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Lower Body Lift after Massive Weight Loss: Autoaugmentation vs. No Augmentation
Udayan Srivastava, BA; J. Peter Rubin, MD; Jeffrey A. Gusenoff, MD
University of Pittsburgh Medical Center
2013-03-13
Presenter: Udayan Srivastava, BA
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. Research study execution, data collection, data analysis, and abstract preparation were performed by the presenter (Udayan Srivastava).
Director Name: Joseph E. Losee, MD
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Aesthetics
Purpose: Lower body lift procedures have increased in popularity to treat massive weight loss patients with redundant tissues of the buttocks. Our aim is to elucidate differences among patients who underwent autoaugmentation vs. no augmentation during lower body lift surgery with regard to complication rate and patient satisfaction.
Methods: A retrospective review from 2003-2011 was performed to record age, BMI indices, length of hospital stay, and complication rate. Additionally, a 20-question survey was performed to assess patient satisfaction.
Results: 42 patients underwent autoaugmentation and 55 did not. Mean Age in the augmented group was 46.1±9.9 years vs. 47.3±9.3 years in the nonaugmented group (p=0.55); mean MaxBMI was 52.1±7.2 kg/m2 vs. 50.6±10.1 kg/m2 (p=0.42); mean Current BMI was 29.1±2.7 kg/m2 vs. 27.7±4.3 kg/m2 (p=0.10); mean DeltaBMI was 23.1 kg/m2 vs±6.0 vs. 22.7±7.7 kg/m2 (p=0.81). 18 (42.3%) augmented patients had complications post-operatively compared to 11 (20%) nonaugmented patients (p=0.018). Augmented patients rated their pre-operative appearance as 1.38±0.7 vs. 2.3±1.7 (p=0.23) while post-operative appearance was rated as 3.8±1.0 vs. 3.4±1.8 (p=0.68; 1=unsatisfied, 5=very satisfied). 30% of nonaugmented patients desired more projection, while no augmented patients felt this way (p=0.31). All patients, augmented or not, would undergo the same procedure again and recommend it to a friend.
Conclusion: Patient satisfaction following lower body lift is high amongst augmented and nonaugmented patients. While the complication rate is significantly higher in augmented patients, this does not affect patient satisfaction. We recommend proceeding with autoaugmentation as indicated, as well as continue to investigate ways to decrease complications.
