Augmentation buttock-pexy using autologous tissue following massive weight loss

Abstract

A procedure that combined an abdominal body lift with augmentation buttock-pexy using autologous tissue achieved a pleasing and durable buttock contour. We present this technique as a reliable method to improve the cosmetic results of postbariatric surgery body contouring.

Circumferential Contouring of the Lower Trunk: Indications, Operative Techniques, and Outcomes—A Systematic Review

“…The flap measured approximately 10 9 25 cm and extended laterally to the end of the buttock fold. Other derived flaps were described: a lateral perforator-based deepithelized dermal fat flap [34], a random medially based flap [33], the ''moustache flap'' [20], and a superior gluteal artery perforator flap [36]. Augmentation flaps were reported in 9 of 42 publications.…”

“…Posteriorly, belt lipectomy and derived techniques better treated hips and back rolls, whereas lower body lifts better treated buttocks and lateral thigh ptosis [33]. Belt lipectomy could also treat excess fat localized in the flanks in overweight or obese patients [4,23,31,46].…”

“…-Two-step positioning in the supine position first, then prone [4,5,19,27,33,40,46]; -Two-step positioning in the prone position first, then supine (the most commonly reported technique) [9, 10, 14, 15, 20-22, 36-39, 42, 43, 48]; and -Three-step positioning, with the patient supine and in two lateral decubitus positions [6,23,26,34,35,47,49,50]. This installation was chosen for better control of the lateral thigh lift and when lateral thigh resection was required [49], and was used in the USA [6,23,26,34,35,49,50] and UK [47].…”

“…The most frequently reported indication was massive weight loss [10,15,19,20,22,27,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] secondary to bariatric surgery or dieting, which created excess circumferential skin of the lower trunk. Posteriorly, belt lipectomy and derived techniques better treated hips and back rolls, whereas lower body lifts better treated buttocks and lateral thigh ptosis [33].…”

“…Markings were usually made while patients were standing [4,33,[36][37][38]43] and completed in the supine position [34,35,47]. ''Pinch tests'' [4,21,27,42,43,46,47] were used to estimate the amount of tissue to be resected.…”