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Composite Body Procedure

Composite Body Procedure

Aesthetic surgery of the thoracoabdominal region is one of the most frequently performed surgical procedures in plastic surgery. The combination of circumferential liposuction, fat grafting of the buttocks and/or lower limbs, and the modified transverse abdominoplasty as an adjuvant procedure all done in a single surgical procedure is not very common. The authors present a prospective study of the surgical technique, complications and the high overall patient satisfaction.

A total of 64 consecutive female patients were operated on between January 2004 and January 2007. All the patients who were included in the study were candidates for a classical abdominoplasty. Posterior and lateral syringe-assisted liposuction combined with fat insertion into the buttocks and/or lower limbs were performed.

Autologous fat grafting was done in the gluteal area for buttocks enhancement and in the lower limbs to correct contour deformities. Anterolateral liposuction with modified transverse abdominoplasty was done as an adjuvant procedure. Overall satisfaction with body appearance after Composite Body Contouring was rated on a scale of 1-5.

From 1,500 to 4,600 ml of fat was obtained with liposuction (mean = 2,478 ml). Forty-five patients had fat grafting only to the buttocks area. Six patients had fat insertion into the lower limbs and 13 had fat injection into the buttocks and lower limbs. The amount of fat transplanted to the buttocks varied from 164 to 625 ml (mean= 346 ml) and to the lower limbs it varied from 75 to 270 ml (mean= 195 ml). Three patients (5%) suffered from early complications, including infection (3%) and hematoma formating (2%). Nine patients (14%) had late complications, including hypertrophic scars (7.5%), dog ears (4.5%) and underwent revision surgery. Sixty-three percent reported that their appearance after Composite Body Contouring was "very good" (42%) or "excellent" (21%) and 27% responded that their appearance was less than good, ( 7% "fair" and 3% "poor").The average follow-up time has been 3.2 years (range=2-5 years).

Composite body contouring combines circumferential liposuction, fat grafting of the buttocks and lower limbs, and a modified transverse abdominoplasty. This is done to accomplish very good aesthetic results in a single surgical procedure with a low rate of complications and high patient satisfaction.


 

 

This article was presented by...

Dr. Luiz Haroldo

As a specialist in Plastic Surgery graduated in Brazil and France, where he worked with Pierre Fournier and Ives Yllouz, the creator of Liposuction, Dr. Luiz Haroldo became reference in abdominal plastic surgery, breast, buttock and calf silicone implantation, and gynecomastia. For his work, he has found international recognition and is being frequently invited to lectures about his procedures all over the world.

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