Maximilian Zaussinger1,2, Raphael Wenny3,4, Isabel Zucal3,4, Clement Staud5, Manfred Schmidt3,4, Dominik Duscher3,4,6, Georg M Huemer7,8. 1. Section of Plastic and Reconstructive Surgery, Kepler University Hospital Linz, Krankenhausstrasse 9A, 4020, Linz, Austria. m.zaussinger@hotmail.com. 2. Medical Faculty, Johannes Kepler University Linz, Altenberger Straße 69, 4040, Linz, Austria. m.zaussinger@hotmail.com. 3. Section of Plastic and Reconstructive Surgery, Kepler University Hospital Linz, Krankenhausstrasse 9A, 4020, Linz, Austria. 4. Medical Faculty, Johannes Kepler University Linz, Altenberger Straße 69, 4040, Linz, Austria. 5. Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria. 6. Department of Plastic, Reconstructive, Hand and Burn Surgery, BG-Trauma Center, Eberhard Karls University Tuebingen, Schnarrenbergstrasse 95, 72076, Tübingen, Germany. 7. Section of Plastic and Reconstructive Surgery, Kepler University Hospital Linz, Krankenhausstrasse 9A, 4020, Linz, Austria. office@drhuemer.com. 8. Medical Faculty, Johannes Kepler University Linz, Altenberger Straße 69, 4040, Linz, Austria. office@drhuemer.com.
Abstract
BACKGROUND: Body-contouring is a surgical field in growing demand, as the number of massive weight loss patients following bariatric surgery is increasing. The purpose of this study was to provide a straightforward and time-efficient circumferential body lift technique to achieve optimal lower truncal contouring. PATIENTS AND METHODS: A total of 155 massive weight loss patients (133 women and 22 men) underwent lower body lift surgery between 2006 and 2018. The mean preoperative weight reduction and body mass indices were 56.5 ± 16.6 kg and 26.7 ± 4.7 kg/m2, respectively. The preoperative markings focused on the back and gluteal region, and the modified surgical technique are described. Additionally, improvements of intra-operative repositioning of the patient and how to deal with sterilization and dressings are elucidated. RESULTS: The average intra-operative time was 178 ± 54.6 minutes. The mean follow-up of all patients was 8.2 ± 2.4 years. The most common complications were related to wound dehiscence (n = 38) and seroma (n = 18). The mean weight of the resected tissue was 3 056 ± 1 816.5 g. CONCLUSION: The lower body lift represents an effective and safe body contouring procedure to treat massive weight loss patients with multiple regions of concern. The current study describes a modified surgical technique that reduces operating time and complications, notably. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .
BACKGROUND: Body-contouring is a surgical field in growing demand, as the number of massive weight loss patients following bariatric surgery is increasing. The purpose of this study was to provide a straightforward and time-efficient circumferential body lift technique to achieve optimal lower truncal contouring. PATIENTS AND METHODS: A total of 155 massive weight loss patients (133 women and 22 men) underwent lower body lift surgery between 2006 and 2018. The mean preoperative weight reduction and body mass indices were 56.5 ± 16.6 kg and 26.7 ± 4.7 kg/m2, respectively. The preoperative markings focused on the back and gluteal region, and the modified surgical technique are described. Additionally, improvements of intra-operative repositioning of the patient and how to deal with sterilization and dressings are elucidated. RESULTS: The average intra-operative time was 178 ± 54.6 minutes. The mean follow-up of all patients was 8.2 ± 2.4 years. The most common complications were related to wound dehiscence (n = 38) and seroma (n = 18). The mean weight of the resected tissue was 3 056 ± 1 816.5 g. CONCLUSION: The lower body lift represents an effective and safe body contouring procedure to treat massive weight loss patients with multiple regions of concern. The current study describes a modified surgical technique that reduces operating time and complications, notably. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .
Authors: Nicolas Bertheuil; Benoit Chaput; Antoine De Runz; Paul Girard; Raphael Carloni; Eric Watier Journal: Plast Reconstr Surg Date: 2017-01 Impact factor: 4.730
Authors: Luigi Losco; Ana Claudia Roxo; Carlos Weck Roxo; Carmine Alfano; Carlos Del Pino Roxo Journal: Aesthetic Plast Surg Date: 2022-03-18 Impact factor: 2.326