Lower Body Lift After Bariatric Surgery: 323 Consecutive Cases Over 10-Year Experience.
BACKGROUND
Lower body lift is a widespread procedure for massive weight loss patients aimed to improve the contour of the lower trunk, gluteal region and proximal lower extremity. The data about complications are confusing, and there is a lack of uniform studies for massive weight loss patients. A simple formula to carry out a reliable procedure in a short time with a low complication rate should be advocated.


METHODS
This retrospective study analyzed data of 323 patients undergoing lower body lift after bariatric surgery over a 10-year period. Selection criteria, careful preoperative marking, reliable intra- and postoperative care and a few surgical tips are discussed. All the complications (both major and minor) and the aesthetic satisfaction were evaluated. Risk factors assessed were patient age, tobacco consumption, current BMI, operative time and combined surgery.


RESULTS
The overall complication rate was 42%. We recorded a lower rate of major complications and skin dehiscence; no infection and no skin necrosis were observed. The most frequent complication was seroma (35%). A complication development was straight related to age (p = 0.0177) and tobacco use (p = 0.0336). Patients' satisfaction about overall aesthetic was high.


CONCLUSIONS
We present our case load and describe an easy recipe to perform a safe surgery without undermining and liposuction in short operative times. The reasonable overall complication rate and the surprisingly lower rate of dehiscence and skin necrosis combined with a pleasant aesthetic result make the lower body lift an easy and safe procedure, when applied to the appropriate patient population.


LEVEL OF EVIDENCE IV
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['Losco|Luigi|L|0000-0001-9105-1839', 'Roxo|Ana Claudia|AC|', 'Roxo|Carlos W|CW|', 'Lo Torto|Federico|F|', 'Bolletta|Alberto|A|', 'de Sire|Alessandro|A|', 'Aksoyler|Dicle|D|', 'Ribuffo|Diego|D|', 'Cigna|Emanuele|E|', 'Roxo|Carlos P|CP|']
D061645:Abdominoplasty D050110:Bariatric Surgery D006801:Humans D015187:Lipectomy D012189:Retrospective Studies D015431:Weight Loss
Body lift Massive weight loss Abdominoplasty Belt lipectomy Body contouring surgery Body lift of the lower trunk Circumferential dermolipectomy Postbariatric surgery