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Reply: Management of the Postbariatric Medial Thigh Deformity

Matarasso, Alan M.D., P.C.

Plastic and Reconstructive Surgery: March 2017 - Volume 139 - Issue 3 - p 799e
doi: 10.1097/PRS.0000000000003095

Hofstra University, Northwell School of Medicine, Hampstead, N.Y.

Correspondence to Dr. Matarasso, 1009 Park Avenue, New York, N.Y. 10028,

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I appreciate Dr. Sisti et al. for bringing to the reader’s attention their results with the concentric medial thigh lift combined with combined abdominoplasty—what they refer to as the Greek pi procedure. Indeed, their experience seems to precede the original publication on that topic.1

Although I understand that Journal space limitations preclude publication of more than the two photographs shown and a full report, based on what is provided, it would be hard to comment on their outcomes without more information and patient examples. However, it is likely that, with such an extensive history and large series, they are achieving favorable outcomes. Despite the fact that some surgical innovations do allow us in certain circumstances to limit scar length, I subscribe to the axiom that scar length is commensurate with the amount of skin needed to be removed and believe that, in general, the “Spiraism” that patients will accept a scar if they get the contour they want. I suspect that, without additional data, their technique is restricted to patients with excess upper inner thigh skin and not more distal thigh skin laxity or the massive weight loss patient. I thank them for their interest.

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The author has no financial interest to declare in relation to the content of this communication.

Alan Matarasso, M.D., P.C.

Hofstra University

Northwell School of Medicine

Hampstead, N.Y.

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1. Capella JF, Matarasso AManagement of the postbariatric medial thigh deformity.Plast Reconstr Surg20161371434–1446
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