the External Genitalia
Hymenoplasty
Discussion
Conclusion
References
29 TULUA in a Kidney Transplant Patient: Case Report and Literature Review About Aesthetic Surgery in Transplanted Patients
Objective
Introduction
Case Report
Results
Discussion
Conclusion
References
Part 3 International Adaptations of TULUA
30 FLORIDA Abdominoplasty
Objective
Introduction
Historical Background
Surgical Technique
Results and Complications
Discussion
Conclusion
References
CHAPTER 31 LIMA Abdominoplasty: Liposculpture, Mixed Musculoaponeurotic Plication, and Abdominoplasty With Neoumbilicoplasty
Objective
Introduction
LIMA Variants
Surgical Technique
Results
Conclusion
References
32 Lipoabdominoplasty and Abdominal Wall Correction With the Crossbow Plication. (The Paranense Brazil Experience)
Objective
Introduction
Surgical Procedure
Typical Crossbow Lipoabdominoplasty (Type I)
Neoumbilicoplasty
Crossbow Miniabdominoplasty (Type II)
Adaptation of Crossbow Technique to Extreme Abdominal Wall Laxity (Type III)
Results
Discussion
Conclusion
References
33 The India Experience With TULUA: A Subcontinent Introduction to the New Abdominoplasty Era
Objective
Introduction
The Indian Experience
Methods
Clinical Cases
Survey on Tulua Among Indian Plastic Surgeons
Discussion
Editor’s Commentary
References
34 The Arabic Experience With TULUA: Personal Experiences and Specific Indications and Modifications to Introduce the TULUA Abdominoplasty Technique in the Middle East
Objective
Introduction
Methods
Results
Complications
Discussion
Conclusion
References
35 The Buenos Aires Experience: Drainless, Awake, and Tumescent TULUA Abdominoplasty
Objective
Introduction
Tumescent Local Anesthesia
Surgical Markings
Perioperative Stage
Infiltration With Tumescent Local Anesthesia
Surgical Technique
Neoumbilicoplasty
Follow-up
Results
Cases
Complications
Conclusion
References
36 The Paraguayan Experience Introducing TULUA: A Paradigm Change in Abdominoplasty
Objective
Introduction
Methods
Surgical Technique
Postoperative Period
Results
Discussion
Conclusion
References
37 Teaching TULUA Abdominoplasty: Its Application in the “en bloc” Resection Technique
Objective
Introduction
Methods
Surgical Techniques Associated With the Horizontal Plicature Tulua
Clinical Cases
Discussion
Conclusion
References
38 Usefulness and Implementation of the TULUA Technique in a Private Practice Service in Mar del Plata, Argentina
Objective
Introduction
Preoperative Assessment and Patient Selection
Surgical Technique
Postoperative Care
Complications
Conclusion
References
Part 4 Expert Opinion
39 TULUA: Expert Discussion About Its Principles, Questions to Solve, Safety Concerns, and Its Future
Objective
Introduction
Individual Analysis of Tulua Principles
Some Considerations
The Future
Conclusion
Commentary by Francisco Villegas
References
40 Cirque du Soleil and the TULUA Technique Antidotes to the Traditional Abdominoplasty
Objective
Introduction
Challenges
Aesthetics
Complications
Solutions
Conclusion
References
41 Abdominoplasty: State-of-the-Art
Objective
Introduction
Preoperative Assessment
Markings
Anesthesia/Enhanced Recovery After Surgery Protocol (ERAS)
Surgical Technique
Diastasis Repair/Plication
Secondary Abdominoplasty
Abdominoplasty Safety
Conclusion
References
42 TULUA Abdominoplasty in Patients After Massive Weight Loss
Objective
Introduction
Method
Markings
The Surgery
Results
Clinical Cases
Discussion
Conclusion
References
43 TULUA and Oblique Flankplasty: A Marriage to Reshape the 360-Degree Torso
Objective
Introduction
Tulua: An Alternative Lipoabdominoplasty
Oblique Flankplasty: An Alternative Lower Body Lift
Combined Tulua Lipoabdominoplasty and Oblique Flankplasty
Adjuvant Radiofrequency Technology
Surgery
Representative Cases
Discussion
Conclusion
References
44 Male TULUA-HD Abdominoplasty: Emergency TULUA, Safety and Tips for Successful Outcomes
Objective
Introduction
Surgery
Complications
Discussion
Conclusion
References
45 Vibration Amplification of Sound Energy at Resonance (VASER) Circumferential Liposuction and Lipoabdominoplasty: A New Frontier, Complementing and Challenging TULUA Abdominoplasty
Objective
Introduction
Ultrasound Liposuction—VASER
Ultrasound-Assisted Liposuction (VASER) in Abdominal and Circumferential Body Contouring
Vaser Lipoabdominoplasty
Final Considerations
References
46 TULUA-nha: Lipoabdominoplasty With Definition + TULUA
Objective
Introduction
Methods
Results
Discussion
Conclusion
References
47 Mastering the Lipoabdominoplasty: Superior Pull-Down, Miniabdominoplasty, and TULUA Techniques
Objective
Introduction
Surgical Techniques
Complications
Conclusion
References
48 First Experiences With the TULUA Abdominoplasty Technique in Germany
Objective
Introduction
Method
Technique
Discussion
Conclusion
References
49 TULUA Abdominoplasty: “How To” Obtain the Best Results and Avoid Complications
Objective
Introduction
Delimitation of Surgical Areas in TULUA Abdominoplasty
Indication of Surgical Technique
Surgical Technique
Postoperative Management
Results
Complications
Conclusion
References
50 CALP-TULUA: Incorporating TULUA in Divine Proportion CALP Abdominoplasty
Objective
Introduction
Methods
Results
Discussion
Conclusion
References
Index

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TULUA Abdominoplasty

Transverse Plication Technique

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Francisco Javier Villegas-Alza