The other standard procedures are clear and can be easily and safely learned following good basic surgical training. Similar basic surgical rules apply to brachioplasty, abdominoplasty, and thigh lift and buttock lifts. In principle, these procedures entail cleanly lifting a cutaneous/fatty flap from the fascia and tightening the skin appropriately, using a large cutaneous resection and positioning the incisions in such a way that they are preferably not visible. The surgeon's talent is estimating the correct cutaneous resection, so that not too much and not too little is removed, and accurate surgical planning of the incisions so that they will preferably be in a non-visible area. The intracutaneous suturing technique with Monocryl, a suture which is not removed, is now standard and provides the best results. In certain cases, the skin may also be adapted with overcast cutaneous suturing with thin nylon, following subcutaneous, tension-free skin closure. When these continuous sutures are removed in time, the cosmetic results of the suturing are no different than for intracutaneous suturing.
For all operations associated with large scars, follow-up treatment is very important. A compression dressing should be worn for approximately 4 weeks and follow-up treatment for the scar should be carried out with a silicone plaster. Scars resulting from brachioplasty, abdominoplasty, and thigh and buttock lifts in particular are often unpredictable and must be discussed in detail with the patient when the procedure is explained so that there is no disagreement later.
Volume II of the Manual of Aesthetic Surgery will appeal to doctors in the field of aesthetic/plastic surgery and provide them with a basic knowledge of the most important and most frequently requested operations in the torso area:
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