Lipo-Bodylift Reconstruction Following Massive Weight Loss: Our Experience with 100 Consecutive Cases

Abstract

Background

We report our experience using the Lipo-Bodylift technique for circumferential lower trunk reconstruction following massive weight loss.

Methods

The procedure combines extensive circular liposuction with circular skin resection immediately under the dermis. We classify lower trunk deformities using three parameters: (1) excess skin (in the horizontal direction, or both horizontally and vertically); (2) the body mass index (BMI); and, (3) skin quality (hyperlaxity or a normal tone). All patients can be divided into four groups, of whom groups I and II are the best candidates for the Lipo-Bodylift procedure. We also describe our perioperative management and patient outcomes, with a focus on postoperative complications.

Results

Between January 2015 and January 2020, 100 patients underwent Lipo-Bodylift treatment. The median patient age was 41 years. The median preoperative BMI was 26.3 kg/m2. The median drainage duration and hospital stay were both 3 days. Of all patients, 30% experienced at least one complication, 2% of which were major. Of the minor complications, 27 patients evidenced wound dehiscence. Only (positive) smoking status was significantly associated with postoperative complications (p < 0.001).

Conclusion

We developed the Lipo-Bodylift technique after analyzing changes in the skin and subcutaneous fat after massive weight loss. The technique completes the arsenal of body contouring techniques, appears to be less invasive than the undermining that is usually performed during circumferential reconstruction of the lower trunk, and is associated with a lower rate of major complications.

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Author information

Affiliations

Authors

Contributions

Authorship of the manuscript NB: conception and design of the study/technique, surgeon who operated the 100 patients, interpretation of the data, drafting of the manuscript and final approval of the version to be published. DB: Perform statistical analyses, critically revising the article SG: revising the article. YB: revising the article. RC: revising the article. JD: revising the article, final approval of the version to be published.

Corresponding author

Correspondence to Nicolas Bertheuil.

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Conflict of interest

The authors received no funding support for the research of this article and declared no potential conflicts of interest with the respect to the research, authorship and/or publication.

Ethical approval

The study was approved by the Institutional Review Board of Rennes University Hospital and adhered to all relevant tenets of the Declaration of Helsinki (1964) and the French bioethics laws that came into force on July 7, 2011.

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Informed consent is not required for this type of retrospective study.

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Supplementary Information

Supplemental Digital Content Video 1: Skin resection. The video shows the skin resection performed immediately below the dermis; this conserved all connective tissue (AVI 30095 kb)

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Bertheuil, N., Bergeat, D., Berkane, Y. et al. Lipo-Bodylift Reconstruction Following Massive Weight Loss: Our Experience with 100 Consecutive Cases. Aesth Plast Surg (2021). https://doi.org/10.1007/s00266-020-02118-x

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Keywords

  • Massive weight loss
  • Obesity lipobody lift
  • Bodylift
  • Abdominoplasty
  • Body Contouring Surgery