Trochanteric dermolipectomy in a patient after bariatric surgery: case report
Introduction: Currently, with the increase in reducing gastroplasty (bariatric surgery) and the great weight loss, there is also an increase in the demand of these patients for plastic surgery. One of the characteristics of these patients is the excess of dermal adipose tissue that causes deformitie...
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| Language: | English |
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Thieme Revinter Publicações Ltda.
2020-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2756/en_v35n2a18.pdf |
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| author | Mariana Fernandes Osvaldo Saldanha Osvaldo Saldanha Renato Giannini Carlos Goyeneche Montoya Beatriz Yaedu Rodrigo Inácio Fernandes Vanessa Ludmilla Moretto |
| author_facet | Mariana Fernandes Osvaldo Saldanha Osvaldo Saldanha Renato Giannini Carlos Goyeneche Montoya Beatriz Yaedu Rodrigo Inácio Fernandes Vanessa Ludmilla Moretto |
| author_sort | Mariana Fernandes |
| collection | DOAJ |
| description | Introduction: Currently, with the increase in reducing gastroplasty (bariatric surgery) and the great weight loss, there is also an increase in the demand of these patients for plastic surgery. One of the characteristics of these patients is the excess of dermal adipose tissue that causes deformities, especially in the lower limbs, affecting the trochanteric region.
Objective: To report a case of trochanteric dermolipectomy in a patient after bariatric surgery, where liposuction alone would not solve the correction of the deformity.
Case report: IPMS, female, 55 years old, history of reducing gastroplasty (bariatric surgery) with great weight loss. She reports significant discomfort with lipodystrophy and extensive flacidity in the bilateral trochanteric region. After the team's evaluation, it was decided to perform bilateral trochanteric dermolipectomy, in January 2019, at the Plastic Surgery Service Osvaldo Saldanha
Discussion: In cases of trochanteric lipodystrophy with severe deformities, the scar of dermolipectomy in relation to the deformity is favorable in terms of the choice of this technique, since liposuction may further aggravate the deformity, and it is mandatory to use the trochanteric dermolipectomy technique to correct it.
Conclusion: Therefore, liposuction is beneficial in cases of localized adiposity, limiting the indications for the dermolipectomy technique, especially in the trochanteric region, without invalidating it for selected cases, as described in this case report. |
| format | Article |
| id | doaj-art-5b78bfc2e0db4bb08e67fec9e121888c |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-5b78bfc2e0db4bb08e67fec9e121888c2025-08-20T03:56:18ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-06-01350224925310.5935/2177-1235.2020RBCP0041Trochanteric dermolipectomy in a patient after bariatric surgery: case reportMariana Fernandes0Osvaldo Saldanha1Osvaldo Saldanha2Renato Giannini3Carlos Goyeneche Montoya4Beatriz Yaedu5Rodrigo Inácio Fernandes6Vanessa Ludmilla Moretto7Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilIntroduction: Currently, with the increase in reducing gastroplasty (bariatric surgery) and the great weight loss, there is also an increase in the demand of these patients for plastic surgery. One of the characteristics of these patients is the excess of dermal adipose tissue that causes deformities, especially in the lower limbs, affecting the trochanteric region. Objective: To report a case of trochanteric dermolipectomy in a patient after bariatric surgery, where liposuction alone would not solve the correction of the deformity. Case report: IPMS, female, 55 years old, history of reducing gastroplasty (bariatric surgery) with great weight loss. She reports significant discomfort with lipodystrophy and extensive flacidity in the bilateral trochanteric region. After the team's evaluation, it was decided to perform bilateral trochanteric dermolipectomy, in January 2019, at the Plastic Surgery Service Osvaldo Saldanha Discussion: In cases of trochanteric lipodystrophy with severe deformities, the scar of dermolipectomy in relation to the deformity is favorable in terms of the choice of this technique, since liposuction may further aggravate the deformity, and it is mandatory to use the trochanteric dermolipectomy technique to correct it. Conclusion: Therefore, liposuction is beneficial in cases of localized adiposity, limiting the indications for the dermolipectomy technique, especially in the trochanteric region, without invalidating it for selected cases, as described in this case report.http://www.rbcp.org.br/export-pdf/2756/en_v35n2a18.pdfbariatric surgerylipodystrophylower extremitysurgery, plasticcicatrix |
| spellingShingle | Mariana Fernandes Osvaldo Saldanha Osvaldo Saldanha Renato Giannini Carlos Goyeneche Montoya Beatriz Yaedu Rodrigo Inácio Fernandes Vanessa Ludmilla Moretto Trochanteric dermolipectomy in a patient after bariatric surgery: case report Revista Brasileira de Cirurgia Plástica bariatric surgery lipodystrophy lower extremity surgery, plastic cicatrix |
| title | Trochanteric dermolipectomy in a patient after
bariatric surgery: case report |
| title_full | Trochanteric dermolipectomy in a patient after
bariatric surgery: case report |
| title_fullStr | Trochanteric dermolipectomy in a patient after
bariatric surgery: case report |
| title_full_unstemmed | Trochanteric dermolipectomy in a patient after
bariatric surgery: case report |
| title_short | Trochanteric dermolipectomy in a patient after
bariatric surgery: case report |
| title_sort | trochanteric dermolipectomy in a patient after bariatric surgery case report |
| topic | bariatric surgery lipodystrophy lower extremity surgery, plastic cicatrix |
| url | http://www.rbcp.org.br/export-pdf/2756/en_v35n2a18.pdf |
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