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Hello, this is Saiga from BIANCA CLINIC.

At the Japanese Society of Aesthetic Plastic Surgery held on May 30 and 31, 2024,

We have announced the formation of Abcracks.

This time, we'll share a digest version of that content.

Photography is prohibited at the conference, so

I cannot provide further details.

Based on this article, doctors performing liposuction have shown interest,

Body contouring is also gaining popularity in Japan.

I'm releasing this in hopes of becoming a major player.

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Combining abdominal liposuction with abdominoplasty,

Progress in Body Design.

 

 

In modern aesthetic medicine, it's not just about improving appearance,

It is important to enhance patients' confidence and satisfaction.

The abdominal area is a key area where many people desire improvement.

 

 

Recent trends in this field go beyond simple liposuction,

Focuses on developing more defined abdominal muscles.

Today, how these technologies are combined,

whether it is producing effective results,

Let's take a look at specific before-and-after photos.

 

 

The target patients were those from January 2023 to March 2024.

These are 25 cases experienced over one year and two months.

We use Bayser in all cases.

Patient selection had a BMI ranging from a minimum of 18 to a maximum of 25, with an average of 21.16.

The age range is from a minimum of 22 years old to a maximum of 41 years old.

We will present a case from among them.

 

 

A 39-year-old woman.

There is subcutaneous fat throughout the abdominal to lumbar region.

Six months after the procedure, not only had I become slimmer overall,

The Abcracs line creates a strong, toned appearance.

 

 

To form such an abcracs line,

Preoperative marking based on an understanding of anatomy is extremely important.

Alfred Hoyos defines it as follows.

Line emphasis is divided into three levels.

Among these, the one preferred by Asian women is,

Up to moderate definition where the blue and yellow lines are combined.

The red line indicates the formation of the so-called six-pack.

All 25 patients at our clinic requested a natural line,

We have adopted blue and yellow lines.

Based on these considerations, our clinic designs using a five-step process.

 

 

Here is the five-step marking process.

I'll explain each one step by step.

 

1: Identify the waist areas on both sides.

The area bounded by the lower edge of the ribs and the anterior superior border of the iliac crest.

It can be easily identified by having the patient take a deep breath.

 

 

2: The Half-Moon Line.

This is the transition zone between the rectus abdominis and the external oblique.

Have the patient tense their abdominal muscles, then identify the area through palpation.

 

3: Center line.

This is the midline extending straight from the navel toward the xiphoid process.

 

 

4: The inguinal triangle.

This is the aponeurosis of the external oblique muscle located above the inguinal ligament.

By applying strong shading to this area,

From the groin to the waist,

You can create the beginning of a beautiful, rising curve.

 

 

5: Upper chest triangle.

The triangle between the upper part of the semilunar line, the serratus anterior, and the external oblique muscle.

 

 

This is the condition immediately after surgery. This is a different patient from the video.

For the next 1-2 weeks, due to swelling,

The lines become increasingly blurred.

At this point already,

It is important that the Abcracs line is formed.

 

 

Here is the progress of the previous case.

The top image is preoperative.

It's a low-fat type, but it's firm and compact.

You expressed a desire to create a well-defined body line.

Below is the 6-month postoperative period.

Overall, it looks clean and defined, with the rectus abdominis muscles clearly visible.

You can see the waistline has been formed.

 

 

 

To create lines, shading is necessary.

To achieve this, it is necessary to control the thickness of subcutaneous fat, but

If you think of it as creating lines based on thickness,

I feel left behind.

If you create contours without reducing the thickness of the superficial fat layer as shown in ①,

This leaves residual fat with a soft texture.

After removing a sufficient amount of superficial fat as shown in ➁,

I believe it's best to suck with the sensation of making the line even thinner.

In other words, it's about designing with shadows, not volume.

 

Conclusion.

・Perform five-step marking based on anatomy

・Suction all the way down to the superficial fat layer to ensure nothing is left behind

・Show three-dimensionality through shadows, not volume

 

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