Article
Circumferential lower body lift with auto-buttock augmentation. A new approach
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Authors
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Tim Sebastian Peltz
- Prince of Wales Hospital, University of New South Wales, Sydney, Randwick / Sydney
| Published: | September 24, 2019 |
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Outline
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Introduction: With continuously rising BMIs in our society and the growing accessibility of patients to bariatric surgery body lift procedures are becoming more and more common. These contouring surgeries are invasive and complicated surgical interventions. We want to present a new simple staging concept for the surgical contouring of the lower body and describe our method of auto-augmenting the gluteal region in a circumferential body lift.
Material and methods: All in all 41 patients underwent a circumferential lower body lift procedure in the last 3 years. 25 patients underwent the procedures without auto augmentation of the gluteal region and 16 patients were operated including an auto-augmentation of the buttock area. To augment the buttock area a modified perforator flap technique was applied ’SGA perforator rotation flap’. Results of both groups were compared regarding operating time, complication rates, overall result. Cosmetic results were analysed using conventional standardized photography and 3D scanning. The scans were performed with an high resolution Artec 3D scanner pre and post surgery.
Results: A significant improvement of buttock contouring can be achieved with this operating method. Aesthetic results can be individualised to patient’s wishes/expectations:
- by flap design (shape, width, length, thickness)
- by pocket dissection (shape, width, depth)
- by flap fixation (sutures, infra-gluteal fold reconstruction (lower pole)).
Complication rates were not higher in the augmentation group when compared to the conventional body lift group.
Conclusions: The auto-augmentation of the gluteal region in a body lift procedure via ’SGA perforator rotation flap’ is safe, reliable and very effective technique to overcome the undesired flat buttock problem accompanied with conventional lower body lift procedures. 3D scanning is an objective method to compare and improve techniques in body contouring surgery.
