Aesthetic Analysis of Gluteal Deformity After Weight Loss and Assessment the Role of Autologous Tissue Augmentation for Gluteal Contouring

Assiut University

Status: Unknown

Conditions: Body Contouring

Treatments: Procedure: The gluteal pocket; Procedure: superior gluteal artery flap and lumbar artery falp; Procedure: infragluteal dermal lifiting flap

Study type: Interventional

Funder types: Other

Identifiers

NCT04167215

body contouring

Details and patient eligibility

About

this study aim to evaluate the role of autologous augmentation for buttock contouring and analyze different aethetic gluteal deformity

Full description

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

Enrollment: 100 estimated patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female patients.
• patients who are seeking for gluteal contouring after massive weight loss
• age above 18 years and fixed weight for 6months.

Exclusion criteria

• Male patients
• Patients that will refuse the procedure,
• patients who thad a residual body mass index greater than 35
• patients have uncontrolled medical conditions.

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

perforator flap augmentation

Experimental group

Description:

Doppler probe is used to locate perforating vessels from the superior gluteal artery. . Flaps or lumbar artery flap will be designed to allow deepithelialization and dissection laterally to medially to identify the perforator . then sketolization is performed A gluteal pocket will then create for the augmentation flaps by undermining in a plane just superficial to the gluteal muscle extending to within 5 cm of the inferior gluteal crease. The deepithelialized flaps will then transpose inferomedially , and tacked to the fascia with several sutures.to be used as autologus buttock augmentation flap

Treatment:

Procedure: The gluteal pocket

Procedure: superior gluteal artery flap and lumbar artery falp

Procedure: infragluteal dermal lifiting flap

fat injection

Experimental group

Description:

liposuction is performed firstly to parts where excess fat is exist and we will prepare the aspirated fat for injection as a graft in subcutaneous tissue of the buttock regoin

Treatment:

Procedure: The gluteal pocket

Procedure: superior gluteal artery flap and lumbar artery falp

Procedure: infragluteal dermal lifiting flap