The Round-Lifting Technique

Pitanguy, Ivo

doi:10.1055/s-2000-13622

Cited by 17 publications

(2 citation statements)

References 20 publications

(17 reference statements)

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“…Despite the occurrence of complications in both groups, no statistically significant differences were detected. A high rate of complications was reported with the use of the conventional abdominoplasty technique described by Pitanguy in 1964 ( 16 ). Savage ( 17 ) 1983 noted a 23% incidence of complications in post-bariatric patients.…”

Section: Discussionmentioning

confidence: 99%

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Cannistrà,

Lori,

Arapis

et al. 2024

Front. Surg.

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IntroductionWeight loss after bariatric surgery causes very important modifications to the patient's silhouette. Abdominal fat and skin excess reduction are associated with several complications. The most frequent are seroma and hematoma whereas major complications, such as pulmonary embolism, are less frequent. This study aimed to describe our technical procedure for abdominoplasty in patients with massive weight loss after bariatric surgery.MethodsIn total, 196 patients were included. All patients who underwent abdominoplasty classic (group A) and abdominoplasty with the preservation and lift of Scarpa fascia (group B) and with umbilical transposition between May 2018 and May 2021 were included. Patients with concomitant correction of ventral hernia were excluded. Demographic and operative data were analyzed according to comorbidities and postoperative complications.ResultsThere were 160 (81.6%) women. The mean age was 43.6 years; the mean weight was 86.7 kg; and the mean BMI was 28.6 kg/m2. Five patients (2.5%) presented postoperative seroma. Four patients (2%) presented partial dehiscence/skin necrosis one of them requiring a revision. Finally, 26 patients presented a postoperative complication, with an overall incidence of 12.6%. The average postoperative hospital stay was 3.6. The rates of seroma were significantly higher in men, patients with a BMI > 30 kg/m2, and aged >50 years.ConclusionPreserving Scarpa Fascia during surgical post-bariatric patient procedures reduces the seroma formation and the scar complication and reduces the tension of the inguinal-pubic region with correction of our deformation after weight loss. Improves reducing the drain and reducing seroma incidence suction and hospital stay.

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Section: Discussionmentioning

confidence: 99%

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Cannistrà,

Lori,

Arapis

et al. 2024

Front. Surg.

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“…6). Then, traction of the excess skin is performed in the direction of the force vectors, one in a predominantly cephalic direction and another in a posterosuperior direction following the tragus-Darwin’s tubercle line, as described by Pitanguy [15], without counteracting the direction of the SMAS traction and the natural tendency that is more adequate to each face (Fig. 7).…”

Section: Methodsmentioning

confidence: 99%

The eutrophic rhytidoplasty

Daher

Muñiz

2012

Eur J Plast Surg

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BackgroundPatients submitted to rhytidectomy usually relay their desire for briefer surgical procedures and a shorter post-operative period with faster recovery. In view of this, a technique in which the skin of the cervico-mandibular region is not undermined but only detached by blunt dissection was developed.MethodsA retrospective study of the senior author’s experience in eutrophic rhytidoplasty (EUR), the technique proposed herein, for facial rejuvenation was conducted. Patients submitted to EUR over a 10-year period were included in this study. A total of 224 interventions were performed. The procedure consists of using subdermal tunneling, performed with a cannula along the neck region and the midface area (combined or not with liposuction in certain areas, as needed), thus preserving nervous and vascular connections. The conventional skin undermining is minimal, just 4 cm around the auricular pavilion. Data were collected from the patients’ medical records at Interclínica—Centroplástica Clinic in Rio de Janeiro, Brazil.ResultsDue to the skin eutrophic conditions, the operated patients, using the EUR technique, presented promising esthetical results. The mean rate of complications associated with the proposed technique was 1.7 %. The author found that this technique offers very promising results, a fact evidenced by the lower rate of complications among patients submitted to it.ConclusionsThe EUR is a reliable option for facial rejuvenation due to the fact that it is less invasive, with a low morbidity and rate of complications. Its surgical time is reduced by 50 %, it has a shorter down-time, and yields natural results.Level of Evidence: Level IV, therapeutic study.

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Pitanguy’s Technique on Rhytidoplasty

Machado

2021

Aesthetic Facial Surgery

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The Round-Lifting Technique

Cited by 17 publications

References 20 publications

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

The eutrophic rhytidoplasty

Pitanguy’s Technique on Rhytidoplasty

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