368 Fig. 4 Epidural anesthesia with catheter for continuous analgesic infusion and leg bandages to prevent thrombovenous embolism Fig. 5 Supra-condrocostal area to be loosened by angular cannula and ﬂank lateral area to be preserved Fig. 6 Supraumbilical incision is done ﬁrst and a tunnel is undermined to the xiphoid process, preserving the lateral neurovascular bundles Aesth Plast Surg (2009) 33:366–376 Preoperative Demarcation With the patient in a sitting position, we estimate the amount of skin to be resected. We identify the lateral inguinal folds (Fig. 2) and a low abdominal curved line is delineated approximately 8 cm from the labia major vertex. With the patient standing, a line drawn from the superior umbilical is connected to both extremities and the areas to undergo liposuction are outlined (Fig. 3). 123