Body Contouring Surgery : The Role of Non-Invasive, Minimal-Invasive and Surgical Technologies

This book describes the plethora of all procedures in Body Contouring. It descibes their advantages and disadvantages and provides an overview of possible complications and how to avoid and deal with them when they occur. The work explains when and why to choose one procedure instead of another or combine the treatment of different adjacent areas in one and/or different techniques to achieve more favourable results in contouring these areas. New combinations are presented on how to combine different non-invasive or minimally invasive and surgical body contouring procedures in just one surgical procedure for the benefit of the patient. The author presents an algorithm for online - interviewing patients in times of COVID to help assess which type of procedure can lead to the fewest side effects and best possible results, and which type of treatment to choose depending on BMI and extent of weight loss.These chapters will likely find an audience among plastic and bariatric surgeons. Preface Disclosure Contents Introduction Obesity and Overweight Characteristics Risk Factors Types of Obesity Body Mass Index (BMI) Waist Circumference and Waist-Hip Ratio Massive Weight Loss Bariatric Surgery Indications References Part I: Non-invasive Techniques Non-invasive Radiofrequency and Myostimulation-Based Procedures Non-invasive Radiofrequency-Based Procedures Non-invasive Myostimulation Procedures References Non-invasive Ultrasound Based Procedures Ultrasound Procedures References Part II: Minimally Invasive Techniques Minimally Invasive Radiofrequency-Based Procedures: Morpheus8TM, Morpheus8 BodyTM, BodyTiteTM, FaceTiteTM, AccuTiteTM Introduction Face and Neck Thin Skin Face and Neck Thicker Skin and Submental Fat, also Acne Scaring Tissue Periorbital Rejuvenation: 8 Pin Handpiece–Morpheus8 PrimeTM Morpheus8 Body To Tighten Skin: Elbows, Neck, Arms, Knees, etc. Morpheus8 Body To Tighten Skin, Melt Superficial Fat and Cellulite—Abdomen, Flanks, Arms, Thighs, Knees, etc./Also for Stretch Marks References Minimally Invasive Ultrasound-Based Procedures: VASERlipo®: High-Definition Procedures Introduction References Vibrational Type of Liposuction Introduction References Part III: The Role of Non- and Minimally Invasive Techniques in Open Surgery Procedures Abdominoplasties in Combination with Radiofrequency, Ultrasound Procedures, Vibrational Lipoaspiration and Myostimulation Procedures Introduction Types of Abdominoplasty Classic Abdominoplasty/with or Without Plication Application of Non-invasive and Minimally Invasive Techniques in Classic Abdominoplasty Application of Non-invasive and Minimally Invasive Techniques High-Lateral-Tension (HLT) Abdominoplasty Extended Abdominoplasty Circumferential Abdominoplasty (Belt Lipectomy) Reversе Abdominoplasty Application of Non-invasive and Minimally Invasive Techniques Fleur de Lys Abdominoplasty Endoscopic Abdominoplasty 3D Abdominoplasty 4D Abdominoplasty References Gluteoplasty in Combination with Radiofrequency and Ultrasound Procedures Introduction Techniques Lipofilling Dermal Flaps Superiorly Based Gluteal Flap Medially Based Rotation Gluteal Flap Centrally Based Gluteal Flap Inferiorly Based Gluteal Flap Purse-String Gluteoplasty Implant-Based Augmentation Combined Technique of Skin Excision and Insertion of Implants Fig. 4b Application of Non-invasive and Minimally Invasive Techniques in Gluteoplasty Procedures References Thigh Lift in Combination with Radiofrequency Introduction Techniques Inner Thigh Lift (Medial Thigh Lift) Vertical Thigh Lift Application of Non-invasive and Minimally Invasive Techniques in Thigh Lift Procedures Minimally Invasive Techniques in Combination with Each Other Minimally Invasive Techniques in Combination with Excisional Procedure (Fig. 7a–c) References Lower Body Lift Procedures in Combination with Minimally Invasive and Non-invasive Techniques Introduction Techniques Application of Non-invasive and Minimally Invasive Techniques in Lower Body Lift Procedures References Mastopexy Techniques and Radiofrequency Procedures in Neighbouring Areas Introduction Techniques Breast Lift in Pseudoptosis and Regnault Grade I Ptosis, Author’s Preferred Techniques Augmentation Mastopexy with Periareolar Deepidermization Breast Lift in Regnault Grade II-III Ptosis, Author’s Preferred Techniques Inverted-T Mastopexy Inverted ‘T’ Mastopexy: Inverted-T Technique with Pedicled Flap of Subcutaneous Adipose Tissue from the Lateral Part of the Chest (Fig. 8) Breast Contouring with Free Nipple Transfer [22] (Fig. 9) Application of Non-invasive and Minimally Invasive Techniques in Mastopexy Procedures References Upper Body Lift Techniques in Combination with Minimally Invasive and Non-invasive Procedures Introduction Techniques Upper Body Lift Isolated Lifting in the Pectoral Area in Male Patient After Massive Weight Loss One-Stage Brachioplasty with Lateral Torso Contouring and Breast Lift in Female Patient After Massive Weight Loss Treatment of Gynecomastia by Combination of Gland Extirpation and Radiofrequency Based Procedure Application of Non-invasive and Minimally Invasive Techniques in Upper Body Lift Procedures References Brachioplasty and Minimally Invasive Radiofrequency Procedures Introduction Techniques References Lateral Tension Upper Body Lift Procedures: How to Combine with Minimal and Non-invasive Techniques to Alter the Results Introduction Technique Lateral Tension Upper Body Lift—How to Combine with Non-invasive Techniques In the Postoperative Period to Alter the Results Application of Non-invasive and Minimally Invasive Techniques in Lateral Tension Body Lift Procedures References Facelift Procedures in Combination with Minimally Invasive Techniques Introduction Surgical Techniques Author’s Preferred Surgical Technique Minimally Invasive Surgical Approach Depending on the Preoperative Assessment and Patient’s Status (Author’s Preferred Option) References Back Bra Lift with Minimally Invasive Procedures of Neighbouring Areas. Minimally Invasive Procedures of the Back as Isolated Treatment in the Area Introduction Surgical Techniques/Methods References Complications of Minimally Invasive Procedures Complications Thermal Injury [1] In the Area Distal from the Entry Point In the Area of the Entry Point Proximal to the Entry Point In the Area of the Postoperative Scar in Combined Procedures Fibrotic Nodules Postoperative Oedema and Swelling Neurapraxia Insufficiently Satisfactory Result Inflammations and Infections Hematomas Seromas Morpheus8TM, Morpheus8 BodyTM, Morpheus primeTM Thermal Injury Fibrous Nodules Pigmentations VASERlipo® Ultrasound Procedures Thermal Injury In the Area Distal from the Entry Point In the Area of the Entry Point Proximal to the Entry Point In the Area of the Postoperative Scar in Combined Procedures Adhesions Vibration-Based Liposuction Contour Irregularities References Algorithm in Times of COVID for Adequate Approach in the Preoperative Evaluation Before Body Contouring Surgery Algorithm The Author Used Cluster Analysis Using the K-Means Cluster Method Body Contouring Surgery: Summary