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Circumferential torsoplasty

G R Carwell1, C E Horton

  • 1Division of Plastic Surgery, Eastern Virginia Medical School, Norfolk, USA.

Annals of Plastic Surgery
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

A novel circumferential torso excision effectively addresses abdominal deformities after massive weight loss, significantly improving contour and patient satisfaction where standard abdominoplasty fails.

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Area of Science:

  • Plastic Surgery
  • Body Contouring
  • Massive Weight Loss Surgery

Background:

  • Standard abdominoplasty often fails to correct abdominal deformities post-massive weight loss (≥30%).
  • Lateral flank and hip rolls can be worsened by conventional techniques.

Purpose of the Study:

  • To present a novel circumferential torso excision technique.
  • To evaluate its efficacy in improving abdominal contour after massive weight loss.

Main Methods:

  • A circumferential torso excision technique was utilized in 7 patients over two years.
  • The technique involves a four-blade propeller pattern of fascial plication centered on the umbilicus.
  • Patient selection, operative technique, and post-operative management were detailed.

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Main Results:

  • The technique dramatically reduced lateral flank and posterior tissue rolls.
  • Significant contour improvement of the buttocks and lateral thighs was observed.
  • Complications were minimal, with high patient and surgeon satisfaction.

Conclusions:

  • Circumferential torso excision offers superior results for abdominal deformities post-massive weight loss.
  • This technique enhances body contouring and patient outcomes.
  • It provides a valuable alternative to standard abdominoplasty in select patients.