1
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Ajuste sacral en lifting glúteo tras grandes perdidas ponderales Translated title: Ajuste sacral no lifting glúteo após grande perda ponderal Translated title: Sacral contouring in gluteal lifts after massive weight loss

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Introducción y objetivo. Las alteraciones en la región glútea después de una pérdida significativa de peso o una cirugía bariátrica aparecen como piel fácida, reducción de tejido adiposo y pérdida de masa muscular, provocando diversas quejas entre los pacientes. A diferencia de los autores que predefinen la cantidad de tejido a resecar en la región sacra, empleamos este refinamiento al final de la operación, permitiendo la retirada de más piel, corrigiendo asimetrías y dando forma al surco glúteo, según la anatomia de cada individuo. Material y método. Sometimos a lifting glúteo a 15 pacientes. En 12 usamos un colgajo adiposo para proyectar la mitad superior de la región glútea. En 3, además del colgajo adiposo incluimos una prótesis de silicona a través de la misma incisión. Resultados. Entre los 15 pacientes atendidos recogimos las siguientes complicaciones: 1 caso de hematoma tratado solo con aspiración mediante punción; 2 casos de seroma con drenaje espontáneo a través de la herida quirúrgica; y 2 casos de dehiscencia parcial de suturas, con revisión de la cicatriz solo en 1 de estos casos. Conclusiones. En nuestra experiência, el ajuste cutáneo de la región sacra realizado al final de un lifting de glúteos, proporciona una mejor simetría y un posicionamiento más preciso del nuevo surco glúteo.

          Translated abstract

          Resumo Introdução e objetivo. Alterações na região glútea após perda significativa de peso ou cirurgia bariátrica, aparecem como flacidez da pele, redução do tecido adiposo e perda de massa muscular, provocando uma variedade de queixas dos pacientes. Ao contrário dos autores que pré-definem a quantidade de tecido a ser ressecada na região sacral, realizamos esse refinamento no final da operação, permitindo a retirada de mais pele, corrigindo aspectos assimétricos e moldando o sulco glúteo, dependendo da anatomia individual. Método. Quinze pacientes foram submetidos a lifting glúteo. Em 12 usamos um retalho de adiposo para a projeção da metade superior da região glútea. Em 3 deles, além do retalho adiposo, incluímos uma prótese de silicone através da mesma incisão. Resultados. Entre os 15 pacientes atendidos, notamos as seguintes ocorrências: 1 caso de hematoma tratado apenas com punção aspirativa; 2 casos de seroma com drenagem espontânea através da ferida cirúrgica; e 2 casos de deiscência parcial das suturas com revisão da cicatriz necessária em apenas 1 desses casos. Conclusão. Em nossa experiência, o ajuste cutâneo da região sacral, realizado no final de um lifting glúteo, proporciona melhor simetria e posicionamento mais preciso do novo sulco glúteo.

          Translated abstract

          Abstract Background and objective. Alterations in the gluteal region after significant weight loss or bariatric surgery appear as sagging skin, reduced adipose tissue and loss of muscle mass, causing a variety of complaints from patients. Unlike the authors who pre-define the amount of tissue to be resected in the sacral region, we performed this refinement at the end of the operation, allowing the removal of more skin, correcting asymmetric aspects and shaping the gluteal sulcus, depending on the individual anatomy. Methods. Fifteen patients underwent gluteal lifting. In 12 we used an adipose flap to project the upper half of the gluteal region. In 3 of them, in addition to the adipose flap, we included a silicone prosthesis through the same incision. Results. Among our 15 patients we noticed the following occurrences: 1 case of hematoma treated only with aspiration puncture; 2 cases of seroma with spontaneous drainage through the surgical wound; and 2 cases of partial dehiscence of the sutures, with scar revision required in only 1 of these cases. Conclusions. In our experience, the skin adjustment of the sacral region performed at the end of a gluteal lifting, provides better symmetry and more precise positioning of the new gluteal groove.

          Related collections

          Most cited references10

          • Record: found
          • Abstract: found
          • Article: not found

          Remodeling bodylift with high lateral tension.

          Body lifts are surgical procedures that are infrequently performed because the length of operating time increases the risk to the patient as well as the likelihood of surgeon fatigue. The other drawback of body lifts is the long incision line. However in our experience, these incisions are well accepted if they are well placed and if the results of body change is significant. The goal of this paper is to show how operating time can be shortened and the scar be correctly positioned by using precise preoperative markings. In addition to high superior tension abdominoplasty, the two innovations of this type of body lift are the dermal fat flap and the suspension of tissue in the trochanteric and buttock regions. Meticulous hemostasis limited undermining, and the closure of dead space are factors that produce a more reliable procedure, both in terms of postoperative problems and the final results.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Postbariatric buttock contouring with dermolipectomy and gluteal implants

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Augmentation buttock-pexy using autologus tissue following massive weigth loss

                Bookmark

                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                December 2021
                : 47
                : 4
                : 359-364
                Affiliations
                [4] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Hospital Universitario orgdiv2Servicio de Cirugía Plástica Brazil
                [2] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Hospital Universitario orgdiv2Servicio de Cirugía Plástica Brazil
                [1] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Hospital Universitario orgdiv2Servicio de Cirugía Plástica Brazil
                [3] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro orgdiv1Hospital Universitario Brazil
                Article
                S0376-78922021000400359 S0376-7892(21)04700400359
                10.4321/s0376-78922021000400005
                3b55ae3b-b052-4f86-a0f3-d7032429c87c

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 26 July 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 6
                Product

                SciELO Spain

                Categories
                Estética

                Buttocks surgery,Região glútea,Nádegas,Cirurgia das nádegas,Región glútea,Glúteos,Cirugía de glúteos,Gluteal region,Buttocks

                Comments

                Comment on this article