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
massive weight loss - postbariatric surgery - belt lipectomy - liposuction
