![]() ![]() Today, this deformity is increasingly common with the increase in bariatric procedures. Although this technique is useful in treating the ordinary minor medial thigh laxity, it is not effective for the MWL patient's deformity. These cases require surgical removal of fat deposits as well as excision of the medial thigh skin with Lockwood's technique. However, especially in patients over 35–40 years of age, the skin is often thin and inelastic. ![]() The use of suction-assisted lipectomy is effective in patients with lipodystrophy without skin laxity. Historically, thigh reduction remains the most difficult to treat. This is true for all parts of the body, and in particular for the medial thigh region. Often there is pain, irritation and intertrigo under the massive skin folds.īecause of the changes which occur with age and weight loss, minimal or moderate, the skin and subcutaneous tissue show relaxation and redundancy from the loss of tone and elasticity, with inevitable ptosis of the tissues. Moreover, women tend to have large amounts of cellulites as well, particularly along the hip region. The collapse of the redundant tissues from the lower abdomen, mons pubis, buttocks and also from the medial thigh itself contributes directly to the excess tissues along the thighs resulting in both a vertical and horizontal tissue excess. There can be enormous overhanging pannus that disrupts the silhouette. In the lower trunk, the redundant tissues of the lower abdomen and the pubic area fall directly towards the inner thighs. The skin and the soft tissues fail to retract completely and become redundant, collapsing inferiorly and infero-medially from the characteristic areas of fat deposition. After a rapid and massive weight loss, there is a sudden change in the body mass index (BMI) which leads to skin and soft tissue excess and poor skin tone. ![]() The contour deformities after bariatric weight loss encompass diverse and unexpected manifestations that potentially involve every area of the body. Massive weight loss (MWL) is defined as 50% or greater loss of the excess weight.
0 Comments
Leave a Reply. |