Background: Despite its rarity, cutaneous adipose tissue excess in the trochanteric region following massive weight loss is a surgical challenge. The aim of this work is to propose a surgical technique for lifting the outer thighs by describing its indications and its limitations.
Methods: Seventy-four patients were recruited into the study between 2018 and 2021. Two groups were identified: patients with body lift combined with lateral thigh lift ( n = 20) and patients with lower body lift ( n = 54). Satisfaction was determined through the BODY-Q questionnaire. The average operating time was 45 minutes longer when an outer thigh lift was performed. The median length of hospitalization was similar. The complication rate was 26% for the body lift group and 60% for the thigh lift group ( P < 0.01); the most common complication was dehiscence.
Results: Data analysis showed that the lateral thigh lift technique did not affect immediate postoperative evolution or hospitalization duration, proving its safety. There was an increase in total complications among patients who underwent the lateral thigh lift. Dehiscence was the most common complication, which can be treated on an outpatient basis. The satisfaction rate was high. Satisfaction was linked to improved quality of life.
Conclusion: In the authors' experience, the technique described is an effective means of treating trochanteric deformities.
Clinical question/level of evidence: Therapeutic, IV.
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