Subscarpal Dissection in High-Definition Abdominoplasty With 3-Vector Rectus Plication (SHARP) Technique: The 10-Step Path to Ensuring Safety and High-Definition Results in an Indian Cohort

Abstract Background Unique aesthetic demands, varied skin tone, texture, body composition, and clinical histories of Indian patients have inspired the Subscarpal Dissection in High-Definition Abdominoplasty with 3-vector Rectus Plication (SHARP) technique. Objectives In this study, the authors primarily evaluate the effectiveness of the surgery by its safety, measured by major and minor complications. The secondary objective is postoperative patient satisfaction. Methods The authors report the outcomes of a cohort undergoing high-definition lipoabdominoplasty with 3-vector rectus plications over 14 months. The procedure includes 360° comprehensive liposuction of the back and abdomen, elevation of an abdominal flap, subscarpal dissection, dead space, excision of excess skin, umbilicoplasty, and layered closure of the skin flap. The authors present preoperative markings, a 10-step surgical technique, and postoperative care. Outcomes on safety and effectiveness were evaluated at 6 weeks, 3 months, and 6 months postoperatively. Results From January 2023 to February 2024, a total of 128 patients underwent surgery using the SHARP technique. Of these, 116 (90.6%) were female. The mean age of patients was 38.1 ± 9 years. The following complications were reported: seroma of the back in 10 (7.8%), and small wound dehiscence and necrosis were reported in 2 (1.6%) and 1 (0.8%) patient, respectively. Aesthetic outcomes at the 6-month mark were positive, with notable enhancement of natural contour and high patient satisfaction. Conclusions The SHARP technique is a useful option for high-definition abdominoplasty, with low complication rates and high patient satisfaction. In the authors’ experience, the reproducible 10-step approach of this study provides a safe approach to abdominoplasty. Level of Evidence: 4 (Therapeutic)