Abstract:
BACKGROUND:Until 2001, body contouring surgery after massive weight loss was uncoordinated, with few patients achieving compete rehabilitation. OBJECTIVE:The authors report a 5-year, retrospective, 75-case clinical review to determine the effectiveness, reliability, and safety of single and multistage total body lift (TBL) surgery. METHODS:Between January 2001 and June 2006, 59 single-stage, 15 two-stage, and 1 three-stage TBL surgeries were performed, involving a total of 605 separate procedures. Outcomes and complications were compared among all TBL patients and a contemporaneous published series. RESULTS:Three representative cases are described. Overall, in patients under 55 years of age with a body mass index of less than 30, there was no significant difference in the choice of procedure (ie, single-stage TBL [95% confidence interval, 1.236-2.302] or multiple-stage TBL [95% confidence interval, 1.687-4.892]; P = .1882). Although there was no significant association between major complications and the number of procedures performed in this cohort of patients, there were increased wound healing problems following multiple-stage TBL (P > .5). Single-stage TBL surgery averaged 8.4 hours. Two-stage surgery took 7.4 hours for the first stage and 4.6 hours for the second stage, for a total of 11 hours. Banked blood transfusions for single-stage surgery were 1.5 per single-stage case and 0.78 per multi-stage case. Seventy-six percent of the patients experienced complications, mostly related to wound healing. All preoperative and postoperative Pittsburgh rating grades improved. CONCLUSIONS:TBL is customized for individuals who desire a comprehensive approach to improvement of their loose skin. The rate of complications was high and comparable to other published series. There was no difference between the complications of the single-and two-stage patients. While there was an observable reduction in deformity and a high rate of satisfactory aesthetic outcomes, this high number of complications indicates a need to improve clinical performance.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Hurwitz DJ,Agha-Mohammadi S,Ota K,Unadkat Jdoi
10.1016/j.asj.2008.03.001subject
Has Abstractpub_date
2008-05-01 00:00:00pages
294-303; discussion 304-5issue
3eissn
1090-820Xissn
1527-330Xpii
S1090-820X(08)00084-8journal_volume
28pub_type
杂志文章abstract:BACKGROUND:The pedicled latissimus dorsi (LD) flap serves an important function in breast reconstruction, but its utility is limited by its inability to provide sufficient breast volume. OBJECTIVES:The purpose of this preliminary report was to review the techniques and outcomes of utilizing fat-grafted, volume-enhance...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv173
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detect harms. Three recent reviews have analyzed edema and ecchymosis outcomes followin...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析,评审
doi:10.1093/asj/sjv138
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Although placement of silicone implants remains the standard technique for gluteal augmentation, lipoinjection of autologous fat obtained from lipoplasty is emerging as an alternative procedure. OBJECTIVE:We report the results of large-volume lipoinjection of the gluteal region in a series of 96 patients. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2002.121960
更新日期:2002-01-01 00:00:00
abstract::Effective hair removal is now available even for the darkest-skinned patients, including Fitzpatrick skin type VI. With the long-pulse YAG laser, a deeply penetrating wavelength enables energy to reach the hair bulbs, adequate power and pulse duration heat and destroy the hair follicle, and low melanin absorption ensu...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2003.23
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Facial aging is a complicated process that includes volume loss and soft tissue descent. This study provides quantitative 3-dimensional (3D) data on the long-term effect of vertical vector deep-plane rhytidectomy on restoring volume to the midface. OBJECTIVE:To determine if primary vertical vector deep-plan...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sju171
更新日期:2015-07-01 00:00:00
abstract::Paradigms in the treatment of aging have evolved to address volume loss as a central and primary hallmark of the aging face. The concept of "composite volumization" was recently proposed by Dr. Z. Paul Lorenc to describe the effect of Radiesse (Merz Aesthetics, Inc., Raleigh, NC), when placed on bone in the supraperio...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy026
更新日期:2018-04-06 00:00:00
abstract:BACKGROUND:There is relatively scant evidence concerning radiation effects on reduction mammaplasty and mastopexy, two procedures which are often used in the irradiated breast to restore symmetry following breast-conserving therapy (BCT). OBJECTIVE:The purpose of this study is to further examine outcomes of reduction ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.12.004
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Recommendations for venous thromboembolism (VTE) prophylaxis have been published in the plastic surgery literature. However, no comprehensive survey of the overall incidence of VTE among plastic surgery patients has been undertaken. OBJECTIVE:This study was performed to determine the incidence of VTE in pla...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.07.003
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Cryolipolysis has been shown to be a safe and effective noninvasive procedure for the reduction of localized subcutaneous fat. OBJECTIVES:The authors examine the safety, efficacy, and procedural growth of cryolipolysis (via the CoolSculpting device; Zeltiq, Pleasanton, California) in a single plastic surger...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13494757
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Macrolane is a stabilized, hyaluronic acid-based gel that has been available since 2007 as a minimally invasive, nonpermanent option for breast enhancement. However, numerous controversies pertaining to its side effects have highlighted the need for studies involving larger groups of patients. OBJECTIVES:Th...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv042
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant fun...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz188
更新日期:2020-01-01 00:00:00
abstract:Background:Synkinesis represents involuntary muscular movements that occur in association with voluntary contraction of other muscle groups. Oculonasal synkinesis is a rare phenomenon. Objectives:In a series of videos, the authors present clinical findings and surgical correction of oculonasal synkinesis. Methods:Two...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx074
更新日期:2017-09-01 00:00:00
abstract::Since their introduction into the market, breast implants have been the subject of many controversies. It is timely to examine the forces that have shaped the breast implant industry to make it what it is today. This review will concentrate more on the use of implants in aesthetic surgery rather than their use in brea...
journal_title:Aesthetic surgery journal
pub_type: 历史文章,杂志文章,评审
doi:10.1093/asj/sjy310
更新日期:2019-01-31 00:00:00
abstract::The primary goal of palatoplasty is to allow normal speech through the correction of velopharyngeal incompetence. Failure to accomplish a tension-free, watertight closure predisposes the palatoplasty patient to postoperative fistula formation. Fistulas may in turn contribute to velopharyngeal incompetence. Reported fi...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1177/1090820X11418216
更新日期:2011-09-01 00:00:00
abstract::Injectable synthetic hyaluronic acid is biodegradable and biocompatible with human hyaluronic acid. Soft tissue augmentation with this product does not require prior skin testing and provides robust augmentation. Its ability to attract and maintain significant amounts of water accounts for the volume and duration of c...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.04.009
更新日期:2004-07-01 00:00:00
abstract::Perioperative hyperglycemia is a well-known risk factor for surgical morbidity such as wound healing, infection, and prolonged hospitalization. This association has been reported for a number of surgical subspecialties, including plastic surgery. Specialty-specific guidelines have become increasingly available in the ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjw064
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Given the wide application of autologous fat grafting, a new emphasis on fat processing techniques has emerged in an effort to limit unpredictable degrees of resorption often seen with this procedure. With the growing interest in regenerative medicine, approaches to supplement fat grafts with adipose-derived...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13487371
更新日期:2013-07-01 00:00:00
abstract:Background:The nipple-areola complex (NAC) is important aesthetically and functionally for both sexes. Methods for positioning the NAC in males are less well established in the literature compared to females but are just as important. Objectives:This study aims to determine the normal parameters for the male NAC, to r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx245
更新日期:2018-06-13 00:00:00
abstract:BACKGROUND:Knowledge of topographic skin thickness is important to plastic surgery of the face as it may guide resection and restoration in oncologic, aesthetic, and reconstructive procedures. OBJECTIVE:The purpose of this study is to report the relative thickness of the face throughout 39 distinct subunits. METHODS:...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv079
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Use of gluteal augmentation with fat increased by 3267% from 2002 to 2015, and the rate of death is highest compared with other aesthetic procedures: 1 in 3448 patients dies, compared with 1 in 55,000. OBJECTIVES:To retrospectively investigate patients who underwent this procedure at Oslo Plastic Surgery Cl...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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更新日期:2019-02-15 00:00:00
abstract:BACKGROUND:Lips are considered a key element of facial attractiveness due to their central position in the face and their elemental role in verbal and nonverbal communication. OBJECTIVES:The authors sought to provide clinically relevant information on the 3-dimensional pathway of the superior and inferior labial arter...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. OBJECTIVE:The authors evaluate the results of periorbital filling with hyalur...
journal_title:Aesthetic surgery journal
pub_type: 临床试验,杂志文章
doi:10.1177/1090820X10395505
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Previous anatomic studies have provided valuable information on the two-dimensional (2-D) course of the angular segment of the facial artery in the midface and its arterial connections. The third dimension (ie, the depth of the artery) is less well characterized. OBJECTIVE:The objective of the present study...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa176
更新日期:2020-06-27 00:00:00
abstract::The increasing use of bariatric procedures in the treatment of morbidly obese patients means that aesthetic plastic surgeons can expect to care for more and more patients who have undergone bariatric surgery. It is important for aesthetic surgeons to understand the procedures, outcomes, and possible complications to r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1016/j.asj.2007.09.007
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Techniques for augmentation mammaplasty commonly involve incisions through at least a portion of the pectoralis major muscle. The effects of implant position and surgical release of the muscle origin have not been thoroughly addressed. OBJECTIVE:In this study the authors report on a group of female athletes...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.02.005
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:The primary outcome measures for patients who undergo aesthetic facial procedures are quality of life and satisfaction with appearance. The FACE-Q, a new patient-reported outcome (PRO) instrument composed of independently functioning scales, is designed to measure a broad range of important outcomes in patie...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究
doi:10.1177/1090820X13510170
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:The aesthetic ideal of the nose eludes clear definition. Averageness may be an important determinant of ideal nasal shape: research has shown that averageness plays an important role in the human perception of facial attractiveness. OBJECTIVES:The aim of this study was to test whether an averaged nasal shap...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa010
更新日期:2020-11-19 00:00:00
abstract:BACKGROUND:It is well known that improving postoperative pain control in plastic surgery procedures leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. OBJECTIVE:The authors evaluate the use of abdominal field block injections with liposomal bupivicaine (...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13510720
更新日期:2013-11-01 00:00:00
abstract::The hairline and frontal hair volume are frequently overlooked aspects of attractive facial proportion and overall facial aesthetics. The author contends that patient benefit from hair restoration surgery is significant, and these procedures should be routinely considered as part of a complete facial rejuvenation. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.08.007
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Lipoatrophy of the face negatively impacts the quality of life and body image of individuals on antiretroviral therapy. Facial fillers can minimize the stigma associated with the human immonodeficiency virus (HIV). OBJECTIVES:In this 5-year follow-up study, the author assessed the safety and efficacy of a p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjv036
更新日期:2015-11-01 00:00:00