Circumferential torsoplasty.

The abdominal deformities remaining after massive weight loss of 30% or more body weight often are not satisfactorily corrected by standard abdominoplasty techniques. Redundant lateral flank and hip rolls may in fact be accentuated by the operation. Accordingly, a circumferential torso excision was designed by the senior author and utilized for 7 patients during the past two years. This technique dramatically reduces the lateral flank and posterior tissue rolls to improve the operative results. Contour improvement of the buttocks and lateral thighs is produced as well. We employ a four blade propeller pattern of fascial plication centered on the umbilicus which tightens the abdominal fascia in both vertical and horizontal dimensions. Details of patient selection, operative technique, post-operative management and results are presented. Complications have been minimal and satisfaction of both patients and surgeons significantly enhanced.