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
Bibliographical Record
