Progressive Contouring of the Platysma With Barbed Sutures.

Background: As the prevalence of neck lift surgeries increases, the field is continually enriched by evolving techniques for enhancing neck aesthetics. While many recent publications focus on deep neck procedures, it is essential not to overlook the significance of platysmal contouring as an integral aspect of neck rejuvenation surgery. Accordingly, we would like to elucidate our unique approach to contouring the platysma.

Secondary Body Contouring.

Body contouring surgeries, common yet intricate owing to unique patient characteristics, often necessitate revisions or secondary procedures. Balancing patient expectations and surgical limitations while methodically addressing shortcomings is crucial. This article aims to provide an extensive understanding of managing such complex cases, thus enhancing the reader's approach to secondary body contouring surgeries.

Inferior and Medially Based Breast Parenchymal Rotation Flap: A New Mastopexy Technique for Replacing Breast Volume After Breast Implant Explantation.

Background: Recently, a growing number of patients have been opting for the removal of breast implants. This often results in a degree of volume loss that can vary from mild to substantial, contingent on the size of the implant, with many patients requiring a mastopexy. Although autoaugmentation mastopexy serves as the primary surgical approach to restore shape and fill the void left by the implant, the fullness attained with the implant cannot be replicated through autoaugmentation.

Myo-Glandular Flap Breast Reduction: Preventing the Bottoming out Deformity-A Novel Technique.

Large, heavy breasts are a common complaint among women causing various functional and aesthetic concerns. The plastic surgery community has offered a variety of surgical techniques to address this condition. Most of these operations developed during the 1970s-1980s cemented their place in history as fundamentals of breast reduction surgery and are still widely taught today.

Abdominoplasty with Circumferential Liposuction: A Review of 1000 Consecutive Cases.

Background: The authors present the technique called "abdominoplasty with concurrent circumferential liposuction," where the whole trunk is addressed as a single aesthetic unit.

Methods: Between January of 2008 and June of 2016, abdominoplasty with circumferential liposuction was performed in 1000 patients (984 women and 16 men) by the senior author. Patients had a mean body mass index of 27.

Autologous Flap Gluteal Augmentation: Split Gluteal Flap Technique.

Postbariatric, cosmetic, and circumferential body lift patients seek to avoid a flattened buttock contour. Gluteal implants have been described with various rates of complications and difficulties. Lipografting moderately increases buttock volume; neither procedure directly addresses ptosis.

Split gluteal muscle flap for autoprosthesis buttock augmentation.

Background: Several flaps have been described to provide autologous augmentation to the gluteal area. Since the authors' original description of a dermal fat flap for buttock augmentation during lower body lift in 2005, the procedure has been refined considerably. Unique to previously described flaps, the technique results in maximum projection of the buttock at its midportion.

Pedicled fat flap to increase lateral fullness in upper blepharoplasty.

Introduction: The eyelid of a young person can be distinguished by the lateral fullness of the upper eyelid. With aging, lateral fullness decreases. Volume restoration in the periorbital area has been previously addressed by fat draping and grafting.

Autologous augmentation gluteoplasty with a dermal fat flap.

Background: Buttock contouring represents a surgical challenge, particularly when both ptosis and volume deficit are present. Isolated buttock lifts may cause a flattened buttock contour, whereas augmentation with implants or fat injections alone my not correct the ptosis.

Objective: We describe a buttock lift with a dermal fat flap that provides correction of the buttock contour in such cases.

Spiral lift: medial and lateral thigh lift with buttock lift and augmentation.

Background: Patients with a pear- or guitar-shaped body contour deformity are not frequently encountered, but represent a surgical challenge. Traditionally, these patients have been treated with belt lipectomies, lower body lifts, medial thigh lifts, and liposculpture because liposuction alone often is insufficient. This article describes an alternative method for performing a medial, anterior, and lateral thigh lift with a buttock lift and autoprosthesis augmentation through a single spiral incision easily concealed by underwear.

Decision making in abdominoplasty.

Background: Improvements and variations in abdominoplasty techniques have complicated patient and procedure selection. The authors describe their guidelines for selecting the ideal procedure to be used with patients by stratifying them into treatment groups according to the presence and location of excess skin and subcutaneous tissue, lipodystrophy, and abdominal wall laxity.

Methods: A prospective study analyzed 151 female patients treated for abdominal contour deformities from January 2004 to July 2005.

Triple plication in miniabdominoplasty.

A novel method for plication of the abdominal fascia in miniabdominoplasty addresses abdominal laxity and improves the waistline. The design comprises a vertical plication of the rectus fascia from xiphoid to pubis and fusiform plication of the oblique fascias with limited undermining and scars, all in the setting of a miniabdominoplasty. The procedure was performed for 10 women undergoing surgery between January and December 2004.

Autoprosthesis buttock augmentation during lower body lift.

With the increasing popularity of bariatric surgery, patients with multiple body contour deformities have become more common in plastic surgery practice. Most of the deformities involving the abdomen, thighs, and buttocks can be effectively corrected with belt lipectomy and lower body lift. A common problem with this procedure is postoperative loss of gluteal projection and resulting flattened buttock contour, which is directly proportional to the extent of lower body lift achieved.