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L-Shaped Lipothighplasty

Bracaglia, Roberto MD; Tambasco, Damiano MD; Gentileschi, Stefano MD; D’Ettorre, Marco MD

doi: 10.1097/SAP.0000000000000075
Aesthetic Surgery

Background In addition to the already-known postoperative complications in patients formerly obese, for medial thigh lift, there are many more problematic issues. The main ones are represented as follows: by the frequent downward displacement of the scars that become, in this way, extremely visible; by the distortion of the vulva or scrotal region; by serious and disabling disorders of the lymphatic system; and by the early recurrence of ptosis in this anatomical site.

Materials and Methods From 2004 to 2010, 16 patients with moderate to severe laxity of the medial area of the thighs were treated by an L-shaped medial thigh lift after selective liposuction. Ten have been previously treated with biliopancreatic diversion and 6 have been previously treated with gastric bypass. Mean (standard deviation [SD]) height before bariatric surgery was 1.62 (0.08) m, mean (SD) weight was 141.53 (23.12) kg, and mean (SD) body mass index was 57.13 (8.21) kg/m2. After the intervention, mean (SD) weight decreased to 81.12 (16.43) kg, whereas mean (SD) body mass index decreased to 31.83 (8.51) kg/m2.

Results After L-shaped lipothighplasty, 13 patients (81%) had no complications in the postoperative period. No skin necrosis, hematoma, seroma, or thromboembolic events were reported. Two patients experienced hypertophic scarring and 1 patient had a wound infection because of poor hygienic care.

Conclusions The medial lifting technique defined as L-shaped lipothighplasty is a valid, fast, and safe technique and can reduce early and late postoperative complications in a critical and troublesome area for the surgeon who is going to correct the deformity.

From the Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Rome, Italy.

Received February 13, 2013, and accepted for publication, after revision, October 29, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Damiano Tambasco, MD, University Hospital A. Gemelli - Largo A.Gemelli, 8, 00168 Rome, Italy. E-mail: damtam@hotmail.it.

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