TY - JOUR JF - World-J-Plast-Surg JO - WJPS VL - 8 IS - 2 PY - 2019 Y1 - 2019/4/01 TI - Medial Thigh Contouring in Massive Weight Loss: A Liposuction-Assisted Medial Thigh Lift TT - N2 - BACKGROUND Thigh’s lifting can be associated with significant complications, if the medial thigh excess is removed en bloc. In this study, the liposuction-assisted medial thigh’s lift (LAMeT) procedure, outcomes and complications were assessed. METHODS Twenty four females between 25 and 61 years with grade 2 or 3 on Pittsburgh Rating Scale (PRS) treated with medial thigh’s reduction were enrolled. Medial thigh’s reduction was performed in three different procedures of vertical, horizontal and LAMeT. Vertical thigh’s lift with fascia suspension was conducted in 13 patients with grade 3 of ptosis on PRS; horizontal thigh’s lift with fascia suspension was undertaken in 3 patients with grade 2 on PRS; vertical and horizontal thigh’s lift considered as control group was described as excision-only group; and LAMeT was performed in 8 patients with grade 2 and 3 on PRS. RESULTS Complications were observed in 62.5% of patients who underwent vertical or horizontal thigh’s lift with fascia suspension and in 16.7% who experienced the LAMeT without fascia suspension. The most frequent complication was seroma. Hospital stay was significantly lower in the LAMeT. CONCLUSION Medial thigh’s lift is a safe and satisfying procedure because it provides aesthetic improvement in massive weight loss patients. The complication rate is higher when skin excess and laxity are removed en bloc, as the resection of excess tissue is poorly selective. The LAMeT preserves lymphatic and blood vessels and allows a more anatomical resection of the excess skin. Thus postoperative complications incidence is lower and the patient heals faster. SP - 171 EP - 180 AU - Di Pietro, Verdiana AU - Colicchia Gianfranco, Marcello AU - Cervelli, Valerio AU - Gentile, Pietro AD - Department of Plastic and Reconstructive Surgery, University of Rome “Tor Vergata”, Rome, Italy KW - Medial thigh contouring KW - Weight loss KW - Liposuction-Assisted Medial Thigh Lift UR - http://wjps.ir/article-1-483-en.html DO - 10.29252/wjps.8.2.171 ER -