Acharya Pawan, Alagarasan Abisshek Raj, Khan Mahi, Zuluaga Blanco Juan Pablo, Cakir Ahsen, Abusada Francesca, ALQahtani Mohammad F, Siddiqui Humza F
Plastic and Reconstructive Surgery, Charing Cross Hospital, London, GBR.
Plastic and Reconstructive Surgery, Clarité Hospital, Madurai, IND.
Cureus. 2025 Jul 25;17(7):e88737. doi: 10.7759/cureus.88737. eCollection 2025 Jul.
This narrative review examines contemporary surgical body contouring techniques, including abdominoplasty, brachioplasty, liposuction, and fat grafting, as well as breast and gluteal augmentation, thighplasty, calf augmentation, and genital contouring, with a focus on clinical applications, technological advancements, complication profiles, and patient-centered outcomes. Abdominoplasty, including mini, lipoabdominoplasty, and fleur-de-lis variants, consistently restores the abdominal contour and can alleviate functional sequelae, with complication rates lowered by the use of progressive tension sutures and preservation of Scarpa fascia. Brachioplasty and thighplasty in post-bariatric patients improve limb contour and mobility; liposuction-assisted approaches reduce tissue trauma. Energy-assisted devices and circumferential 360° liposuction enhance precision and balance. Autologous fat grafting, ranging from macro- to nano-fat, yields high satisfaction and regenerative benefits; however, fat resorption and rare embolic events warrant a careful technique. Breast augmentation, reduction, and mastopexy achieve high patient satisfaction and improved symmetry; combining augmentation with mastopexy addresses ptosis. Calf and genital contouring refine regional aesthetics with the evolution of implant and fat-grafting methods. Overall satisfaction is high across procedures; complication profiles vary by modality and are mitigated by surgeon expertise and patient selection. Modern body contouring techniques deliver transformative aesthetic, functional, and psychosocial benefits. Continued refinement of technology and techniques, rigorous patient selection including psychological readiness, and long-term outcome studies are essential to further optimize safety and patient-centered care.
本叙述性综述探讨了当代手术身体塑形技术，包括腹壁成形术、上臂成形术、吸脂术和脂肪移植术，以及乳房和臀部增大术、大腿成形术、小腿增大术和生殖器塑形术，重点关注临床应用、技术进步、并发症情况和以患者为中心的结果。腹壁成形术，包括迷你腹壁成形术、脂肪抽吸腹壁成形术和百合花形变体，始终能恢复腹部轮廓并可缓解功能后遗症，通过使用渐进性张力缝合和保留Scarpa筋膜可降低并发症发生率。减肥后患者的上臂成形术和大腿成形术可改善肢体轮廓和活动能力；吸脂辅助方法可减少组织创伤。能量辅助设备和环形360°吸脂可提高精准度和平衡性。从宏观脂肪到纳米脂肪的自体脂肪移植产生了很高的满意度和再生益处；然而，脂肪吸收和罕见的栓塞事件需要谨慎操作技术。隆乳术、乳房缩小术和乳房上提术可实现很高的患者满意度并改善对称性；将隆乳术与乳房上提术相结合可解决乳房下垂问题。随着植入物和脂肪移植方法的发展，小腿和生殖器塑形可改善局部美观。总体而言，各手术的满意度都很高；并发症情况因手术方式而异，并可通过外科医生的专业技能和患者选择来减轻。现代身体塑形技术带来了变革性的美学、功能和心理社会效益。持续改进技术和方法、严格进行患者选择（包括心理准备情况）以及长期结果研究对于进一步优化安全性和以患者为中心的护理至关重要。
