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Plastic Surgery( Grabb)Ali jasim > Lower Body Lift and Thighplasty > Flashcards

Lower Body Lift and Thighplasty Flashcards

1
Q

the lower body lift does address the medial
thighs,

A

F a medial thighplasty is required to treat the thigh
deformity

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2
Q

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

A

T

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3
Q

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

A

T

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4
Q

Not every patient presenting after MWL needs an excisional procedure

A

T

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5
Q

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

A

T

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6
Q

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

A

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

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7
Q

Lockwood classification for MWL

A

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

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8
Q

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

A

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

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9
Q

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

A

T

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10
Q

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

A

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

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11
Q

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

A

T

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12
Q

Complications of medial thigh lift

A

vulvar distortion due to scar migration and early
recurrence of ptosis

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13
Q

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

A

T

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14
Q

Various incision patterns are described, for thigh lift

A

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

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15
Q

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

A

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

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16
Q

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

A

T

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17
Q

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.

A

T

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18
Q

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

A

T

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19
Q

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

A

T

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20
Q

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

A

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

21
Q

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

A

T

22
Q

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

A

T

23
Q

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

A

T

24
Q

Patients almost never present requesting an LBL

A

T

25
Q

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

A

T

26
Q

Markings begin posteriorly by identifying the midline

A

T

27
Q

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

A

T

28
Q

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

A

T

29
Q

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

A

T

30
Q

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

A

T

31
Q

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

A

T

32
Q

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

A

T

33
Q

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

A

T

34
Q

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

A

T

35
Q

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

A

T

36
Q

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

A

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

37
Q

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

A

T

38
Q

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

A

T

39
Q

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

A

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

40
Q

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

A

T

41
Q

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

A

T

42
Q

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

A

T

43
Q

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

A

T

44
Q

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

A

T

45
Q

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

A

T

46
Q

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

A

T

47
Q

Excision-Site Liposuction can lead to
over-resection

A

T

48
Q

Compression is maintained for 6 weeks in thinght plasty

A

T

49
Q

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

A

T

Plastic Surgery( Grabb)Ali jasim (92 decks)

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