LOWER BODY LIFT AND THIGHPLASTY

Question 1

Indication of lower body lift and thighplasty

Answer 1

Massive weight loss patient

Question 2

What compromise must a patient make if he/she undergoes lower body lift and thighplasty?

Answer 2

Must be accepting of long scars in exchange for improved contour, especially medial thigh.

Question 3

Patient selection for lower body lift and thighplasty

Answer 3

1. Assess individually and create operative plan based on patient’s deformity and goals
2. High BMI, preoptimization of medical comorbidities
3. Pittsburgh Rating scale - useful for grading patient’s deformities and assists in operative planning.

Question 4

Management of low-grade deformity with excess adipose tissue with adequate skin tone

Answer 4

Liposuction

Question 5

Management of high-grade deformities

Answer 5

Skin and subcutaneous tissue resection with or without liposuction

Question 6

Lower body lift was introduced to treat?

Answer 6

Ptotic, wrinkled skin and subcutaneous tissue of abdomen, hips, back and buttock

Question 7

Lockwood introduced the concept of?

Answer 7

Concept of suspending the superficial fascial system to anchor the incision and achieve a circumferential correction of lower trunk.

Question 7

Lockwood lower body lift #2 (LBL #2)

Answer 7

1. Combination of high lateral tension abdominoplasty, lateral thigh lift, and buttock lift.
2. Done for patients with abdominal skin laxity
3. Circumferential approach - most common and familiar variant in current practice

Question 7

Lockwood Lower body lift #1 (LBL #1)

Answer 7

1. Initial technique, combination of abdominoplasty and medial thighplasty
2. Best suited for patients with minimal abdominal laxity.
3. May be useful for patients with prior abdominoplasty
4. Infrequently used for MWL patients

Question 8

Vector in LBL #2

Answer 8

Primarily vertical, and mild lateral and vertical rotation of medial thigh tissues.

Question 9

Problem in LBL

Answer 9

Correction of medial thigh laxity is small in magnitude. Patients with significant laxity of medfial thigh skin - Medial thighplasty procedure

Question 10

Medial thigh lift

Answer 10

1. First described in 1957
2. Not widely adopted
3. Complications associated was vulvar distortion due to scar migration, early recurrence of ptosis
4. Lockwood popularized thighplasty after writing about anchoring SFS of thigh to Colles fascia

Question 11

Procedure of thighplasty includes -?

Answer 11

Resection of skin and subcutaneous tissue in a longitudinal, transverse or combined axis.