1. Lipo-Bodylift Reconstruction Following Massive Weight Loss: Our Experience with 100 Consecutive Cases
- Author
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Raphael Carloni, Jérôme Duisit, Damien Bergeat, Yanis Berkane, Nicolas Bertheuil, Silvia Gandolfi, UCL - SSS/IREC/SLUC - Pôle St.-Luc, UCL - (SLuc) Service de chirurgie plastique, Microenvironment, Cell Differentiation, Immunology and Cancer (MICMAC), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Laboratoire SITI [CHU Rennes], Etablissement français du sang [Rennes] (EFS Bretagne)-CHU Pontchaillou [Rennes], CHU Pontchaillou [Rennes], Nutrition, Métabolismes et Cancer (NuMeCan), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hôpital privé de l'Estuaire [Le Havre], CHU Rouen, Normandie Université (NU), Cliniques Universitaires Saint-Luc [Bruxelles], Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), and Jonchère, Laurent
- Subjects
Adult ,medicine.medical_specialty ,[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery ,Bodylift ,[SDV]Life Sciences [q-bio] ,medicine.medical_treatment ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery ,030230 surgery ,Body Contouring Surgery ,Obesity lipobody lift ,Body Mass Index ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Lipectomy ,Weight loss ,Weight Loss ,medicine ,Humans ,Retrospective Studies ,2. Zero hunger ,Abdominoplasty ,business.industry ,Wound dehiscence ,medicine.disease ,Body Contouring ,3. Good health ,Surgery ,[SDV] Life Sciences [q-bio] ,Plastic surgery ,Treatment Outcome ,Liposuction ,Body contouring ,Massive weight loss ,medicine.symptom ,business ,Complication ,Body mass index - Abstract
International audience; BACKGROUND: We report our experience using the Lipo-Bodylift technique for circumferential lower trunk reconstruction following massive weight loss. METHODS: The procedure combines extensive circular liposuction with circular skin resection immediately under the dermis. We classify lower trunk deformities using three parameters: (1) excess skin (in the horizontal direction, or both horizontally and vertically); (2) the body mass index (BMI); and, (3) skin quality (hyperlaxity or a normal tone). All patients can be divided into four groups, of whom groups I and II are the best candidates for the Lipo-Bodylift procedure. We also describe our perioperative management and patient outcomes, with a focus on postoperative complications. RESULTS: Between January 2015 and January 2020, 100 patients underwent Lipo-Bodylift treatment. The median patient age was 41 years. The median preoperative BMI was 26.3 kg/m(2). The median drainage duration and hospital stay were both 3 days. Of all patients, 30% experienced at least one complication, 2% of which were major. Of the minor complications, 27 patients evidenced wound dehiscence. Only (positive) smoking status was significantly associated with postoperative complications (p
- Published
- 2021