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.
The author has no financial interest to declare in relation to the content of this communication.
Alan Matarasso, M.D., P.C.
Northwell School of Medicine
1. Capella JF, Matarasso AManagement of the postbariatric medial thigh deformity.Plast Reconstr Surg20161371434–1446
Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article’s publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.
Letters submitted should pose a specific question that clarifies a point that either was not made in the article or was unclear, and therefore a response from the corresponding author of the article is requested.
Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS’ enkwell, at www.editorialmanager.com/prs/.
We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.
The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.
The Journal requests that individuals submit no more than five (5) letters to Plastic and Reconstructive Surgery in a calendar year.