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Emmanuelle Royer, Barbara Hersant, Cécile Philandrianos, Charlotte Jaloux, Dominique Casanova, Baptiste Bertrand, Post-Bariatric Buttock Contouring With Gluteal Implants During Circumferential Body Lift: Step-By-Step Video Description and 1-Year Results, Aesthetic Surgery Journal, Volume 39, Issue 2, February 2019, Pages 233–237, https://doi.org/10.1093/asj/sjy212
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Extract
The number of massive weight loss (MWL) patients is increasing worldwide. Body contouring is essential to improve these patients’ quality of life1 and long-term weight control.2 Circumferential body lift (CBL) is currently the gold standard procedure to correct excess abdominal and dorsal skin.3 However, a major disadvantage of CBL is flattening of the buttocks.
Buttock flaps and lipofilling have been used to correct the decrease in buttock projection seen after MWL.4–6 However, the results are disappointing for many MWL patients. For such patients, use of gluteal implants seems to be a better method for restoring buttock contours.7
The combined CBL-gluteal implantation technique has rarely been reported8–10 and remains controversial. Here, we detail this combined technique in a step-by-step manner and describe the results of the procedure in one of our patients.
OPERATIVE DETAILS
Preoperative Preparation
The patient was started on a low-residue diet 1 week before surgery to decrease stool number and volume after surgery. Such preparation is optional but facilitates dressing placement during the first postoperative days.