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Semin Plast Surg 2006; 20(1): 038-048
DOI: 10.1055/s-2006-932448
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Thighplasty in the Weight Loss Patient

Dennis J. Hurwitz1
  • 1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
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Publikationsdatum:
26. Januar 2006 (online)

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ABSTRACT

Thighplasty after massive weight loss is daunting. The deformity is complex and difficult to treat. The therapeutic index is narrow. A range of only centimeters of medial thigh skin resection width can mean the difference between residual skin laxity and unsightly descended scars. Wound closure is awkward. The scar from vertical extension excisions is exposed. Delayed healing is common. Prolonged edema and thrombophlebitis loom. Disappointed with prevalent lower body and thigh recontouring procedures, I evolved a comprehensive approach, which includes the “L thighplasty.” The “L” relates to the shape of the excision and resulting scar with the long limb along the medial thigh and the short limb between the thigh and labia majora and mons pubis. The planning, technique and selected results are presented.

KEYWORDS

Medial thighplasty - weight loss surgery - lower body lift

REFERENCES

  • 1 Lewis J R. The thigh lift.  J Int Coll Surg. 1957;  27 330-334
    PubMedSuche in Google Scholar
  • 2 Schultz R C, Feinberg L A. Medial thigh lift.  Ann Plast Surg. 1979;  2 404-410
    PubMedSuche in Google Scholar
  • 3 Regnault P, Daniel R K. Lower extremity. In: Regnault P Aesthetic Plastic Surgery: Principles and Techniques. Philadelphia, PA; Lippincott Williams & Wilkins 1984: 655-678
    Suche in Google Scholar
  • 4 Regnault P, Daniel R K. Massive weight loss. In: Regnault P Aesthetic Plastic Surgery: Principles and Techniques. Philadelphia, PA; Lippincott Williams & Wilkins 1984: 705-720
    Suche in Google Scholar
  • 5 Lockwood T. Fascial anchoring technique in medial thigh lifts.  Plast Reconstr Surg. 1988;  82 299-304
    CrossrefPubMedSuche in Google Scholar
  • 6 Hurwitz D J. Medial thighplasty.  Aesthetic Surg J. 2005;  25 180-191
    CrossrefPubMedSuche in Google Scholar
  • 7 Lockwood T. Lower-body lift.  Aesthetic Surg J. 2001;  21 355-370
    CrossrefPubMedSuche in Google Scholar
  • 8 Lockwood T E. Maximizing aesthetics in lateral-tension abdominoplasty and body lifts.  Clin Plast Surg. 2004;  31 523-537
    CrossrefPubMedSuche in Google Scholar
  • 9 Aly A S, Cram A E, Chao M, Pang J, McKeon M. Belt lipectomy for circumferential truncal excess: the University of Iowa experience.  Plast Reconstr Surg. 2003;  111 398-413
    PubMedSuche in Google Scholar
  • 10 Hurwitz D J, Zewert T. Body contouring surgery in the bariatric surgical patient.  Oper Tech Plast Surg Reconstr Surg. 2002;  8 87-95
    PubMedSuche in Google Scholar
  • 11 Hurwitz D J. Single stage total body lift after massive weight loss.  Ann Plast Surg. 2004;  52 435-441
    PubMedSuche in Google Scholar
  • 12 Hurwitz D J, Rubin J P, Risen M, Sejjadian A, Serieka S. Correcting the saddlebag deformity in the massive weight loss patient.  Plast Reconstr Surg. 2004;  114 1313-1325
    PubMedSuche in Google Scholar

Dennis J HurwitzM.D. F.A.C.S. 

Clinical Professor of Surgery (Plastic), Department of Surgery, University of Pittsburgh Medical Center

3109 Forbes Avenue, Pittsburgh. PA 15213