Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients

Background After massive weight loss, the severe gynoid body contour deformities are not always faceable with optimal results. The thigh is one of the most demanding area to address; therefore, the approach should be virtually individualized. The authors describe the helix thigh lift: A novel techni...

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Main Authors: Luigi Losco, Ana Claudia Roxo, Carlos Weck Roxo, Alessandro de Sire, Alberto Bolletta, Roberto Cuomo, Luca Grimaldi, Emanuele Cigna, Carlos del Pino Roxo
Format: Article
Language:English
Published: Taylor & Francis Group 2022-02-01
Series:Journal of Investigative Surgery
Online Access:http://dx.doi.org/10.1080/08941939.2021.1912220
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author Luigi Losco
Ana Claudia Roxo
Carlos Weck Roxo
Alessandro de Sire
Alberto Bolletta
Roberto Cuomo
Luca Grimaldi
Emanuele Cigna
Carlos del Pino Roxo
author_facet Luigi Losco
Ana Claudia Roxo
Carlos Weck Roxo
Alessandro de Sire
Alberto Bolletta
Roberto Cuomo
Luca Grimaldi
Emanuele Cigna
Carlos del Pino Roxo
author_sort Luigi Losco
collection DOAJ
description Background After massive weight loss, the severe gynoid body contour deformities are not always faceable with optimal results. The thigh is one of the most demanding area to address; therefore, the approach should be virtually individualized. The authors describe the helix thigh lift: A novel technique that combines vertical with horizontal axis of pull. The goal of this ultimate customization is to dramatically impact physical functioning and esthetics of this patient population. Methods Thigh lift patients from 2016 to 2019 were assessed retrospectively; fourteen patients were selected for helix thigh lift procedure. Preoperative markings, surgical technique and outcomes were described. The mean follow-up time was 14.8 ± 3.2 months. A questionnaire was administered to evaluate the results. Results Fourteen female patients (mean age, 42 ± 4.8 years) underwent helix thigh lift after massive weight loss. The overall complication rate was 36 percent. They were all minor complications and were treated in an outpatient setting. Seroma formation was the most frequent, at 29 percent. No skin necrosis was reported. Complication development was straight related to the age of the patient (p = 0.0455). The patients were very satisfied with the overall outcome. Conclusions Helix thigh lift effectively addresses the severe gynoid body contour deformities. The high satisfaction and the reasonable complication rate suggest that this is a safe and effective technique. The age of the patient was significantly associated to complication development. A dramatic improvement of ease in performing activities of daily living along with reduction of the skin problems leads to significant improvement of the quality of life.
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spelling doaj.art-c44c9e41467f487882f0a129d7306ea82023-09-15T10:21:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-02-0135362062610.1080/08941939.2021.19122201912220Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss PatientsLuigi Losco0Ana Claudia Roxo1Carlos Weck Roxo2Alessandro de Sire3Alberto Bolletta4Roberto Cuomo5Luca Grimaldi6Emanuele Cigna7Carlos del Pino Roxo8Plastic Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of PisaPlastic Surgery Unit, Pedro Ernesto University HospitalPlastic Surgery Unit, Andaraì Federal HospitalPhysical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern PiedmontPlastic Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of PisaUnit of Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University of SienaUnit of Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University of SienaPlastic Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of PisaPlastic Surgery Unit, Andaraì Federal HospitalBackground After massive weight loss, the severe gynoid body contour deformities are not always faceable with optimal results. The thigh is one of the most demanding area to address; therefore, the approach should be virtually individualized. The authors describe the helix thigh lift: A novel technique that combines vertical with horizontal axis of pull. The goal of this ultimate customization is to dramatically impact physical functioning and esthetics of this patient population. Methods Thigh lift patients from 2016 to 2019 were assessed retrospectively; fourteen patients were selected for helix thigh lift procedure. Preoperative markings, surgical technique and outcomes were described. The mean follow-up time was 14.8 ± 3.2 months. A questionnaire was administered to evaluate the results. Results Fourteen female patients (mean age, 42 ± 4.8 years) underwent helix thigh lift after massive weight loss. The overall complication rate was 36 percent. They were all minor complications and were treated in an outpatient setting. Seroma formation was the most frequent, at 29 percent. No skin necrosis was reported. Complication development was straight related to the age of the patient (p = 0.0455). The patients were very satisfied with the overall outcome. Conclusions Helix thigh lift effectively addresses the severe gynoid body contour deformities. The high satisfaction and the reasonable complication rate suggest that this is a safe and effective technique. The age of the patient was significantly associated to complication development. A dramatic improvement of ease in performing activities of daily living along with reduction of the skin problems leads to significant improvement of the quality of life.http://dx.doi.org/10.1080/08941939.2021.1912220
spellingShingle Luigi Losco
Ana Claudia Roxo
Carlos Weck Roxo
Alessandro de Sire
Alberto Bolletta
Roberto Cuomo
Luca Grimaldi
Emanuele Cigna
Carlos del Pino Roxo
Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
Journal of Investigative Surgery
title Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
title_full Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
title_fullStr Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
title_full_unstemmed Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
title_short Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
title_sort helix thigh lift a novel approach to severe deformities in massive weight loss patients
url http://dx.doi.org/10.1080/08941939.2021.1912220
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