Comparison of Complication Rates of Different Autologous Gluteal Augmentation Techniques in 185 Consecutive Body Lift Surgeries in Massive Weight Loss Patients.
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引用次数: 0
Abstract
Introduction: Patients who experience massive weight loss often face extensive circumferential truncal deformities, including buttock deflation. Body lift surgery is an effective method for regaining body shape, and concomitant gluteal augmentation addresses deformed buttocks. This study aimed to compare complication rates among different gluteal autoaugmentation techniques.
Methods: A total of 273 patients were operated on between 2019 and 2024. Of these, 185 patients with complete records and follow-up for at least 3 months were included in the study. The patients were divided into two groups: Those with a body lift with combined autoaugmentation and those without. In addition, the gluteal autoaugmentation group was divided into three groups according to the gluteal autoaugmentation technique: lipofilling, deepidermised fasciocutaneous island flap and deepidermised fasciocutaneous transposition flap groups.
Results: No major complications were recorded in either group. There was no statistically significant difference in complications between patients who underwent concomitant gluteal autoaugmentation and those who did not. The early complication rates in the lipofilling and transposition flap groups were statistically significantly higher than in the island flap group (p < 0.05), while the lipofilling and transposition flap groups did not show any statistically significant difference (p < 0.05).
Conclusion: Gluteal autoaugmentation with flaps is a safe procedure with minimal complication rates. Combining body lift surgery with gluteal augmentation techniques such as island or transposition flaps or lipofilling does not increase the risk of complications.
Level of evidence i: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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