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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(04): s00451801846
DOI: 10.1055/s-0045-1801846
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Medial-posterior Thighplasty in S: A New Technique with Better Scar Concealment

Article in several languages: português | English
Alexandre Melo dos Santos 
1   Cirurgia Plástica, Origen, Belo Horizonte, MG, Brasil
,
Gustavo Moreira Souza 
2   Cirurgia Plástica, Hospital Felício Rocho, Belo Horizonte, MG, Brasil
› Author Affiliations Funding The authors declare that they received no funding for this research.

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Abstract

This article presents a new thighplasty technique to solve the discomfort and stigma associated with scars in the groin or other anterior body regions after conventional thighplasties. This study presents a case report of a thighplasty technique performed in post-bariatric patients undergoing intense slimming. This technique relies on an S-shaped skin resection in the posteromedial region of the thigh, with no scar on the anterior part of the body. The patients did not present postoperative complications, and their scars were discrete. In addition, the technique resulted in a large excessive skin reduction in multiple vectors, improving body contour.

The technique involved the unprecedented positioning of the S-shaped scar in the sub-gluteal and posteromedial grooves of the thighs, with no anterior scar in the groin, significantly improving scar concealment. Since there was no suture line angulation, cutaneous tracing distribution was better, and the chance of wound dehiscence was lower. Meanwhile, it allowed the resection of large amounts of excessive skin in longitudinal and transverse directions under multi-vector traction.

This thighplasty technique is an innovative, unprecedented procedure allowing better scar concealment and probably decreases the complication rate due to the better distribution of the cicatricial tension.

Keywords

adipose tissue - bariatric surgery - medial coxoplasty - plastic surgery - post-bariatric surgery - subcutaneous fat - surgical flaps - thigh - coxoplasty - weight loss

Headings

bariatric medicine - surgery - plastic - weight loss - fat substitutes - lower extremity

Author's Contribution

AMDS: data analysis, interpretation, or both, study conception and design, conceptualization, data curation, final manuscript approval, formal analysis, funding acquisition, investigation, methodology, project administration, surgery, experiment, or both performance, resources, software, validation, visualization, writing – original draft preparation, writing – review & editing; GMS: supervision.




Publication History

Received: 14 May 2024

Accepted: 29 September 2024

Article published online:
30 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Alexandre Melo dos Santos, Gustavo Moreira Souza. Coxoplastia médio-posterior em S: uma nova técnica com melhor ocultação da cicatriz. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00451801846.
DOI: 10.1055/s-0045-1801846