Abstract
The thigh lift procedure is one of the 5 most requested procedures associated with skin excess from massive weight loss (MWL). The procedure also has the highest reported complication rate amongst MWL procedures. The complication rate is most commonly associated with regional blood flow, higher bacterial involvement associated with proximity to the perineal region and poor-quality dermal thickness to support closure. Technical aspects of ideal management of the region include proper use of lipoplasty, skin excision, multi-layer tissue approximation and suspension. The following chapter reviews the regional anatomy, analysis, and the range of surgical techniques associated with this challenging procedure.
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1 Electronic Supplementary Material
Dr. Erik Nuveen demonstrates the thigh lift procedure elaborating extensively on techniques to undertake medial thigh lift as part of a ‘Spiral lift’ procedure. Marking of the thigh lift: 0–0:42 s. Infragluteal incision and dissection: 0:42–1:04 s. Suturing of the flaps: 1:05–1:29 s. Medial thigh lift: 1:30–1:44 s. Dissection of flaps: 1:45–2:19 s. Excision of medial thigh skin excess: 2:20–3:21 s. Post operative: 3:22 end. (MP4 188345 kb)
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Nuveen, E.J. (2022). Thighplasty. In: Thomas, M., D'silva, J. (eds) Manual of Cosmetic Surgery and Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-19-4997-5_27
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DOI: https://doi.org/10.1007/978-981-19-4997-5_27
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