Objective:To investigate the application of the modified double-clamp surgery with the preservation of Scarpa fascia in abdominoplasty.Methods:A retrospective analysis was carried out in 26 female patients with total abdominoplasty who were admitted from March 2020 to January 2022, ranging in age from 26 to 50 years with averaged 36.9 years. The patients were divided into flap clamp group (12 cases) and Scarpa fascia clamp group (14 cases). The surgical time of abdominoplasty (excluding liposuction time), the occurrence of postoperative seroma, and postoperative incision infection were recorded in the two groups.Results:The average surgical time of the patients in the Scarpa fascia clamp group was 136 minutes, which was significantly lower than that of the flap clamp group (153 minutes) ( P<0.05). There was no postoperative seroma and incision infection in the two groups, and the postoperative incision healing grades were I/A. Conclusions:The modified double-clamp procedure with preservation of the Scarpa fascia can effectively reduce the surgical time and improve the operation efficiency.