Body-Lift Englisch
Home Nach oben Das Abnehmen operative Methoden Was danach Body-Lift Deutsch Body-Lift Englisch

 

Our experiences with the Lockwood-Body-Lift-Procedure

 

 

Richter, Dirk F. M.D.  –  Velasco, Fernando, M.D. – Dombard, Louis-Philippe, M.D.

Department of Plastic Surgery

Dreifaltigkeits-Hospital

Wesseling / Cologne – Germany

Head of Department:  Dirk F. Richter, M.D.

 

 

 

 

The Lockwood-Body-Lift-Procedure became a standard operation at our unit.

 With this method the problem-areas of abdomen, back, hip, lateral and medial thights can be well treated within a single operation.

 

The cut is performed circular by an incision along the rima ani up to the mons pubis. The mobilisation of the medial thights is subcutaneus in the fossa-triangular-region than epifascial to the adductur-muscles.

The lateral thights are prepared beneeth the  superficial-fascia-system described by Lockwood down to the knee.

An enourmus skin-excess is reached by this technique. By rotation and traction to the cranial direction tightening of all the problematic regions is performed.

Extreme cases of abdominal skin laxity can be combined with a conventional abdomioplasty with high lateral tension. The resulting circular scar can well be hidden by the underwear.

 

In the time between 1.1.1996 and 1.3.2001 we performed 41 Body-Lifts with different indications.

Weight-loss of 10 up to 100 kilo was found in 30 cases. 8 patients suffered from skin-laxity due to their age. The resected Dermo-fat-flap was between 13 an 37 cm of size. Average operation-time was 4,2 hours with two paralell working teams. In spite of the high amount of the resekted flap the wound closure could be acchieved without tension by suturing the very strong layer of the superficial-fascia-system with buried permanent sutures first. Our patiens had to stay in hospital for 14,8 days in the mean.

In comparision to our former studies we found a higher complication rate. We saw two haemato-seroma with the need of blood-transfusion (4,8% ), caused by great wound-field. Two greater wound-healing-problems, one in the middle of the lateral tight, one at the lateral rim of the iliac bone, could be managed konservatively ( 4,6 % ). One hypertrophic and one keloid scar were seen and treated by compression and intralaesional steroid injections ( 3,5 % ).

Longer lasting seroma mostly seen in the lateral aspect of the tight above the fascia lata were handled like a pneumothorax by antibiotic-injection into the seroma followed by compression. No infection were noticed, no re-operations necessary.

The esthetical result after six month was judged very positively. All patients would undergo the operation a second time.

 

In conclusion we have to consider that the Lockwood-Body-Lift-Procedure has revolutionised the tightening-operations.

With a single operation all problem-zones are well treated leaving a good tolerable and hideable scar. The indication should be critically checked because of the fact that the complication-rate seems to increase strongly at patients with high co-morbidity and in smokers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                       Dirk F. RICHTER, Dr. med.

                                                           Chefarzt der Abteilung für Plastische Chirurgie

                                                  Dreifaltigkeits-Krankenhaus

                                                  Bonner Str. 84

                                                  D - 50389 Wesseling / Germany

                                                  0049-2236-77530 / 0049-2236-77380

                                                  pl.chirurgie@krankenhaus-wesseling.de

 

 

                                      20th September – Liposuction the difficult case 2 – 4.00 pm

                                                  Body-Lifts and Liposuction

 

The increasing number of patients who had excessive weight-reduction with following extreme skin-laxity or after bad liposuction and the high expectations on skin-tightening-operations have lead to fundamental innovations on this toppit.

The Lockwood-Body-Lift-Procedure became a standard operation at our unit.

With this method the problem-areas of abdomen, back, hip, lateral and medial thights can be well treated within a single operation.

The cut is performed circular by an incision along the rima ani up to the mons pubis. The mobilisation of the medial thights is subcutaneus in the fossa-triangular-region than epifascial to the adductur-muscles.

An enourmus skin-excess is reached by this technique. By rotation and traction to the cranial direction tightening of all the problematic regions is performed.

The resulting circular scar can well be hidden by the underwear.

 

In the time between 1.1.1996 and 1.5.2003 we performed 123 Body-Lifts with different indications.

 

Longer lasting seroma mostly seen in the lateral aspect of the tight above the fascia lata were handled by antibiotic-injection into the seroma followed by compression. No infection were noticed, no re-operations necessary.

The esthetical result after six month was judged very positively. All patients would undergo the operation a second time.

 

In conclusion we have to consider that the Lockwood-Body-Lift-Procedure has revolutionised the tightening-operations as well as the correction of liposuction-mistakes.

The indication should be critically checked because of the fact that the complication-rate seems to increase strongly at patients with high co-morbidity and in smokers.