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1. **Suture Placement**
- Use interrupted 2-0 Vicryl or running barbed sutures
- Secure abdominal flap to underlying musculofascia
- Advance flap progressively with each suture placement
2. **Clinical Benefits**
- Reduces incisional tension, lowering risk of:
- Skin necrosis
- Hypertrophic scarring
- Eliminates dead space, preventing:
- Hematoma formation
- Seroma development
3. **Applications**
- Standard abdominoplasty
- Lipoabdominoplasty
- Other body contouring procedures