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Characterizing the Saddlebag Deformity After Lower Body Lift
Stephanie E Dreifuss1, Omar E Beidas1, J Peter Rubin1
1Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Aesthetic Surgery Journal
|May 10, 2018
Summary
Lower body lift surgery does not effectively resolve saddlebag deformities, with only slight short-term improvement and recurrence within a year. This study introduces a new grading scale for saddlebag severity.
Area of Science:
- Plastic Surgery
- Body Contouring
- Saddlebag Deformity Assessment
Background:
- Saddlebag deformity recurrence is a common concern after lower body lift.
- Objective data on saddlebag evolution and a standardized grading scale are lacking.
Purpose of the Study:
- Develop a grading scale for saddlebag deformity severity.
- Evaluate short- and long-term changes in saddlebag deformity post-lower body lift.
Main Methods:
- Developed the Pittsburgh Saddlebag Rating Scale (4-point Likert scale).
- Two independent observers graded preoperative and postoperative photos of 79 patients.
- Utilized a prospectively maintained database for patient selection.
Main Results:
- Average preoperative saddlebag score was 1.34, short-term was 1.28, and long-term was 1.42.
- No statistically significant differences in saddlebag severity scores were observed between preoperative and postoperative time points.
- The Pittsburgh Saddlebag Rating Scale was used to objectively quantify deformity.
Conclusions:
- Lower body lift shows limited efficacy in treating saddlebag deformities.
- Slight short-term improvement was noted, but recurrence occurred within a year.
- This study provides objective data on saddlebag changes after lower body lift.
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