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最小化大腿整形手术并发症:内侧模式与氦等离子体辅助脂肪雕塑的联合方法

"MINIMIZING THIGHPLASTY COMPLICATIONS: A COMBINED APPROACH OF J MEDIAL PATTERN AND HELIUM-PLASMA ASSISTED LIPOSCULPTURE".

作者信息

Tambasco Damiano, Albanese Roberta, Tomaselli Federica, Pinto Valentina, Pinelli Massimo, De Santis Giorgio

机构信息

Plastic Surgery Unit, Ospedale San Carlo di Nancy, via Aurelia 275, Rome, Italy.

Department of Plastic and Reconstructive Surgery, Ospedale Santa Maria della Misericordia, Udine, Italy.

出版信息

Plast Reconstr Surg. 2025 Jan 14. doi: 10.1097/PRS.0000000000011962.

Abstract

Thighplasty is a widely performed body contouring procedure, utilizing various surgical techniques for thigh lifting, including medial scar positioning, vertical and horizontal procedures, and liposuction. Despite its popularity, thighplasty is associated with high complication rates and suboptimal postoperative outcomes.This article presents a novel technique: the J medial thighplasty combined with helium plasma radiofrequency technology (HPRF) to address moderate skin and soft-tissue laxity and ptosis in the inner thighs. Between 2020 and 2023, 21 patients underwent this combined procedure. The surgical approach involved selective liposuction in targeted areas, skin resection, and preservation of deep tissue layers, coupled with the application of HPRF in the lower third of the medial thigh.Results demonstrated significant reductions in thigh laxity, correction of skin overhang, and fat reduction, yielding improved functional and aesthetic outcomes in the lower thigh region. By strategically avoiding lymphatic vessels in superficial areas, the risk of secondary lymphedema was minimized. Patient satisfaction was notably high, with both patients and surgeons reporting favorable results.In conclusion, the J medial thighplasty combined with HPRF offers an effective and straightforward method for enhancing the lower thigh area with minimal complications. This innovative technique provides a promising solution for patients seeking improved thigh contouring while ensuring high levels of patient satisfaction.

摘要

大腿整形术是一种广泛开展的身体塑形手术,采用多种外科技术进行大腿提升,包括内侧瘢痕定位、垂直和水平手术以及抽脂术。尽管大腿整形术很受欢迎,但它与高并发症发生率和不理想的术后效果相关。本文介绍一种新技术:J型内侧大腿整形术联合氦等离子体射频技术(HPRF),以解决大腿内侧中度皮肤和软组织松弛及下垂问题。2020年至2023年期间,21例患者接受了这种联合手术。手术方法包括在目标区域进行选择性抽脂、皮肤切除以及保留深层组织层,并在内侧大腿下三分之一处应用HPRF。结果显示,大腿松弛明显减轻,皮肤悬垂得到矫正,脂肪减少,大腿下部区域的功能和美学效果得到改善。通过策略性地避开浅表区域的淋巴管,继发性淋巴水肿的风险降至最低。患者满意度显著较高,患者和外科医生均报告结果良好。总之,J型内侧大腿整形术联合HPRF为改善大腿下部区域提供了一种有效且简便的方法,并发症最少。这种创新技术为寻求改善大腿塑形的患者提供了一个有前景的解决方案,同时确保了较高的患者满意度。

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