title: Simplifying circumferential body contouring: the central body lift evolution.
abstract: BACKGROUND
  Optimal central body contouring may be achieved with a combination of circumferential liposuction and excisional techniques for patients with diffuse lipodystrophy or generalized skin laxity or after massive weight loss. The central body lift has evolved to improve the contour of the trunk and proximal lower extremity in patients with skin redundancy and lipodystrophy. Liposuction is used as an adjunct to improve the results of excisional body contouring. The authors' goal is to review the literature and describe the evolution of their technique for the central body lift, which optimizes safety and contouring of the abdomen, thighs, and buttocks using a circumferential abdominoplasty and discontinuous circumferential liposuction.
  
  
  METHODS
  The authors present a retrospective chart review of their series of 151 patients over a 12-year period that underwent the central body lift procedure. Patient selection, safety factors, key operative elements, and postoperative care are reviewed and discussed.
  
  
  RESULTS
  There were three major complications (2.0 percent) (two deep vein thromboses and one pulmonary embolus) and 32 minor complications (21.1 percent). Surgical revision was required in eight patients (5.3 percent). Overall patient and physician satisfaction was high.
  
  
  CONCLUSIONS
  The central body lift is an effective and safe body contouring technique for patients with diffuse lipodystrophy or generalized skin laxity or after massive weight loss. Adherence to safety guidelines is critical.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical School, Dallas, Texas 75390-9132, USA. rod.rohrich@utsouthwestern.edu
authors.forename: Rod J
authors.initials: RJ
authors.lastname: Rohrich
authors.forename: Amanda A
authors.initials: AA
authors.lastname: Gosman
authors.forename: Matthew H
authors.initials: MH
authors.lastname: Conrad
authors.forename: Jayne
authors.initials: J
authors.lastname: Coleman
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000368:Aged; D001415:Back / Q000601:surgery*; D005260:Female; D006801:Humans; D015187:Lipectomy; D035002:Lower Extremity / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*