Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy

Mohamed Ali Mahgoub; Ahmed Mahmoud Zeina; Ahmed Mohamed Bahaa El-Din; Ahmed Hassan El-Sabbagh; Franco Bassetto; Vincenzo Vindigni

doi:10.1055/s-0042-1748640

Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy

Arch Plast Surg. 2022 May 27;49(3):289-295. doi: 10.1055/s-0042-1748640. eCollection 2022 May.

Authors

Mohamed Ali Mahgoub¹, Ahmed Mahmoud Zeina¹, Ahmed Mohamed Bahaa El-Din¹, Ahmed Hassan El-Sabbagh¹, Franco Bassetto², Vincenzo Vindigni²

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
² Clinic of Plastic and Reconstructive Surgery, Department of Neurosciences, Padova University, Padova, Italy.

Abstract

Background Massive weight loss (MWL) is a very common presentation that you may face as a plastic surgeon. Each patient has his own individual criteria, so, you should work according to a well-organized plan, especially when such cases have concerns about their gluteal area contour that were neglected before by many surgeons. A decision-making strategy was used to give a personalized treatment for targeting gluteal region reshaping of MWL patients. Methods This study considered all patients with MWL subjected to buttock reshaping. There was no randomization in treatment; there was a case-by-case assessment. We analyzed the features of the buttocks, the type of surgery performed, the outcomes, and the complications. Results Fifty two patients were included (41 females and 11 males), ages ranged between 21 and 66 years. Demographic data, preoperative body mass index (BMI), duration of surgery, type of surgery, and postoperative complications were collected. Statistically significant improvements were observed in gluteal ptosis and patient satisfaction grades. Conclusion Aesthetic improvement of the buttocks involves either augmentation or contouring that may be obtained by liposculpture, surgical lifting, or combination. Patients with MWL have high expectations and are often treated with multiple procedures. Thus, an easy strategic approach personalized on each patient to treat multiple adjacent areas in one operation is necessary. Adipose tissue distribution, gluteal skin status, and BMI were the main factors that can forcefully affect our plan to guarantee reduction of unpleasant results and complications and improve patient satisfaction.

Keywords: belt lipectomy; liposuction; massive weight loss; postbariatric surgery.

The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).