Kühn Shafreena, Klettenheimer Alana, Küenzlen Lara, Kiehlmann Marcus, Schlosshauer Torsten, Djedovic Gabriel, Rieger Ulrich M
Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital Frankfurt, Frankfurt, Germany.
Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.
J Cutan Aesthet Surg. 2019 Oct-Dec;12(4):231-236. doi: 10.4103/JCAS.JCAS_115_18.
Thigh lift is a procedure used within the aesthetic as well as the post-bariatric field of surgery as it focuses on reducing excess lipodermal tissue within the medial thigh area. Depending on the specific area of excess tissue, common thigh lifting procedures include horizontal (H) and combined horizontal and vertical (HV) tissue reduction.
The aim of this study was the analysis of outcome of H and HV thigh lift procedures, including evaluation of comorbidities and complications.
Over a 16-year period, all thigh lift procedures performed at our department were assessed for comorbidities and outcome through our hospital documentation system.
A total of 151 thigh lifts have been performed over 16 years. Of which, 124 were performed using the HV technique and 27 thigh lifts were performed using H tissue excision only. Of all the patients, 9 of 10 were female, the overall average age was 43 years. Approximately 48% of the HV group of patients had previously undergone bariatric surgery, the mean body mass index (BMI) was 29.3 kg/m for this group. Around 19% of the H patient population had previously undergone bariatric surgery. This group had a mean BMI of 25.1kg/m. Wound-associated problems occurred in 48%, for these patients, surgical revision was necessary for 12%. Remaining excess tissue was an issue for 20% of all patients, for this reason, 14% needed revision surgery. Age was found to be a significant cofactor for wound-associated complications ( = 0.02) and nicotine abuse for scar-related problems ( = 0.032).
The rate of overall complication for thigh lifts is high, although surgical revision rate is low. Remaining excess tissue and wound-associated problems are most common, possibly reflecting a too restrictive and radical surgical approach, respectively. Increasing BMI increases the risk for development of complications.
大腿提升术是一种用于美容以及减肥后手术领域的手术，它专注于减少大腿内侧区域多余的脂肪组织。根据多余组织的特定区域，常见的大腿提升手术包括水平（H）和水平与垂直联合（HV）组织切除。
本研究的目的是分析H和HV大腿提升手术的结果，包括对合并症和并发症的评估。
在16年的时间里，通过我们医院的文档系统对在我们科室进行的所有大腿提升手术的合并症和结果进行了评估。
在16年中总共进行了151例大腿提升手术。其中，124例采用HV技术进行，27例仅采用H组织切除进行大腿提升。在所有患者中，十分之九为女性，总体平均年龄为43岁。HV组约48%的患者此前接受过减肥手术，该组的平均体重指数（BMI）为29.3kg/m²。H组约19%的患者此前接受过减肥手术。该组的平均BMI为25.1kg/m²。48%的患者出现了与伤口相关的问题，其中12%的患者需要进行手术修复。20%的患者存在剩余多余组织的问题，因此，14%的患者需要进行修复手术。发现年龄是与伤口相关并发症的一个重要辅助因素（P = 0.02），而尼古丁滥用是与疤痕相关问题的重要因素（P = 0.032）。
大腿提升术的总体并发症发生率较高，尽管手术修复率较低。剩余多余组织和与伤口相关的问题最为常见，这可能分别反映了手术方法过于受限和激进。BMI的增加会增加并发症发生的风险。
