Four-Step Medial Thighplasty
| Autor: | Bryan S. Armijo, Carey F. Campbell, Rod J. Rohrich |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Aging medicine.medical_specialty Esthetics medicine.medical_treatment Dermatologic Surgical Procedures Wound Breakdown Thigh Medial compartment of thigh Risk Assessment Cohort Studies Wound care Lipectomy Weight Loss Humans Medicine Surgery Plastic Aged Retrospective Studies Wound Healing Contouring business.industry Middle Aged Texas Surgery Treatment Outcome medicine.anatomical_structure Liposuction Body contouring Skin loss Female business |
| Zdroj: | Plastic and Reconstructive Surgery. 134:717e-725e |
| ISSN: | 0032-1052 |
| Popis: | Background The medial thigh remains a troublesome region for body contouring in both the aging patient and in the massive weight loss patient. Liposuction-assisted medial thighplasty is the next step in the series of medial thigh contouring refinements to improve complications and outcomes. Methods Forty-five patients are presented who underwent medial thigh contouring with liposuction-assisted medial thighplasty. After anatomical analysis of the medial thigh, noting skin and fat redundancy, patients were selected for either an upper/inner medial thighplasty or an extended medial thighplasty. Operative markings, liposuction, and the excisional technique are presented with intraoperative video footage. Results Twenty-nine patients (64 percent) presented with aging thigh lipodystrophy, whereas 16 patients (36 percent) were massive weight loss lipodystrophy patients. The patients' ages ranged from 30 to 67 years, with 0.5 month to 9.5 years of follow-up. Liposuction evacuation volumes ranged from 175 to 1950 ml per thigh. Ten patients had minor wound breakdown, which healed with conservative wound care. Conclusions Liposuction-assisted medial thighplasty is a safe, efficient, and reproducible procedure that should follow a four-step algorithm: (1) L-shaped anterior markings, (2) superwet infiltration, (3) circumferential combined superficial ultrasound-assisted/suction-assisted liposuction, and (4) predesigned and patterned skin excision and layered closure. It simplifies the markings and resection, and the procedure preserves the lymphatics and nerves, minimizes blood loss, and maintains the saphenous vein system to prevent skin loss and wound breakdown. It produces reliable and predictable results, with optimal outcomes. This technique offers another refinement in the evolution of medial thigh contouring. |
| Databáze: | OpenAIRE |
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