Enhancing Masculine Features After Massive Weight Loss
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I N N OV A T I V E T E C H N I QU E S
AESTHETIC
Enhancing Masculine Features After Massive Weight Loss Dennis Hurwitz1
Received: 23 July 2015 / Accepted: 21 January 2016 / Published online: 18 February 2016 Ó The Author(s) 2016. This article is published with open access at Springerlink.com
Abstract Background Whereas body contouring surgery after massive weight loss in women emphasizes sculptured adipose and broader lower torso, little attention has been devoted to accentuating the male physique. Objective To determine if boomerang excision pattern correction of gynecomastia with J torsoplasty combined with an abdominoplasty with oblique excisions directly over bulging flanks provide effective and safe optimizing of muscle visibility and upper torso dominance. Methods A description of comprehensive body contouring through an abdominoplasty and a series of obliquely oriented ellipses of the male torso is followed by review of 19 consecutive patients. Results Seventeen patients were performed in a single stage. Nine of the last ten cases included J torsoplasty and oblique excision extensions over the flanks. Of the 17 patients responding to a ten-question survey, 15 were satisfied with chest improvement. One of the first eight patients with a transverse lower body lift was satisfied with the flank bulges. All of the last eight cases with direct oblique flank excisions were satisfied with their lower body. Five patients (26 %), having a total of 74 operative procedures, had significant complications of chest hematoma, persistent hip and buttock seromas, superior NAC This article is being reprinted for ISAPS 50th Anniversary Special Issue. Presented in part at the 2014 meetings of the American Association of Plastic Surgeons in Miami, Florida; Northeastern Society of Plastic Surgeons in Providence, Rhode Island; and the Ohio Valley Society of Plastic Surgeons at the Greenbrier Resort, West Virginia. & Dennis Hurwitz [email protected] 1
University of Pittsburgh Medical Center, 3109 Forbes Avenue, Pittsburgh, PA 15213, USA
edge necrosis, and distal necrosis of the fleur de lis abdominoplasty. One boomerang correction underwent minor revisions. One transverse lower body lift underwent major revision. No complications occurred in the last ten patients, having oblique flank excisions instead of transverse lower body lifts. Conclusion Comprehensive excisional body contouring surgery of a central high tension abdominoplasty with a series of obliquely oriented ellipses throughout the torso appears to provide low risk improved body contour for the muscular male. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Male body contouring Gynecomastia correction Body contouring surgery Abdominoplasty Boomerang correction of gynecomastia Liposuction Upper body lift Lower body lift
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