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Hip Asymmetry: Implications in Body Contouring Surgery.
Munique Maia1, Lauren Shikowitz-Behr1, Alan Matarasso1
1From the Division of Plastic and Reconstructive Surgery, Harvard Medical School-Beth Israel Deaconess Medical Center; Plastic and Reconstructive Surgery, Hofstra-Northwell School of Medicine; and Plastic Surgery, Manhattan Eye, Ear and Throat Hospital.
Plastic and Reconstructive Surgery
|March 1, 2019
Summary
Most women seeking body contouring have hip asymmetry, often unnoticed by patients but affecting surgical outcomes like abdominoplasty scars and liposuction results.
Area of Science:
- Plastic Surgery
- Body Contouring
- Anatomy
Background:
- Hip asymmetry is prevalent but underreported in relation to body contouring.
- It can lead to uneven scars after abdominoplasty and volume discrepancies after liposuction.
Purpose of the Study:
- To investigate the prevalence of hip asymmetry in women undergoing abdominal contouring surgery.
Main Methods:
- Preoperative photographs of 100 women were analyzed by three plastic surgeons for hip asymmetry.
- Objective measurements of hip asymmetry were performed using Adobe Photoshop.
- Patient demographics included age (17-64) and BMI (16-47 kg/m²).
Main Results:
- Subjective assessment revealed hip asymmetry in 60-88% of patients across three reviewers.
- Objective analysis confirmed hip asymmetry in 82% of patients.
- Inter-rater reliability was high (0.713), with no statistically significant differences between reviewers.
Conclusions:
- The majority of patients seeking abdominal contouring exhibit hip asymmetry.
- Patients are often unaware of their hip asymmetry.
- This asymmetry can manifest as noticeable postoperative issues in abdominoplasty and liposuction outcomes.
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