Aesthetic Analysis of Gluteal Deformity After Weight Loss and Assessment the Role of Autologous Tissue Augmentation for Gluteal Contouring
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 主要终点
- Assessment the role of autologous flaps for gluteal contouring.
研究概览
简要总结
this study aim to evaluate the role of autologous augmentation for buttock contouring and analyze different aethetic gluteal deformity
详细描述
The last decades showed an increasing demand for bariatric surgery and diet dependent massive weight loss , these successful strategies for weight loss result in significant deformities in general body contour , buttock normal appearance is very important for posterior trunk aesthetic image and its severely affected after massive weight loss .
Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold.. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. Lower body lift procedures remove excess skin and lift sagging buttock tissue. unsatisfactory buttock shape especially V shaped buttock is considered as important indication for gluteal reshaping Mendieta and Cuenca-Guerra and Quezada have proposed novel methods of describing and analyzing gluteal aesthetics.
There are a multitude of options that can be used to improve the buttock includ-ing non-surgical injections, implants, fat, excisional, liposuction and various energy devices
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Female patients.
- •patients who are seeking for gluteal contouring after massive weight loss
- •age above 18 years and fixed weight for 6months.
排除标准
- •Male patients
- •Patients that will refuse the procedure,
- •patients who thad a residual body mass index greater than 35
- •patients have uncontrolled medical conditions.
结局指标
主要结局
Assessment the role of autologous flaps for gluteal contouring.
时间窗: 2 years
aesthetic analysis of the cases is described using photography and contour measures to outline the effect of the autologous flap in contour correction . In addition to complete review of perioperative and postoperative complications will be documented.
patient satisfaction from surgery .
时间窗: 2 years
Patients will be asked to rate the improvement of the appearance of the buttock area and their overall satisfaction with that aspect of the surgery on a 1 (no improvement) to 5 (extremely satisfied) scale
surgery complications.
时间窗: 2 years
complete review of perioperative and postoperative complications will be documented.
Analysis of gluteal deformity after massive weight loss regarding gluteal ptosis
时间窗: 2 years
buttock ptosis: Gonzalez system will be used for analysis Through two lines one crossing the ischial tuber, "T" line, other crossing the mid thigh "M" lin.degrees from 0 to 7 degrees according to the definition of the crease from T to M line and the ptotic tissue surpasses the gluteal crease caudally in centimeters .
Analysis of different gluteal deformity as regarding gluteal projection ptosis and waist hip ratio.
时间窗: 2 years
Analysis of gluteal projection will be performed using Gonzalez-ulloa method , four points and two distances , (A) Greater trochanter, (B) Point of maximal projection of the mons , (C) Point of maximal gluteal projection, (D) Anterior superior iliac spine. The CB line points to the maximal ideal projection of the buttocks. The ideal proportion is a 2:1 ratio between AB and AC.
Analysis of gluteal deformity after massive weight loss regarding waist hip ratio.
时间窗: 2 years
Waist hip ratio assessment The ideal female figure has a waist-to-hip ratio of 0.7. The ration is measured in posterior view and in lateral view with the most pleasing ratio 0.65 and 0.7 respectively. WHO recommendation for WHR measure ; while patient being in the standing position parallel to the floor at the level at which the measurement is made and using a stretch-resistant tape and placement of the tape The measurement should be taken around the widest portion of the buttocks. at two definite point for the waist and the hip . For waist circumference: The measurement is made at the approximate midpoint between the lower margin of the last palpable rib and the top of the iliac crest. For hip circumference: The measurement should be taken around the widest portion of the buttocks.
次要结局
未报告次要终点
研究者
Mohammed Kamal Kamel
Teaching assistant plastic surgery departement
Assiut University