An increasing number of male and female patients are looking for minimally invasive and scarless procedures to fix abdominal deformities like umbilical hernias, ventral hernias, post-gestational gaps in the abdominal muscle and, at the same time, improve the aesthetic appearance of their abdomens. In many cases, however, the problem is not over-redundant skin, weight issues, or abdominal lipodystrophy, but rectus diastasis—the weakening of the muscle of the aponeurotic abdominal wall due to congenital conditions, weight variation, ageing or pregnancy. This causes a bulging stomach that cannot be improved even by a proper diet or a diligent workout.
In 1991, Dr Marco Faria Correapioneered the use of endoscopy for the treatment of patients presenting with rectus diastasis, working through minimal incisions and leaving minimal scars hidden inside the pubic area. His techniques represented the beginning of a new era in plastic surgery. His contribution to Plastic Surgery “Endoscopic Abdominoplasty” was recognised and awarded by the American Society of Plastic Surgeons in 1996. After a 20-year follow up, he found that the technique had worked brilliantly in restoring the original anatomy while leaving minimal and inconspicuous scars.
With advancements in medicine and technology, the “daVinci Surgery System”, also known as “robotic surgery”, is now becoming the go-to option for minimally invasive surgery. While this procedure is becoming increasingly promising in surgical fields such as cardiothoracic surgery, laparoscopic surgery and head and neck surgery, in 2013 Dr Marco started in-depth research for robotics to be used in aesthetic plastic surgery.
“As a cosmetic plastic surgeon, I feel that it is very interesting that there is a fast-growing trend for the use of robots for performing procedures that are improved or tweaked to minimise visible scars or even relocate scars to other body areas that could be hidden,” he says.
“Yet little has been done in the area of aesthetic plastic surgery, where scarring is of an important concern for patients.”
In 2015 Dr Marco started the use of robotics for mini-tummy-tuck abdominal muscle repair, creating an inner corset through key-hole incisions
The daVinci Surgical System is the gold standard of robotic surgery, giving the surgeon a three-dimensional view of the patient’s abdomen. Every single movement is controlled and operated by the surgeon. The surgeon is seated at the console, and uses the joysticks and drives the robot arms to perform the procedure.
With his feet, the surgeon then uses camera functionalities, performs monopolar and bipolar cuts and cauterisations, as well as switches the use of the second and third robot-working arms, without the need of coordinating movements with an assistant.
In March 2016, Dr Marco received an award for his contribution to plastic surgery by taking mini-abdominoplasty to the next level: a high-tech key-hole minimally invasive technique.
Dr Marco Faria Correa’s achievements and contributions in plastic surgery are so impressive and recognised by his colleagues, making him one of “Most Outstanding International Leader in Liposuction and Cosmetic Surgery”.