Post Massive Weight Loss Lower Bodylift a Comparative Study between Belt Lipectomy and Lockwood Technique

Abstract

Background: One of the most established techniques for management of protruding ears is the Mustardé technique (1). Many modifications had been published for this technique; however, all these modifications started by retro-auricular incision. We modify the Mustardé technique using three retroauricular microincisions to correct several deformities of the auricular cartilage in protruding ears.Patients and Methods: 46 patients (7 unilateral, 39 bilateral) (85 ears) who were candidates for this technique, their age (25±2.8 years), 38 males, 8 females. The operation time, steps, follow-up sessions (2 weeks, 3, 6 and 18 months) data was recorded. Pre-operative and post-operative (1, 18 months) photos were compared and analyzed by custom made computer program the evaluated the results.Results: 42 patients achieve a natural appearance. Extrusion of threads occurred in 8 ears. Asymmetrical ears were noticed in 4 patients and recurrence in 11 patients. These patients were revised by Mustardé technique with retroauricular incisions. None of the patients developed retroauricular scars.Conclusion: This versatile modif ication allows for better asthenic results of otoplasty and minimizes complications of skin incision unless cartilage and/or skin resection is needed.