Skip to main content
main-content

06.05.2020 | Original Article

Lower Leg Lifts in Patients After Massive Weight Loss in Obesity-Associated Lipoedema

verfasst von: Ulrich E. Ziegler, Udo Lorenz, Philip H. Zeplin

Erschienen in: Indian Journal of Surgery

Einloggen, um Zugang zu erhalten

Abstract

Patients with obesity-associated lipoedema minimize by diet only the regular fat especially in the lower leg area. The pathological lipoedema with a possible secondary lymphodynamic oedema remains and causes skin irritation, discomfort and pain wearing the compression elements. The dorsal lower leg lift with previous liposuction is a useful therapeutic strategy to overcome these difficulties. A 37-year-old female patient after post-bariatric surgery and massive weight loss (MWL) presented with a lower leg lipoedema and lymphodynamic oedema. She underwent a liposuction removing lipoedema of the lower leg followed by a calf lift procedure on both sides. With sufficient surgical experience in skin tightening surgery after MWL, a significant improvement in day-to-day problems in patients with lipoedema can be achieved by dorsal lift of the lower leg after liposuction.
Literatur
1.
Zurück zum Zitat Greene AK, Grant FD, Slavin SA (2012) Lower-extremity lymphedema and elevated body-mass index. N Engl J Med 366(22):2136–2137 CrossRef Greene AK, Grant FD, Slavin SA (2012) Lower-extremity lymphedema and elevated body-mass index. N Engl J Med 366(22):2136–2137 CrossRef
2.
Zurück zum Zitat Fife CE, Maus EA, Carter MJ (2010) Lipedema: a frequently misdiagnosed and misunderstood fatty deposition syndrome. Adv Skin Wound Care 23(2):81–92 CrossRef Fife CE, Maus EA, Carter MJ (2010) Lipedema: a frequently misdiagnosed and misunderstood fatty deposition syndrome. Adv Skin Wound Care 23(2):81–92 CrossRef
3.
Zurück zum Zitat Greene AK, Grant FD, Maclellan RA (2015) Obesity-induced lymphedema nonreversible following massive weight loss. Plast Reconstr Surg Glob Open 3(6):e426 CrossRef Greene AK, Grant FD, Maclellan RA (2015) Obesity-induced lymphedema nonreversible following massive weight loss. Plast Reconstr Surg Glob Open 3(6):e426 CrossRef
4.
Zurück zum Zitat Greene AK, Maclellan RA (2013) Obesity-induced upper extremity lymphedema. Plast Reconstr Surg Glob Open 1(7):e59 CrossRef Greene AK, Maclellan RA (2013) Obesity-induced upper extremity lymphedema. Plast Reconstr Surg Glob Open 1(7):e59 CrossRef
5.
Zurück zum Zitat Kiefer J, Koulaxouzidis G, Stark GB, Foeldi E, Torio-Padron N, Penna V (2016) An integrative therapeutic concept for surgical treatment of severe cases of lymphedema of the lower extremity. Obes Surg 26(7):1436–1442 CrossRef Kiefer J, Koulaxouzidis G, Stark GB, Foeldi E, Torio-Padron N, Penna V (2016) An integrative therapeutic concept for surgical treatment of severe cases of lymphedema of the lower extremity. Obes Surg 26(7):1436–1442 CrossRef
6.
Zurück zum Zitat Ashwell M, Gunn P, Gibson S (2012) Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev 13(3):275–286 CrossRef Ashwell M, Gunn P, Gibson S (2012) Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev 13(3):275–286 CrossRef
7.
Zurück zum Zitat Gusenoff JA, Coon D, Nayar H, Kling RE, Rubin JP (2015) Medial thigh lift in the massive weight loss population. Plast Reconstr Surg 135(1):98–106 CrossRef Gusenoff JA, Coon D, Nayar H, Kling RE, Rubin JP (2015) Medial thigh lift in the massive weight loss population. Plast Reconstr Surg 135(1):98–106 CrossRef
8.
Zurück zum Zitat Parvizi D, Friedl H, Wurzer P, Kamolz L, Lebo P, Tuca A, Rappl T, Wiedner M, Kuess K, Grohmann M, Koch H (2015) A multiple regression analysis of postoperative complications after body-contouring surgery: a retrospective analysis of 205 patients : regression analysis of complications. Obes Surg 25(8):1482–1490 CrossRef Parvizi D, Friedl H, Wurzer P, Kamolz L, Lebo P, Tuca A, Rappl T, Wiedner M, Kuess K, Grohmann M, Koch H (2015) A multiple regression analysis of postoperative complications after body-contouring surgery: a retrospective analysis of 205 patients : regression analysis of complications. Obes Surg 25(8):1482–1490 CrossRef
9.
Zurück zum Zitat Greene AK, Voss SD, Maclellan RA (2017) Liposuction for swelling in patients with lymphedema. N Engl J Med 377(18):1788–1789 CrossRef Greene AK, Voss SD, Maclellan RA (2017) Liposuction for swelling in patients with lymphedema. N Engl J Med 377(18):1788–1789 CrossRef
10.
Zurück zum Zitat Greene AK, Maclellan RA (2016) Operative treatment of lymphedema using suction-assisted lipectomy. Ann Plast Surg 77(3):337–340 CrossRef Greene AK, Maclellan RA (2016) Operative treatment of lymphedema using suction-assisted lipectomy. Ann Plast Surg 77(3):337–340 CrossRef
11.
Zurück zum Zitat Dadras M, Mallinger PJ, Corterier CC, Theodosiadi S, Ghods M (2017) Liposuction in the treatment of lipedema: a longitudinal study. Arch Plast Surg 44(4):324–331 CrossRef Dadras M, Mallinger PJ, Corterier CC, Theodosiadi S, Ghods M (2017) Liposuction in the treatment of lipedema: a longitudinal study. Arch Plast Surg 44(4):324–331 CrossRef
12.
Zurück zum Zitat Schwaiger K, Russe E, Heinrich K, Ensat F, Steiner G, Wechselberger G, Hladik M (2018) Thighplasty: improving aesthetics through revival of the medial, horizontal procedure: a safe and scar-saving option. J Plast Reconstr Aesthet Surg 71(4):585–589 CrossRef Schwaiger K, Russe E, Heinrich K, Ensat F, Steiner G, Wechselberger G, Hladik M (2018) Thighplasty: improving aesthetics through revival of the medial, horizontal procedure: a safe and scar-saving option. J Plast Reconstr Aesthet Surg 71(4):585–589 CrossRef
13.
Zurück zum Zitat Isola N, Watier E, Bertheuil N (2018) Medial thigh lift for patients following massive weight loss: our postbariatric experience. Aesthet Surg J 38(3):NP61–NP63 CrossRef Isola N, Watier E, Bertheuil N (2018) Medial thigh lift for patients following massive weight loss: our postbariatric experience. Aesthet Surg J 38(3):NP61–NP63 CrossRef
14.
Zurück zum Zitat Wollina U, Heinig B, Nowak A (2014) Treatment of elderly patients with advanced lipedema: a combination of laser-assisted liposuction, medial thigh lift, and lower partial abdominoplasty. Clin Cosmet Investig Dermatol 7:35–42 CrossRef Wollina U, Heinig B, Nowak A (2014) Treatment of elderly patients with advanced lipedema: a combination of laser-assisted liposuction, medial thigh lift, and lower partial abdominoplasty. Clin Cosmet Investig Dermatol 7:35–42 CrossRef
15.
Zurück zum Zitat Cannistrà C, Valero R, Benelli C, Marmuse JP (2007) Thigh and buttock lift after massive weight loss. Aesthet Plast Surg 31(3):233–237 CrossRef Cannistrà C, Valero R, Benelli C, Marmuse JP (2007) Thigh and buttock lift after massive weight loss. Aesthet Plast Surg 31(3):233–237 CrossRef
16.
Zurück zum Zitat Simone P, Carusi C, Del Buono R, Persichetti P (2016) Medial thigh lift in post-bariatric patients: our encouraging experience. J Plast Surg Hand Surg 50(6):359–366 CrossRef Simone P, Carusi C, Del Buono R, Persichetti P (2016) Medial thigh lift in post-bariatric patients: our encouraging experience. J Plast Surg Hand Surg 50(6):359–366 CrossRef
17.
Zurück zum Zitat Labardi L, Gentile P, Gigliotti S, Marianetti M, Colicchia GM, Pascali M, Brinci L, Cervelli V (2012) Medial thighplasty: horizontal and vertical procedures after massive weight loss. J Cutan Aesthet Surg 5(1):20–25 CrossRef Labardi L, Gentile P, Gigliotti S, Marianetti M, Colicchia GM, Pascali M, Brinci L, Cervelli V (2012) Medial thighplasty: horizontal and vertical procedures after massive weight loss. J Cutan Aesthet Surg 5(1):20–25 CrossRef
18.
Zurück zum Zitat Hunstad JP, Kortesis BG, Knotts CD (2016) Avulsion thighplasty: technique overview and 6-year experience. Plast Reconstr Surg 137(1):84–87 CrossRef Hunstad JP, Kortesis BG, Knotts CD (2016) Avulsion thighplasty: technique overview and 6-year experience. Plast Reconstr Surg 137(1):84–87 CrossRef
19.
Zurück zum Zitat Knotts CD, Hunstad JP (2017) Concomitant liposuction reduces complications of vertical medial thigh lift in massive weight loss patients. Plast Reconstr Surg 139(4):1019e–1020e CrossRef Knotts CD, Hunstad JP (2017) Concomitant liposuction reduces complications of vertical medial thigh lift in massive weight loss patients. Plast Reconstr Surg 139(4):1019e–1020e CrossRef
20.
Zurück zum Zitat Lemperle G, Exner K (1998) The resection of gastrocnemius muscles in aesthetically disturbing calf hypertrophy. Plast Reconstr Surg 102(6):2230–2236 CrossRef Lemperle G, Exner K (1998) The resection of gastrocnemius muscles in aesthetically disturbing calf hypertrophy. Plast Reconstr Surg 102(6):2230–2236 CrossRef
Metadaten
Titel
Lower Leg Lifts in Patients After Massive Weight Loss in Obesity-Associated Lipoedema
verfasst von
Ulrich E. Ziegler
Udo Lorenz
Philip H. Zeplin
Publikationsdatum
06.05.2020
Verlag
Springer India
Erschienen in
Indian Journal of Surgery
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-020-02163-5

Neu im Fachgebiet Chirurgie

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.