Lockwood T E
Division of Plastic Surgery, St. Luke's Hospital, Kansas City, Mo.
Plast Reconstr Surg. 1988 Aug;82(2):299-304. doi: 10.1097/00006534-198808000-00015.
The medical thigh lift has not gained widespread acceptance since its introduction 20 years ago because of problems such as inferior scar migration, labial separation, and early recurrence of ptosis. Anchoring of the inferior skin flap to the tough, inelastic deep layer of the superficial perineal fascia has reduced such complications. Originally described by Colles in 1811, this fascial layer helps define the perineal-thigh crease. Eighteen patients having medial thigh lifts in combination with liposuction were followed for 6 to 24 months. The technique involves initial liposuction followed by resection of a crescent of redundant skin and fat at the superior medial thigh. The inferior skin flap is suspended from Colles' fascia of the perineum with subdermal PDS sutures. No undermining or deepithelialization of flaps is performed. Complications are few, and patient satisfaction is high.
自20年前引入以来，医学大腿提升术由于诸如瘢痕下移不佳、阴唇分离和上睑下垂早期复发等问题，尚未得到广泛认可。将下方皮瓣固定于会阴浅筋膜坚韧、无弹性的深层可减少此类并发症。该筋膜层最初由科莱斯于1811年描述，有助于界定会阴-大腿皱襞。对18例行大腿内侧提升术联合吸脂术的患者进行了6至24个月的随访。该技术包括先进行吸脂，然后切除大腿内侧上方新月形的多余皮肤和脂肪。下方皮瓣通过皮下聚对二氧环己酮缝线悬吊于会阴的科莱斯筋膜上。不进行皮瓣的潜行分离或去上皮化操作。并发症少，患者满意度高。
