title: Abdominoplasty and gluteoplasty after massive weight loss: an all-in-one technique.
abstract: BACKGROUND
  Patients requesting body-contouring surgery after massive weight loss often present with abdominal and lumbar skin excess as well as gluteal ptosis and loss of gluteal projection. In order to restore gluteal projection a circular abdominoplasty in combination with an autologous gluteal augmentation (all-in-one technique) can be performed.
  
  
  OBJECTIVE
  To compare outcomes for patients who underwent a circular abdominoplasty with or without autologous gluteal augmentation.
  
  
  METHODS
  In a retrospective study we analyse 24 patients who underwent a circular abdominoplasty between 2006 until 2014 at the University Hospital of Ghent, Belgium. Fourteen patients underwent a classic circular abdominoplasty (4 men and 10 women). Ten patients underwent the all-in-one technique (all women). Mean age was 43 in the classic abdominoplasty group and 41 in the all-in-one technique group. All the patients endured massive weight loss after bariatric surgery. Gluteal augmentation was performed using lumbar dermal fat rotation flaps based on perforators of the 4th lumbar artery. For statistical analysis a Fisher exact tests was used.
  
  
  RESULTS
  Postoperative photographs showed that gluteal projection had been increased in patients who underwent the all-in-one technique. The mean operation time in this group was 3h49min versus 2h47min in the group who underwent a classic circular abdominoplasty. The mean hospital stay in both groups was 6 days. Complication rate was comparable between both the groups.
  
  
  CONCLUSIONS
  The all-in-one technique is an efficient method to improve both abdominal and gluteal body contour in patients who endured massive weight loss.
authors.affiliation: a Department of Plastic Surgery , Ghent University Hospital , Ghent , Belgium.
authors.forename: Britt
authors.initials: B
authors.lastname: Colebunders
authors.affiliation: a Department of Plastic Surgery , Ghent University Hospital , Ghent , Belgium.
authors.forename: Koenraad
authors.initials: K
authors.lastname: Van Landuyt
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D050110:Bariatric Surgery / Q000379:methods; D002081:Buttocks / Q000601:surgery*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D016658:Psoas Muscles / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D015431:Weight Loss; D014945:Wound Healing / Q000502:physiology
keywords: Abdominoplasty; gluteoplasty; massive weight loss