Aesth Plast Surg (2009) 33:366–376 Fig. 15 The same patient 3 months after surgery. She had a breast augmentation as well 373 smokers and although they stopped smoking 15 days before surgery, we observed epidermolyses in the supra- pubic area which diminished with administration of buﬂomedil cloridrate 300 mg twice daily for 7 days start- ing 2 days before the surgery. In three obese patients seromas appeared 5–6 days after surgery. In those patients we had performed an intensive lipectomy of the ﬂap and although we had used adhesion subcutaneous stitches, seroma resulted. Hypertrophic scars occurred in eight patients, three with white skin and ﬁve with black or multiethnic skin. Scar revision and ‘‘dog ear’’ correction was required in 12 patients. Heller et al. [26] recently published a retrospective cohort study that evaluated four groups of abdominoplasty patients. Group I received only abdominal liposuction; group II received traditional W-pattern incision line abdominoplasty; group III had modiﬁed transverse incision abdominoplasty; and group IV underwent a combined procedure of liposuction and short undermined abdomi- noplasty. Heller et al. concluded that group IV had fewer complications than the other groups. When we compare these data with our group of lipoabdominoplasty patients, we had similar results with a lower percentage of complications. 123