Patoué Audrey, De Runz Antoine, Carloni Raphael, Aillet Sylvie, Watier Eric, Bertheuil Nicolas
a Department of Plastic, Reconstructive and Aesthetic Surgery , Hospital Sud, University of Rennes 1 , Rennes , France.
b Department of Plastic, Reconstructive and Aesthetic Surgery , Trousseau Hospital, University of Tours , Tours , France.
J Plast Surg Hand Surg. 2018 Apr;52(2):74-79. doi: 10.1080/2000656X.2017.1335642. Epub 2017 Jul 14.
To improve their health and quality of life, obese patients undergo consultation after weight loss. In these patients, the sub-umbilical abdominal and pubic regions are often characterized by redundant skin, creating aesthetic and functional discomfort. Monsplasty is an important step in abdominoplasty or bodylift procedures. We report on an original technique used to correct deformity in the pubic region following weight loss.
All interventions were performed by the same surgeon between April and December 2015. On stretched skin, we drew two lines 5 cm lateral to the median line on both sides and connected them with the arc of a circle placed 7 cm from the vulvar fork. Then, monsplasty marks extend to abdominal fold. During lower abdominal contouring, we performed monsplasty with three separate stitches between the camper fascia and aponeurosis of the abdominal muscle. The aim was to bring tension to the pubic region without additional surgical procedure.
We report on 21 consecutive cases of monsplasty following lower trunk contouring. No reoperation was performed due to complication or aesthetic demand (no under- or over-correction occurred). No complication (e.g. edema, seroma, disturbance of sensibility) was observed in the pubic area. The results were stable 1 year after surgery.
We report on a simple, rapid, and reproducible monsplasty technique for all stages of Pittsburgh classifications, which achieved favorable results with no complication. We recommend performance of this effective technique simultaneously with abdominoplasty or bodylift procedures.
IV.
为改善健康状况和生活质量，肥胖患者在体重减轻后会寻求咨询。在这些患者中，脐下腹部和耻骨区域常常有多余的皮肤，造成美观和功能上的不适。阴阜整形术是腹部整形或身体提升手术中的重要一步。我们报告一种用于纠正减肥后耻骨区域畸形的原创技术。
所有手术均由同一位外科医生在2015年4月至12月期间完成。在拉伸的皮肤上，我们在两侧中线外侧5厘米处画两条线，并将它们与距阴唇叉7厘米处的圆弧相连。然后，阴阜整形标记延伸至腹部褶皱处。在下腹部塑形过程中，我们在坎珀筋膜和腹直肌腱膜之间用三针单独缝合进行阴阜整形。目的是在不进行额外手术的情况下给耻骨区域施加张力。
我们报告了21例连续的下躯干塑形后阴阜整形病例。没有因并发症或美观需求而进行再次手术（没有出现矫正不足或过度矫正的情况）。耻骨区域未观察到任何并发症（如水肿、血清肿、感觉障碍）。术后1年结果稳定。
我们报告了一种适用于匹兹堡分类所有阶段的简单、快速且可重复的阴阜整形技术，该技术取得了良好效果且无并发症。我们建议在腹部整形或身体提升手术的同时进行这种有效的技术。
四级
