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Cosmetic Body Lift
1Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Plastic and Reconstructive Surgery
|January 29, 2016
Summary
The 270-degree extended lipoabdominoplasty, or cosmetic body lift, offers optimal waist contouring for non-massive weight loss patients. This largest series to date confirms its safety and effectiveness in improving abdomen, hip, and flank aesthetics.
Area of Science:
- Plastic Surgery
- Body Contouring Procedures
- Aesthetic Surgery
Background:
- Traditional abdominoplasty inadequately addresses flank and lateral thigh laxity.
- Adjunct liposuction improves abdominal contour but often leaves persistent flank soft tissue.
- Previous studies on extended abdominoplasty show variable outcomes for flank and thigh contouring.
Purpose of the Study:
- To evaluate the safety and effectiveness of a 270-degree extended lipoabdominoplasty (cosmetic body lift).
- To assess outcomes in non-massive weight loss patients seeking optimal contouring of the abdomen, hips, and flanks.
- To analyze the procedure's efficacy in lifting the lateral thigh and reducing thigh circumference.
Main Methods:
- Retrospective chart review of patients undergoing a cosmetic body lift between 2004 and 2014.
- Average postoperative outcome review at 1 year.
- Inclusion of 72 consecutive patients (predominantly female) with an average age of 53 years.
Main Results:
- Average liposuction volume was 3067 cc.
- Reported complications included seroma (2.8%), infection (4.2%), delayed wound healing (5.6%), necrosis/ischemia (4.2%), and deep vein thrombosis (1.4%).
- Revision surgery was required in 18.1% of patients; zero hematomas were reported.
Conclusions:
- The cosmetic body lift is the largest series to date evaluating this procedure in the non-massive weight loss population.
- The operation is safe and effective for achieving optimal waist contouring.
- Complication rates are consistent with those reported for standard lipoabdominoplasty.
