64 results match your criteria Body Contouring Flankoplasty and Thigh Lift


Successful Treatment of Wound Dehiscence by Innovative Type 1 Collagen Flowable Gel: A Case Report.

Plast Reconstr Surg Glob Open 2022 Jun 20;10(6):e4360. Epub 2022 Jun 20.

Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.

The growing demand for postbariatric body-contouring surgery after massive weight loss goes hand-in-hand with an increase in wound complications. Consequently, surgical reoperation or conservative management is necessary and represents a difficult challenge to healthcare professionals. Moreover, it is well known that postbariatric patients present aberrant wound healing due to multifactorial causes, such as preoperative illness, nutritional deficiencies, and vascular disease. Read More

View Article and Full-Text PDF

Deep venous thrombosis in a 41-year-old female with May-Thurner syndrome following abdominoplasty and medial thigh lift.

J Surg Case Rep 2022 Apr 18;2022(4):rjac175. Epub 2022 Apr 18.

Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.

Deep venous thrombosis (DVT) is a feared occurrence following body contouring surgery as it can result in pulmonary embolism. Acute presentation can range from lower extremity edema and pain to being totally asymptomatic. Surgical literature reports reveal many risk factors for developing DVT, and surgeons must risk stratify their patients to best prevent this outcome. Read More

View Article and Full-Text PDF

One key to fit all locks? Routine internal drainage to minimize seromas during thigh lift surgeries.

Ann Chir Plast Esthet 2022 Jun 17;67(3):153-161. Epub 2022 Mar 17.

Unit of Plastic Surgery, Cairo University S.S. Raafat, Research Fellow, Unit of Plastic Surgery, Cairo University, Cairo, Egypt.

Introduction: Obesity is a worldwide epidemic. Complication rates after body contouring surgeries in massive weight loss patients were quite high, with seroma development being the second most common complication, reported rates averaging 15%-40%, Methods described to reduce the annoying high rate of seroma did not have a statistically significant difference in reducing seromas.

Methods: Our aim was to find a universal solution that could be used with any body-contouring surgery to manage seromas. Read More

View Article and Full-Text PDF

Prolonged postoperative antibiotic administration reduces complications after medial thigh lift.

J Plast Surg Hand Surg 2021 Dec 20:1-8. Epub 2021 Dec 20.

Department of Plastic and Hand Surgery, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.

There is widespread consensus that there is no indication for postoperative antibiotic administration after elective surgery. However, medial thigh lift (MTL) remains a procedure with a notoriously high rate of wound-healing disorders and infections. This study investigates the correlation between prolonged antibiotic administration and complications after MTL in massive weight loss patients. Read More

View Article and Full-Text PDF
December 2021

Safety of body contouring surgery in an aging patient population.

J Plast Surg Hand Surg 2021 Oct 28:1-8. Epub 2021 Oct 28.

Department of Plastic and Reconstructive Surgery, Hadassah Medical Center, Jerusalem, Israel.

The fastest-growing age group undergoing cosmetic procedures are those over age 60, i.e. the aging patient group. Read More

View Article and Full-Text PDF
October 2021

Risk Factors for Complications after J Medial Thighplasty following Massive Weight Loss: A Multivariate Analysis of 94 Consecutive Patients.

Plast Reconstr Surg 2021 Oct;148(4):540e-547e

From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, INSERM U1236, and Department of Hepatobiliary and Digestive Surgery, University of Rennes 1; SITI Laboratory, Rennes University Hospital; Department of Plastic, Reconstructive, and Aesthetic Surgery, Cliniques Universitaires Saint-Luc; and Department of Plastic, Reconstructive, and Aesthetic Surgery, CHU of Montpellier.

Background: Bariatric surgery has increased the number of patients requiring medial thighplasty after massive weight loss. However, despite the various complications, the procedure improves quality of life. The authors report postoperative complications of vertical J-shaped medial thigh lift in a series of patients and identify preoperative risk factors. Read More

View Article and Full-Text PDF
October 2021

The Edmonton Obesity Staging System as a predictor for postoperative complications after medial thigh lift in massive weight loss patients.

J Plast Reconstr Aesthet Surg 2021 Nov 20;74(11):3120-3127. Epub 2021 Apr 20.

Department of Plastic and Hand Surgery, Freiburg University Medical Center, Hugstetterstr. 55, 79106 Freiburg, Germany. Electronic address:

Background: This study investigates the correlation between the Edmonton Obesity Staging System (EOSS) and the occurrence of postoperative complications after medial thigh lift in formerly obese patients.

Patients And Methods: A single-institution retrospective review of patients undergoing medial thigh lift between 2009 and 2019 after massive weight loss. Data on demography, comorbidities, surgery, and postoperative outcome were extracted from patients' charts. Read More

View Article and Full-Text PDF
November 2021

Medial Thigh Contouring After Massive Weight Loss: The Liposuction-Assisted Medial Thigh Lift (LAMeT).

J Cutan Aesthet Surg 2020 Oct-Dec;13(4):305-313

Department of Plastic and Reconstructive Surgery at the University of Rome "Tor Vergata".

Introduction: Following massive weight loss (MWL), medial contouring of the thigh is frequently requested to improve the appearance and function. Thigh lifting can be associated with significant complications if the medial thigh excess is removed en bloc. In this article, we describe the Liposuction-Assisted Medial Thigh Lift (LAMeT) and evaluate the outcomes and complications in a retrospective cohort study. Read More

View Article and Full-Text PDF

Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective.

J Invest Surg 2022 Mar 10;35(3):659-666. Epub 2021 Mar 10.

Division of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, "Santa Maria alle Scotte" Hospital, University of Siena, Italy.

Background: The most effective dissection technique for elevating flaps in body contouring is still controversial, particularly in high-risk massive weight loss (MWL) patients. LigaSure (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbidity and improve outcomes. The aim of this study is to investigate the effectiveness of LigaSure Impact and LigaSure Small Jaw in body contouring after MWL compared with conventional technique. Read More

View Article and Full-Text PDF

Body Contouring Surgery Improves Weight Loss after Bariatric Surgery: A Systematic Review and Meta-Analysis.

Aesthetic Plast Surg 2021 06 23;45(3):1064-1075. Epub 2020 Oct 23.

Department of Surgery, Jaber Al-Ahmed Hospital, Kuwait city, Kuwait.

Introduction: Our main objective is to evaluate the effect of body contouring surgery (BCS) on the magnitude and durability of weight loss after bariatric surgery.

Methods: Medline, EMBASE, Cochrane, and Scopus search were conducted from the time of their inception to June 2020. We included comparative studies that assessed weight progression, in terms of Body Mass Index change (∆BMI), Total Body Weight Loss (TBWL%), and Excess Weight Loss (%EWL) for the post-bariatric patient population and the effect of BCS on weight progression. Read More

View Article and Full-Text PDF

Abdominoplasty with Combined Surgery.

Clin Plast Surg 2020 Jul 2;47(3):365-377. Epub 2020 Apr 2.

Johns Hopkins Department of Plastic Surgery, Private Practice, 1304 Bellona Avenue, Lutherville, MD 21093, USA. Electronic address:

Abdominoplasty is the fifth most common cosmetic plastic surgery procedure performed in the United States and combining it with other procedures has become more the norm than the outlier. Liposuction is the most common adjunctive procedure, followed by breast surgery, lower back lift, and thigh lift, in addition to hernia repair and gynecologic procedures. The goal of these combination procedures includes creating more global aesthetic improvement while protecting patients from complications, based on consideration of confounding medical variables and increased risks presented by surgery of prolonged duration and exposure. Read More

View Article and Full-Text PDF

Outcome, Complications, and Body Mass Index Correlation of Horizontal and Combined Horizontal and Vertical Thigh Lift: A 16-year Single-center Experience.

J Cutan Aesthet Surg 2019 Oct-Dec;12(4):231-236

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital Frankfurt, Frankfurt, Germany.

Background: Thigh lift is a procedure used within the aesthetic as well as the post-bariatric field of surgery as it focuses on reducing excess lipodermal tissue within the medial thigh area. Depending on the specific area of excess tissue, common thigh lifting procedures include horizontal (H) and combined horizontal and vertical (HV) tissue reduction.

Aims And Objectives: The aim of this study was the analysis of outcome of H and HV thigh lift procedures, including evaluation of comorbidities and complications. Read More

View Article and Full-Text PDF
February 2020

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient.

Aesthetic Plast Surg 2020 06 11;44(3):839-846. Epub 2019 Nov 11.

Department of Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I, Sapienza University of Rome, via Ettore Fieramosca 200, 00159, Rome, Italy.

Background: Nowadays, we have to face the fact that the Web represents one of the most important sources of information for patients. Postbariatric patients in particular are usually very motivated, and they are enthusiastic users of the Web as a source of information on the different types of surgery they could undergo after their weight loss in order to reshape and remodel their body thus regaining physical and functional wellness and dignity. The aim of the study was to assess information on the four most commonly performed postbariatric procedures worldwide, tummy tuck, breast, arm and thigh lift, with the same scale. Read More

View Article and Full-Text PDF

Inguinocrural dermolipectomy A retrospective study.

Ann Ital Chir 2019 ;90:350-356

Introduction And Aim: Inguinocrural dermolipectomy is a constantly increasing surgical procedure, especially for postbariatric patients with significant weight loss. The "crescent medial" and "vertical medial" thigh lifting techniques (CMTL/VMTL) are the most effective type of surgery to treat laxity and excess of skin and soft tissues in the medial region of the thighs Aim of this article is to suggest which patients may be eligible for a surgical thighplasty with an acceptable risk of postoperative complications.

Materials And Methods: We performed a retrospective study with 30 female patients who underwent a surgical thighplasty between 2018 and 2008. Read More

View Article and Full-Text PDF

Surgical Site Infection Risk Factor Analysis in Postbariatric Patients Undergoing Body Contouring Surgery: A Nested Case-Control Study.

Ann Plast Surg 2019 05;82(5):493-498

From the Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Affiliated to the Sackler Faculty of Medicine, and.

Background: Surgical site infections (SSIs) following body-contouring plastic surgery pose a significant burden on patients and caregivers, possibly leading to undesired surgical outcomes. Surgical site infection incidence following body-contouring plastic surgery ranges from 2% to 7%, but is estimated much higher among postbariatric massive weight loss (MWL) patients.

Objective: The aim of this study was to evaluate SSI rate, risk and protective factors among postbariatric MWL patients following body-contouring plastic surgery. Read More

View Article and Full-Text PDF

Comparative analysis on the effect of low-thermal plasma dissection device (PEAK PlasmaBlade) versus conventional electro surgery in post-bariatric body-contouring procedures: A retrospective randomised clinical study.

Int Wound J 2019 Aug 1;16(4):932-939. Epub 2019 Apr 1.

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery at AGAPLESION Markus Hospital, Frankfurt am Main, Germany.

Postoperative wound-healing problems are relatively high in post-bariatric body-contouring procedures, partly because of electrosurgery and the associated thermal tissue damage. This study is a retrospective randomised evaluation of the effect of a low-thermal plasma dissection device (PEAK PlasmaBlade, Medtronic, Minneapolis, Minnesota) in comparison with conventional electrosurgery. A total of 24 patients undergoing upper arm or medial thigh lifting were randomised to PEAK PlasmaBlade on one side and to monopolar electrosurgery on the other side of the same patient. Read More

View Article and Full-Text PDF

Reshaping the Oversized Waist through Oblique Flankplasty with Lipoabdominoplasty.

Plast Reconstr Surg 2019 05;143(5):960e-972e

From the University of Pittsburgh Medical Center; and the Cleveland Clinic-South Pointe Hospital.

Background: Designed in response to the failure of circumferential lower body lifts to deepen waists, oblique flankplasty with lipoabdominoplasty aesthetically reshapes not only the waist, but also the hips, buttocks, and upper lateral thighs with minimal morbidity.

Methods: The oblique flankplasty with lipoabdominoplasty technique was standardized, with 5 of 56 cases presented. Operative records on the lower torso from March of 2000 to January of 2018 yielded 30 initial oblique flankplasty with lipoabdominoplasty cases and hundreds of lower body lifts. Read More

View Article and Full-Text PDF

Vertical Medial Thigh Contouring.

Authors:
Joseph Michaels

Clin Plast Surg 2019 Jan 22;46(1):91-103. Epub 2018 Oct 22.

Private Practice, Michaels Aesthetic & Reconstructive Plastic Surgery, 11404 Old Georgetown Road, Suite 206, North Bethesda, MD 20852, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address:

Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. Read More

View Article and Full-Text PDF
January 2019

One-Stage Combined Postbariatric Surgery: A Series of 248 Procedures in 55 Cases.

Aesthetic Plast Surg 2018 Dec 17;42(6):1591-1599. Epub 2018 Sep 17.

A-Plast Estetik, Akasya AVM, A1 Kule, D:117Acıbadem, Istanbul, Turkey.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. Read More

View Article and Full-Text PDF
December 2018

Negative pressure treatment for improvement of surgical wounds after circumferential thigh lift.

Ann Ital Chir 2018 ;89:261-265

Background: The circumferential thigh lift (CTL) with vertical scar is a more extensive and effective procedure compared to the traditional lift, but the scar is not aequally concealed. Negative pressure treatment (NPT) is considered to have a beneficial effect on the physiological process of wound healing and early scar formation. A comparison study was therefore carried out in order to evaluate the effect of NPT on scar quality. Read More

View Article and Full-Text PDF

Indocyanine green lymphography for diagnosis of lymphedema following thigh lift surgery.

Microsurgery 2018 09 19;38(6):718-719. Epub 2018 Jun 19.

Department of Plastic and Reconstructive Surgery, Center Hospital of National Center for Global Health and Medicine, Tokyo, Japan.

View Article and Full-Text PDF
September 2018

Seasonal Impact on Surgical-Site Infections in Body Contouring Surgery: A Retrospective Cohort Study of 602 Patients over a Period of 6 Years.

Plast Reconstr Surg 2018 09;142(3):653-660

From the Section of Plastic and Reconstructive Surgery and the Department of Surgery, Kepler University Hospital Linz; Upper Austrian State Medical Insurance; private practice; the Department of Plastic and Reconstructive Surgery, University Clinic St. Pölten; and the Department of Plastic and Hand Surgery, Technical University Munich.

Background: Postoperative surgical-site infections are severe complications following body contouring surgery. Here, the authors evaluate whether surgical-site infection rates are influenced by higher temperatures during the summer season.

Methods: We enrolled 602 patients who underwent body contouring surgery between 2009 and 2015 in a retrospective cohort study. Read More

View Article and Full-Text PDF
September 2018

A journey through liposuction and liposculture: Review.

Ann Med Surg (Lond) 2017 Dec 6;24:53-60. Epub 2017 Nov 6.

Department of Medicine and Surgery, Plastic Surgery Section, University of Parma, Cutaneous, Mini-invasive, Regenerative and Plastic Surgery Unit, Parma University Hospital, Parma, Italy.

Introduction: Nowadays, liposuction is the most frequently performed aesthetic surgery procedure in Western Countries. This technique has had rapid development since the 1970s, when it was experimented for the first time by A. and G. Read More

View Article and Full-Text PDF
December 2017

Thighplasty: improving aesthetics through revival of the medial, horizontal procedure: A safe and scar-saving option.

J Plast Reconstr Aesthet Surg 2018 04 25;71(4):585-589. Epub 2017 Oct 25.

Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University, Kajetanerplatz 1, Salzburg 5020, Austria.

Introduction: Thighplasty is a common bodycontouring procedure, but also associated with a high complication rate. The purpose of this study was to access the outcome of the medial horizontal thigh lift as it is a common surgical technique regarding thigh deformity correction performed at the authors' department. Surgical keysteps, clinical applications, advantages and disadvantages of the procedure are shown. Read More

View Article and Full-Text PDF

[Trochanteric under gluteus lift or bodylift, technique for massive trochanteric lipodystrophy: About 11 cases].

Ann Chir Plast Esthet 2017 Aug 16;62(4):295-302. Epub 2017 Jun 16.

Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.

Introduction: There is a growing demand for weight loss sequelae. Some women have a particular morphology with a major trochanteric excess that warrants specific treatment.

Materials And Methods: On the basis of the technique published in 1964 by Pitanguy, the authors suggest a lift of the external face of the thigh with the scar redrawing the lower part of the buttock, from the gluteal fold to the inguinal region by crossing the trochanteric region. Read More

View Article and Full-Text PDF

Barbed Sutures in Body-Contouring: Outcome Analysis of 695 Procedures in 623 Patients and Technical Advances.

Aesthetic Plast Surg 2016 Dec 3;40(6):815-821. Epub 2016 Oct 3.

Section of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Kepler University Hospital, Krankenhausstrasse 9, 4020, Linz, Austria.

Introduction: Surgical wound closure is often complicated by suture-related issues. The recent introduction of knotless barbed sutures may address the shortcomings of conventional sutures and offer the additional benefit of reduced operating time. In this paper, we describe our experience with barbed sutures for body-contouring procedures. Read More

View Article and Full-Text PDF
December 2016

Circumferential Contouring of the Lower Trunk: Indications, Operative Techniques, and Outcomes-A Systematic Review.

Aesthetic Plast Surg 2016 Oct 10;40(5):652-68. Epub 2016 Jun 10.

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, Rennes, France.

Background: Increasing obesity prevalence and development of bariatric surgery have led to the development of skin re-draping techniques. Several contouring techniques have been described for treating the circumferential excess of the lower trunk.

Materials And Methods: We performed a systematic review to summarize surgical indications, operative techniques, peri-operative management (nutritional supplementation, antibiotic prophylaxis, thrombo-prophylaxis), outcomes, complications, patient satisfaction, and impact on quality of life of circumferential contouring of the lower trunk procedures. Read More

View Article and Full-Text PDF
October 2016

Post-bariatric body contouring: oue experience.

Acta Biomed 2016 05 6;87(1):70-5. Epub 2016 May 6.

Department of Surgical Sciences, Plastic Surgery Division, University of Parma, Parma, Italy Cutaneous, Regenerative, Mininvasive and Plastic Surgery Unit, Parma University Hospital, Italy.

Obesity is a growing socio-economic problem especially in the western population. Patients who are undergoing bariatric surgery after a significant weight loss have an altered body profile which may have an important psychological impact. These patients may be candidates for surgical body-lifting. Read More

View Article and Full-Text PDF

Management of the Postbariatric Medial Thigh Deformity.

Plast Reconstr Surg 2016 May;137(5):1434-1446

Ramsey and Hackensack, N.J.; and New York, N.Y.

Background: Thigh contour deformities-in particular, those of the medial thighs-are a common concern for many individuals seeking body contouring. Despite the frequency of this concern, some plastic surgeons have often been reluctant to embrace the medial thigh-lift procedure because of the risk for significant complications and relatively poor results. The authors' approach to medial thigh contouring is to address the variables outside of the medial thighs affecting the medial thighs before considering a medial thigh-lift procedure with a vertical component. Read More

View Article and Full-Text PDF

Prevalence and factors associated with persistent pain following body contouring surgery.

J Plast Reconstr Aesthet Surg 2016 May 2;69(5):700-5. Epub 2016 Feb 2.

Department of Bariatric and Metabolic Surgery, CHU Avicenne, 93000 Bobigny, France; Paris North University, 99 Avenue Jean Baptiste Clément, 93430 Villetaneuse, France.

Background And Aim: Persistent postsurgical pain (PPP) has been reported by patients following various surgeries. Body contouring procedures are being performed more frequently, but no data are available regarding the effects of these procedures. Long-term disability occurring after performing "functional" procedures on healthy subjects is a particular concern. Read More

View Article and Full-Text PDF