Plastic Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Plastic Surgery Unit, Andaraì Federal Hospital, Rio de Janeiro, Brazil.
J Invest Surg. 2022 Mar;35(3):620-626. doi: 10.1080/08941939.2021.1912220. Epub 2021 May 24.
After massive weight loss, the severe gynoid body contour deformities are not always faceable with optimal results. The thigh is one of the most demanding area to address; therefore, the approach should be virtually individualized. The authors describe the helix thigh lift: A novel technique that combines vertical with horizontal axis of pull. The goal of this ultimate customization is to dramatically impact physical functioning and esthetics of this patient population.
Thigh lift patients from 2016 to 2019 were assessed retrospectively; fourteen patients were selected for helix thigh lift procedure. Preoperative markings, surgical technique and outcomes were described. The mean follow-up time was 14.8 ± 3.2 months. A questionnaire was administered to evaluate the results.
Fourteen female patients (mean age, 42 ± 4.8 years) underwent helix thigh lift after massive weight loss. The overall complication rate was 36 percent. They were all minor complications and were treated in an outpatient setting. Seroma formation was the most frequent, at 29 percent. No skin necrosis was reported. Complication development was straight related to the age of the patient ( = 0.0455). The patients were very satisfied with the overall outcome.
Helix thigh lift effectively addresses the severe gynoid body contour deformities. The high satisfaction and the reasonable complication rate suggest that this is a safe and effective technique. The age of the patient was significantly associated to complication development. A dramatic improvement of ease in performing activities of daily living along with reduction of the skin problems leads to significant improvement of the quality of life.
大量减重后，严重的女性型躯体轮廓畸形并不总能达到最佳效果。大腿是最需要解决的部位之一；因此，方法应该是几乎个性化的。作者描述了螺旋大腿提升术：一种将垂直与水平牵拉轴相结合的新技术。这种终极定制的目的是显著影响该患者群体的身体功能和美观。
回顾性评估了 2016 年至 2019 年的大腿提升患者；选择了 14 名患者进行螺旋大腿提升手术。描述了术前标记、手术技术和结果。平均随访时间为 14.8±3.2 个月。进行了问卷调查以评估结果。
14 名女性患者（平均年龄 42±4.8 岁）在大量减重后接受了螺旋大腿提升术。总并发症发生率为 36%。它们都是轻微的并发症，并在门诊进行了治疗。血清肿的形成最为常见，占 29%。没有报告皮肤坏死。并发症的发生与患者的年龄直接相关（=0.0455）。患者对整体结果非常满意。
螺旋大腿提升术能有效解决严重的女性型躯体轮廓畸形。高满意度和合理的并发症发生率表明，这是一种安全有效的技术。患者的年龄与并发症的发生有显著相关性。日常生活活动能力的显著改善以及皮肤问题的减少，导致生活质量的显著提高。
