Most people are concerned about their appearance when the contour of the body has aesthetic defects and functional deformation due to genetic characteristics or as an acquired defect due to obesity, weight loss, pregnancy or any other cause and the abdomen is one of the most vulnerable areas due to such impact. Aesthetic deformities can take the form of skin aponeurotic sagging, localized fat accumulation, or diastase of the rectus abdominis, and this can lead to depression and loss of self- esteem in patients. According to the World Health Organization, combined surgical pathology occurs in 20-30% of surgical patients. There are reports of significant economic benefits of simultaneous transactions, reaching 42.4%. Deformation of the anterior abdominal wall is largely due to local excessive deposition of subcutaneous fat. The majority (up to 70%) of patients who undergo surgical correction of the anterior abdominal wall are obese or overweight. Traditional plastic surgery of the abdomen has a high level of complications due to the need for large exfoliation of the skin and fat flap, which destroys the perforating vessels. Occurrence of complications shows imperfection of methods of correction of an anterior abdominal wall, inferiority of some techniques necessary for the prevention of these complications. Questions about the causes, diagnosis, treatment of cosmetic defects of the anterior abdominal wall in combination with ventral hernias and obesity I-II and prevention of postoperative complications are still poorly understood. The aim of the study was to improve the results of treatment of patients with cosmetic defects of the anterior abdominal wall, who suffer from obesity of I-II degree, by applying advanced techniques of abdominoplasty in combination with liposuction. The work consisted of a clinical part in which we compared two groups of patients (main and comparison groups) and group O, which was included in the study of quality of life. The groups were representative for gender distribution, age, body mass index (BMI), comorbidity, degree and type of anterior abdominal wall deformities. Descriptive statistics were used in the statistical analysis of the obtained data. All quantitative data are presented as the arithmetic mean and the mean error of the mean, unless otherwise indicated. Comparison of the average values of the variables was carried out using parametric methods (Student's t-test) with a normal distribution of characteristics. The correspondence of the distribution of features relative to the law of normal distribution was checked using the Shapiro-Wilk method, in which the data correspond to the law of normal distribution at a value of p> 0.05. In other cases, when the distribution differed from normal, the nonparametric method (Mann- Whitney U-test) was used. χ2-Pearson test was used to compare the particle distribution of two or more variables (by quality). The null hypothesis of equality of variables in the study was rejected at p <0.05. All calculations were performed in IBM SPSS Statistics Base v.22 for Windows. The clinical material consisted of 132 patients with sagging skin of the anterior abdominal wall, who were selected as candidates for surgery, all patients were classified into type III-IV according to the classification of Matarasso. In comparison group women - 58 (85.3%), in main group men - 6 (9.4%), women - 58 (90.6%), p = 0.533. Patients were divided into 2 groups: the main group - 64 (48.5%) patients who underwent abdominoplasty in combination with liposuction; comparison group - 68 (51.5%) patients who underwent abdominoplasty without liposuction. All patients included in the study were obese I, II degree. The mean age of patients in the comparison group was 43.3 ± 10.4 years, and in the main group - 43.1 ± 10.1 years (p= 0.301).
