Hello, this is Suga from BIANCA CLINIC.

At the Japanese Society of Cosmetic Surgery held on 2024/5/30.31,

We gave a presentation on the formation of abcrux.

This time I will tell you a digest version of the contents.

Photography is prohibited at the conference, so

I can't leave details.

Based on this article, doctors who perform liposuction may be interested.

In Japan, Body Contouring (body contour formation) is

I'm releasing it in hopes of it becoming a major hit.

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Combining abdominal liposuction and abcrux formation,

About the progress of body design.

 

 

Modern aesthetic medicine is not just about improving your appearance;

It is important to increase patient confidence and satisfaction.

Abdominal design in particular is a major area that many people would like to see improved.

 

 

Recent trends in this field go beyond simple liposuction;

It focuses on creating more defined abdominal muscles.

Today we will discuss how these technologies are combined and

Are you producing effective results?

I would like to take a look at specific before and after photos.

 

 

Target patients are from January 2023 to March 2024.

These are 25 cases that I experienced in 1 year and 2 months.

Vacer is used in all cases.

Patients were selected based on a BMI of 21.16 with a minimum of 18 and a maximum of 25.

Minimum age is 22 years old and maximum age is 41 years old.

I will present some cases from among them.

 

 

I am a 39 year old woman.

There is subcutaneous fat all over the area from the abdomen to the waist.

Six months after the surgery, not only did the body become thinner overall,

Abcrux lines make your skin look strong and toned.

 

 

To form such an abcrux line,

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

Alfred Hoyos defines it like this.

Line emphasis is divided into three levels.

Among these, the ones preferred by Asian women are:

Up to the moderete definition that combines the blue and yellow lines.

The red line represents the so-called 6-pack formation.

At our clinic, all 25 patients desired natural lines,

It uses blue and yellow lines.

Based on these, we design in 5 steps.

 

 

This is the 5 step marking.

I will explain one by one.

 

1: Identify the left and right waist areas.

This area is surrounded by the lower border of the ribs and the anterior superior border of the iliac crest.

It can be easily identified by asking the person to take a deep breath.

 

 

2: It is a half-moon line.

This is the transition area between the rectus abdominis and external oblique muscles.

Ask them to tense their abdominal muscles and identify by palpation.

 

3: This is the middle line.

This is the midline that runs straight from the navel to the xiphoid process.

 

 

4: Inguinal triangle.

This is the aponeurosis of the external oblique muscle that sits on top of the inguinal ligament.

By firmly shading this area,

From the groin to the waist,

You can create a beautiful, looming curve at the beginning.

 

 

5: Upper thoracic triangle.

It is the triangle between the top of the semilunar line, the serratus anterior muscle, and the external oblique muscle.

 

 

This is right after the surgery. The patient will be different from the one in the video.

Due to swelling for 1-2 weeks from now,

The line becomes unclear.

At this point, already

It is important that the abcrux line is formed.

 

 

This is the progress of the case mentioned earlier.

Above is before surgery.

Although the fat content is low, it is firm and firm.

She wanted to create a well-defined body line.

Below is 6 months after surgery.

The whole body feels refreshed, and the line of the rectus abdominis muscle appears,

You can see that a constriction has formed.

 

 

 

In order to form lines, it is necessary to apply shading.

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

When it comes to creating lines depending on the thickness,

I feel left out.

If you form a line without reducing the thickness of superficial fat as in ➀

In this way, the remaining fat will remain soft.

After removing some superficial fat as shown in ➁,

I think it's best to suction the line to make it even thinner.

In other words, design with shadows rather than volumes.

 

This is the conclusion.

・Perform 5-step marking based on anatomy

・Suction to the superficial layer of fat so that nothing is left behind

・Show a three-dimensional effect with shadows rather than volume

 

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