Background Lower body lift is a widespread procedure for massive weight loss patients aimed to improve the contour of the lower trunk, gluteal region and proximal lower extremity. The data about complications are confusing, and there is a lack of uniform studies for massive weight loss patients. A simple formula to carry out a reliable procedure in a short time with a low complication rate should be advocated. Methods This retrospective study analyzed data of 323 patients undergoing lower body lift after bariatric surgery over a 10-year period. Selection criteria, careful preoper- ative marking, reliable intra- and postoperative care and a few surgical tips are discussed. All the complications (both major and minor) and the aesthetic satisfaction were evaluated. Risk factors assessed were patient age, tobacco consumption, current BMI, operative time and combined surgery. Results The overall complication rate was 42%. We recorded a lower rate of major complications and skin dehiscence; no infection and no skin necrosis were observed. The most frequent complication was seroma (35%). A complication development was straight related to age (p = 0.0177) and tobacco use (p = 0.0336). Patients’ satisfaction about overall aesthetic was high. Conclusions We present our case load and describe an easy recipe to perform a safe surgery without undermining and liposuction in short operative times. The reasonable overall complication rate and the surprisingly lower rate of dehiscence and skin necrosis combined with a pleasant aesthetic result make the lower body lift an easy and safe procedure, when applied to the appropriate patient population.

Lower body lift after bariatric surgery. 323 Consecutive cases over 10-year experience / Losco, L; Roxo, Ac; Roxo, Cw; Lo Torto, F; Bolletta, A; de Sire, A; Aksoyler, D; Ribuffo, D; Cigna, E; Roxo, Cp.. - In: AESTHETIC PLASTIC SURGERY. - ISSN 0364-216X. - (2020). [10.1007/s00266-019-01604-1]

Lower body lift after bariatric surgery. 323 Consecutive cases over 10-year experience

Losco L;Lo Torto F;Ribuffo D;Cigna E;
2020

Abstract

Background Lower body lift is a widespread procedure for massive weight loss patients aimed to improve the contour of the lower trunk, gluteal region and proximal lower extremity. The data about complications are confusing, and there is a lack of uniform studies for massive weight loss patients. A simple formula to carry out a reliable procedure in a short time with a low complication rate should be advocated. Methods This retrospective study analyzed data of 323 patients undergoing lower body lift after bariatric surgery over a 10-year period. Selection criteria, careful preoper- ative marking, reliable intra- and postoperative care and a few surgical tips are discussed. All the complications (both major and minor) and the aesthetic satisfaction were evaluated. Risk factors assessed were patient age, tobacco consumption, current BMI, operative time and combined surgery. Results The overall complication rate was 42%. We recorded a lower rate of major complications and skin dehiscence; no infection and no skin necrosis were observed. The most frequent complication was seroma (35%). A complication development was straight related to age (p = 0.0177) and tobacco use (p = 0.0336). Patients’ satisfaction about overall aesthetic was high. Conclusions We present our case load and describe an easy recipe to perform a safe surgery without undermining and liposuction in short operative times. The reasonable overall complication rate and the surprisingly lower rate of dehiscence and skin necrosis combined with a pleasant aesthetic result make the lower body lift an easy and safe procedure, when applied to the appropriate patient population.
2020
Body lift; body contouring surgery; abdominoplasty; circumferential dermolipectomy; belt lipectomy; postbariatric surgery; massive weight loss; body lift of the lower trunk
01 Pubblicazione su rivista::01a Articolo in rivista
Lower body lift after bariatric surgery. 323 Consecutive cases over 10-year experience / Losco, L; Roxo, Ac; Roxo, Cw; Lo Torto, F; Bolletta, A; de Sire, A; Aksoyler, D; Ribuffo, D; Cigna, E; Roxo, Cp.. - In: AESTHETIC PLASTIC SURGERY. - ISSN 0364-216X. - (2020). [10.1007/s00266-019-01604-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1360181
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