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Thigh and buttock lift after massive weight loss
Claudio Cannistrà1, Rodrigo Valero, Charles Benelli
1Unity of Plastic Surgery, C.H.U., Paris, Bichat CB, France. c.cannistra@tiscali.fr
Aesthetic Plastic Surgery
|March 24, 2007
Summary
This study introduces a heart-shaped incision technique for buttock thigh lifts after significant weight loss, reducing complications and surgical time for improved patient outcomes.
Area of Science:
- Plastic Surgery
- Bariatric Surgery
- Body Contouring
Background:
- Obesity treatments lead to significant weight loss (30-90 kg) in 12-24 months.
- Excess skin on thighs after weight loss poses reconstructive challenges.
- Traditional thigh lift scars occur in the buttock and inguinal folds.
Purpose of the Study:
- To present a modified surgical technique for thigh lift following massive weight loss.
- To evaluate the efficacy and safety of a heart-shaped incision for buttock thigh lifts.
Main Methods:
- A two-step surgical approach: abdominal lipectomy and thigh lipoaspiration, followed by buttock thigh lift.
- Utilized a heart-shaped incision from the perianal region to the intergluteal fold.
- Skin dissection performed on Scarpa aponeurosis to protect the lymphatic system.
Main Results:
- No infectious complications or lymphorrhea observed in 15 patients.
- Average operative time was 3.5 hours.
- Patients experienced a 3-4 week recovery period without requiring blood transfusions.
Conclusions:
- The proposed heart-shaped incision technique offers a safe and effective solution for thigh excess post-bariatric surgery.
- This method reduces operative time and complications compared to traditional approaches.
- Achieved satisfactory aesthetic results with minimal scarring in the buttock and inguinal folds.
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