Medial thighplasty: horizontal and vertical procedures after massive weight loss.

Journal of Cutaneous and Aesthetic Surgery
L LabardiV Cervelli

Abstract

The 'medial thigh lift' was first described by Lewis in 1957, but did not receive the widespread acceptance because of the various postoperative complications, such as scar migration with vulvar deformities and early recurrence of ptosis. For this reason, Lockwood developed a technique of anchoring the dermis to the Colles' fascia, to make the surgical outcome more stable over time and to prevent scar migration. In this article, we describe our approaches to the medial thigh lift in post-bariatric surgery patients. A total of 45 females underwent medial thigh reduction. In 15 patients with Grade 2 on Pittsburgh Scale (PS), we performed a thigh lift with a horizontal scar; in 15 patients with Grade 2 on PS, we used a technique with a vertical scar; in 15 patients with Grade 3 on PS, the above-mentioned two procedures were combined. When it was really necessary, we also did the liposuction of the medial thigh. The patients were observed every 6 months with a 60-month median follow-up (range: 12-108 months). In six patients was observed scar enlargement due to poor wound healing (one patient with a horizontal scar, three patients with a vertical scar and two with the combined procedure). In two patients with a horizontal scar, min...Continue Reading

Citations

Oct 5, 2015·Annales de chirurgie plastique et esthétique·N BertheuilB Chaput
Feb 13, 2016·Journal of Cutaneous and Aesthetic Surgery·Andrea SistiGiuseppe Nisi
May 25, 2016·Aesthetic Surgery Journal·Ashkan AfshariK Kye Higdon
May 26, 2016·Journal of Plastic Surgery and Hand Surgery·Pierfranco SimonePaolo Persichetti
May 25, 2016·Plastic and Reconstructive Surgery·Manfred SchmidtGeorg M Huemer
Dec 30, 2014·Plastic and Reconstructive Surgery·Jeffrey A GusenoffJ Peter Rubin

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Methods Mentioned

BETA
dissection
gastric bypass

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