Lower Body Lift and Thighplasty

Question 1

the lower body lift does address the medial
thighs,

Answer 1

F a medial thighplasty is required to treat the thigh
deformity

Question 2

The lower trunk and thighs can be dramatically improved by
combining a lower body lift (LBL) and thighplasty.

Answer 2

T

Question 3

medial thighs where a
vertical scar is necessary to correct the circumferential excess of skin

Answer 3

T

Question 4

Not every patient presenting after MWL needs an excisional procedure

Answer 4

T

Question 5

patients who have plateaued at a high BM! or require optimization of medical comorbidities may not be ready for major elective surgery.

Answer 5

T

Question 6

How you can assess the patient after MWL that he need excision or not

Answer 6

The Pittsburgh Rating Scale3 is a useful tool to grade a
patient’s deformities and can assist the surgeon with operative planning
low-grade deformities have excess adipose tissue
with adequate skin tone and may be treated with liposuction alone.
Patients with high-grade deformities require skin and subcutaneous
tissue resection with or without liposuction

Question 7

Lockwood classification for MWL

Answer 7

(LBL #1)-a combination of abdominoplasty and medial thighplasty
(LBL #2)-a combination of high-lateraltension abdominoplasty, lateral thigh lift, and buttock lift.

Question 8

LBL # 1 is
best suited for patients with minimal abdominal laxity

Answer 8

T is infrequently applied to the MWL population as many require a significant abdominal resection

Question 9

The LBL #2 is applied for patients
with abdominal skin laxity, and this circumferential approach is the
most common and familiar variant in current practice

Answer 9

T

Question 10

Both variants
exert a significant upward lifting effect on the medial thighs

Answer 10

F Both variants
exert a significant upward lifting effect on the lateral thighs

Question 11

patients with significant laxity of the medial thigh
skin will require a medial thighplasty procedure

Answer 11

T

Question 12

Complications of medial thigh lift

Answer 12

vulvar distortion due to scar migration and early
recurrence of ptosis

Question 13

Lockwood wrote about anchoring
the SFS of the thigh to Colles fascia that thighplasty gained popularity

Answer 13

T

Question 14

Various incision patterns are described, for thigh lift

Answer 14

longitudinal medial incision, a longitudinal lateral incision, or a transverse incision in or near the groin
crease.

Question 15

The transverse thigh lift is not the procedure of choice in MWL why?

Answer 15

because it can only treat the proximal third of the thigh deformity

Question 16

transverse-only excisions have low
power to correct thigh deformities and the force of pull is not transmitted past the proximal third of the thigh

Answer 16

T

Question 17

The medial vertical thigh lift is
better suited for the MWL patient whose excess tissue can be treated
along the entire length of the thigh.

Answer 17

T

Question 18

Lateral vertical thigh excisions
are rarely used, but have a role in cases of severe deformities in which
both medial and lateral excisions may be of benefit

Answer 18

T

Question 19

An LBL generally needs a more inferior resection, and a belt lipectomy resection is located more superiorly, at the
level of the waistline.

Answer 19

T

Question 20

LBL enables more control thigh and buttock shape and is better for patients with andiod

Answer 20

F LBL enables more control oflateral thigh and buttock shape and is better for patients with a gynecoid
body type whose excess adiposity is in the hips and thighs

Question 21

A belt lipectomy tends to emphasize waist shape, directly excising the central adiposity of the flanks and is
therefore well suited for the typical android body fat distribution

Answer 21

T

Question 22

Although
the higher incisions ofa belt lipectomy give the surgeon better control
over the contour of the waist and flank

Answer 22

T

Question 23

the lower incisions of the LBL
exert a more powerful and direct lifting effect of the lateral thighs for
gluteal autoaugmentation with autologous flaps.

Answer 23

T

Question 24

Patients almost never present requesting an LBL

Answer 24

T

Question 25

MWL patients have a characteristic appearance of the buttocks, with loss of adiposity, decreased projection, and ptosis, in addition to lengthening of the infragluteal fold

Answer 25

T

Question 26

Markings begin posteriorly by identifying the midline

Answer 26

T

Question 27

To preserve the sacral dimple, the scar should come together in a "V" at the midline

Answer 27

T

Question 28

If gluteal autoaugmentation is planned, the resection width is adjusted to accommodate the anticipated additional volume

Answer 28

T

Question 29

The superior line-the stable anchor posteriorly the inferior line is now the stable anchor anteriorly

Answer 29

T

Question 30

The marking is carried laterally over the thigh superior to the inguinal ligament to avoid disrupting lymphatic drainage

Answer 30

T

Question 31

The superior line anteriorly need not be drawn as it is determined intraoperatively

Answer 31

T

Question 32

Preservation of gluteal fat pads to ensure adequate gluteal projection is vital to avoid flattening of the buttock shape.

Answer 32

T

Question 33

THIGHPLASTY In the long scar version, the incision stays medial to the patella before curving inferiorly in a lateral direction

Answer 33

T

Question 34

Combined with LBL, thighplasty completely reshapes the lower trunk and thigh circumferentially.

Answer 34

T

Question 35

Most patients present in consultation requesting a solution to excess skin in the medial upper thigh that causes chaffing, moisture buildup, and difficulty fitting into clothes

Answer 35

T

Question 36

Often, vertical thigh lift is combined with liposuction of the medial thigh and medial knee to debulk tissue

Answer 36

F Often, a vertical thigh lift is combined with liposuction of the lateral thigh and medial knee to debulk tissue that is not treated by the excision

Question 37

The first mark is made 4 cm away from the midline at the level of the mons pubis

Answer 37

T

Question 38

he incision should stay in or near the proximal thigh crease to avoid scar migration and labial widening.

Answer 38

T

Question 39

The procedure begins with subcutanouse injection of a 1:100,000 epinephrine solution.

Answer 39

F The procedure begins with subdermal injection of a 1:100,000 epinephrine solution.

Question 40

Dissection proceeds in a plan immediately superficial to the muscular fascia toward the posterior marking.

Answer 40

T

Question 41

Care must be taken during this step to avoid injury to the the saphenous vein, which courses superficially, or lymphatic structures of the groin

Answer 41

T

Question 42

The SFS of the thigh flap is secured to the Colles fascia using 2-0 absorbable suture to prevent labial distortion

Answer 42

T

Question 43

Resection site liposuction can be applied to thighplasty with comparable results.

Answer 43

T

Question 44

Resection site liposuction can be applied to thighplasty with comparable results.

Answer 44

T

Question 45

Common complications with truncal or extremity contouring procedures are usually minor and easily managed on an outpatient basis.

Answer 45

T

Question 46

Recurrent skin laxity is a source ofdissatisfaction for the patient and is an unpredictable complication

Answer 46

T

Question 47

Excision-Site Liposuction can lead to over-resection

Answer 47

T

Question 48

Compression is maintained for 6 weeks in thinght plasty

Answer 48

T

Question 49

thighplasty is the one that is most likely to result in recurrent skin laxity. Unfortunately, this is neither avoidable nor predictable by the surgeon preoperatively

Answer 49

T