Background: After massive weight loss, the severe gynoid body contour deformities are not always faceable with optimal results. The thigh is one of the most demanding area to address; therefore, the approach should be virtually individualized. The authors describe the helix thigh lift: A novel technique that combines vertical with horizontal axis of pull. The goal of this ultimate customization is to dramatically impact physical functioning and esthetics of this patient population. Methods: Thigh lift patients from 2016 to 2019 were assessed retrospectively; fourteen patients were selected for helix thigh lift procedure. Preoperative markings, surgical technique and outcomes were described. The mean follow-up time was 14.8 ± 3.2 months. A questionnaire was administered to evaluate the results. Results: Fourteen female patients (mean age, 42 ± 4.8 years) underwent helix thigh lift after massive weight loss. The overall complication rate was 36 percent. They were all minor complications and were treated in an outpatient setting. Seroma formation was the most frequent, at 29 percent. No skin necrosis was reported. Complication development was straight related to the age of the patient (p = 0.0455). The patients were very satisfied with the overall outcome. Conclusions: Helix thigh lift effectively addresses the severe gynoid body contour deformities. The high satisfaction and the reasonable complication rate suggest that this is a safe and effective technique. The age of the patient was significantly associated to complication development. A dramatic improvement of ease in performing activities of daily living along with reduction of the skin problems leads to significant improvement of the quality of life.
The combination of surgical procedures did not significantly affect the concentrations of most biological stress markers. Operating time was the variable that most influenced the increase in plasma concentrations of stress markers.
Roxo CP et al. Abdominal wall reconstruction with alloplastic mesh after Mycobacterium infection Reconstrução de parede abdominal com tela aloplástica após infecção por micobactéria ABSTRACT The present report is a case study of a 51-year-old woman who underwent hysterectomy by videolaparoscopy, and eventually developed a mycobacterial infection. Treatment com prised antimicrobial administration, surgical debridement, and reconstruction of the abdominal wall with a synthetic mesh. During the postoperative period, the herniation of the abdominal wall required substitution of the mesh and subsequent abdominoplasty. This case report indicates the importance of preventing mycobacterium infection and provides treatment guidelines to optimize functional and aesthetic results.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.