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Musculoaponeurotic Area of the Hip and Clinicophotographic Scaling System
J Alejandro Mena-Chávez1, Lázaro Cárdenas-Camarena1
1Mexican Association of Plastic Esthetic and Reconstructive Surgery (AMCPER); International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS); International Society of Aesthetic Plastic Surgery (ISAPS); Iberolatinoamerican Plastic Surgery Federation (FILACP); Western Mexican Association of Plastic, Esthetic and Reconstructive Surgery (SCPERO); and Jalisco College of Plastic Surgeons.
Insights
A new "musculoaponeurotic area of the hip" was defined using anatomical landmarks and a clinicophotographic scaling system. This system aids in clinically determining hip area dimensions for cosmetic treatments.
Area of Science:
- Anatomy
- Cosmetic Surgery
- Body Contouring
Background:
- Limited innovative cosmetic treatments exist for the hip area.
- Body contouring techniques are evolving.
Purpose of the Study:
- To define the "musculoaponeurotic area of the hip" for cosmetic applications.
- To develop a clinical method for measuring this area.
Main Methods:
- Multicenter controlled study with literature review.
- Cadaver dissections to outline the musculoaponeurotic hip area.
- Clinical study with 79 patients using a clinicophotographic scaling system.
Main Results:
- Defined anterior and posterior surfaces of the musculoaponeurotic hip area.
- Cadaver dimensions: 17.5 cm length, 11.5 cm width.
- Clinicophotographic scaling system dimensions: 14.9 cm length, 10.3 cm width.
Conclusions:
- The "musculoaponeurotic area of the hip" includes multiple tissue layers.
- Anatomical landmarks establish the area's borders and dimensions.
- The clinicophotographic scaling system provides clinical measurements for this area.
Background:
With the evolution of body contouring, few innovative alternatives have been developed for cosmetic treatment in the hip area.
Methods:
A multicenter controlled study was conducted, including a prior review of the literature regarding the hip area. Dissections were performed on 4 male cadavers, outlining the "musculoaponeurotic area of the hip." The area was subdivided into anterior and posterior surfaces. A clinical study was conducted in 79 patients, obtaining a scale by using the most prominent points on the sides of both thighs as the main reference. With the lines marked on photographs and the measurements, a "clinicophotographic scaling system" was designed.
Results:
The anterior surface corresponds to the tensor fasciae latae and its tendon as well as to the aponeurosis of the gluteus medius. The posterior surface corresponds with the iliotibial tract and the tendon insertions of the gluteus maximus. The average dimensions of the cadaver "musculoaponeurotic area of the hip" are as follows: length, 17.5 cm, and width, 11.5 cm. Using the "clinicophotographic scaling system," the dimensions are as follows: length, 14.9 cm, and width, 10.3 cm.
Conclusions:
The "musculoaponeurotic area of the hip" was defined involving muscles, tendons, aponeurosis, fascia, subcutaneous cellular tissue, and skin. The borders were established using important anatomical points that determine the length and width of the area. The "clinicophotographic scaling system" was used to clinically calculate the length and width of the area. By examination and palpation, the borders and dimensions of this area could be determined.
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