Abstract
Background
Obesity is a major public health problem in Western societies. It may lead to difficulties in daily life that have an impact on quality of life and create psychological disorders. After failure of diet and exercise, patients can undergo bariatric surgery, but some obese patients are not motivated to undergo a bariatric procedure. For such patients, plastic surgeons can correct some excess fat to improve their quality of life. This report describes an original technique for correcting the excess fat at the medial part of the knees to regain a normal walking perimeter.
Methods
A 68-year-old woman was admitted to the authors’ center for correction of a functional walking disorder. Indeed, her clinical examination found a static disorder, with a valgus knee morphotype related to a major excess of skin and fat in the medial part of the knees. She underwent a knee dermolipectomy to obtain a solely functional result.
Results
No complications were observed in the woman’s postoperative course. At this writing, the result is stable 18 months after the surgical procedure, with a minimal visible scar hidden in the internal face of the knees. The woman has experienced a loss of her genu valgum and regained a walking distance longer than 1 km. She also has lost 10 kg of weight.
Conclusions
Knee dermolipectomy is a simple procedure with good results and few complications that improves the quality of life for obese patients.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Similar content being viewed by others
References
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL (1994) Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA 272:205–211
Fotopoulos L, Kehagias I, Kalfarentzos F (2000) Dermolipectomies following weight loss after surgery for morbid obesity. Obes Surg 10:451–459
Pitanguy I, Gontijo de Amorim NF, Radwanski HN (2000) Contour surgery in the patient with great weight loss. Aesthetic Plast Surg 24:406–411
Illouz YG (1983) Body contouring by lipolysis: a 5-year experience with over 3,000 cases. Plast Reconstr Surg 72:591–597
Le Louarn C, Pascal JF (2004) The concentric medial thigh lift. Aesthetic Plast Surg 28:20–23
Bertheuil N, Aillet S, Heusse JL, Flecher E, Watier E (2012) Large necrosis: a rare complication of medial thighplasty. Aesthetic Plast Surg 36:88–90
Leitner DW, Sherwood RC (1983) Inguinal lymphocele as a complication of thighplasty. Plast Reconstr Surg 72:878–881
Lewis JR Jr (1966) Correction of ptosis of the thighs: the thigh lift. Plast Reconstr Surg 37:494–498
Mathes DW, Kenkel JM (2008) Current concepts in medial thighplasty. Clin Plast Surg 35:151–163
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bertheuil, N., Huguier, V., Beuzeboc, M. et al. Knee Dermolipectomy: A Simple Operation With Significant Functional Improvement. Aesth Plast Surg 37, 117–120 (2013). https://doi.org/10.1007/s00266-012-0013-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-012-0013-0