Body Lift Research Articles

Contemporary Lower Body Lift.

Circumferential body contouring addresses abdominal, mons, lateral thigh, and buttock laxity. The goals of contouring are to optimize abdominal aesthetics while also addressing lateral thigh and buttock skin excess with an easily concealed scar. Key concepts in contemporary lower lift include a low anterior scar that gently slopes superior to help with waist accentuation and addressing lateral thigh contour. The posterior scar lies at the top of the gluteal crease to preserve the buttocks aesthetic unit, allow for autoaugmentation, and minimize wound-healing complications. Patient safety considerations include thromboembolism prevention, minimizing blood loss, and keeping the patient warm. With proper planning, the lower body lift effectively and aesthetically removes circumferential skin laxity.

Facteurs prédictifs des complications de la chirurgie des séquelles abdominales d’amaigrissement, après chirurgie bariatrique chez les non-fumeurs

A retrospective monocentric study, including abdominoplasties or bodylift, after bariatric surgery was carried out between 01/01/2016 and 12/31/2019. The following were excluded: active smokers, non-bariatric patients and/or patients who had already had an abdominoplasty or body lift and/or who had undergone combined surgery. 105 patients were included (73 bodylifts, 32 abdominoplasties). 68% presented at least one complication. The majority of them only resulted in an extension of local care. The serious complication rate was 2.9%. The risk factors for complications were: a young subject (P=0.014), greater weight loss (P=0.03), longer delay between bariatric surgery and plastic surgery (P=0.0002), performing a bodylift versus an abdominoplasty (P<0.01), gastric banding (P=0.029). Conversely, the bypass appeared to be a factor limiting post-sequelae complications of weight loss (P=0.041). The predictive complication model from the multivariate study concludes that the type of plastic surgery and preoperative BMI play a major role in the risk of complications. Surgery for abdominal weight loss sequelae presents frequent but generally benign complications. Preoperative patient information must therefore be adapted according to initial obesity and the extent of weight loss.

Survey on physical fitness levels of athletes aged 13-15 years old at Satria Mandiri Soccer School, Bojonegoro Regency

Physical fitness is one of the important components in the sport of football, because the game of football is played within 2x45 minutes so that a valid fitness status is needed in order to play football optimally. This study was conducted to determine the status of physical freshness in athletes aged 13 to 15 years at SSB Satria Mandiri, Bojonegoro Regency. The method in this study is descriptive quantitative with survey techniques. The population and samples used were athletes aged 13 to 15 years at the Satria Mandiri football school which totaled 22 athletes. Data collection includes several tests, a 50-meter running test using a running track, a body lift hanging test using poles/bars, a 60-second seating test, an upright jumping test using a board, a 1000-meter running test using a running track. Data analysis in this study is quantitative descriptive statistics. The results of this study obtained that of the 22 athletes who were subjects, 12 athletes obtained the moderate category with a percentage of 54.54%. The conclusion obtained from this study is that the level of physical freshness in athletes aged 13-15 years at the Satria Mandiri football school as a whole shows a moderate category.

Application of Umbilical Cord Tissue Allografts in Reduction Mammoplasty Wound: A Case Study

Nearly 15 million patients undergo cosmetic surgery in the United States each year, with breast augmentations such as implants, lifts, or reductions being some of the most common procedures. The most common complications of these procedures are scarring and infection at the incision site, which often necessitates expensive corrective surgery. After significant weight loss, the patient in this study underwent an elective lower body lift in conjunction with a breast reduction and nipple-areolar transplant. The patient experienced postoperative wound dehiscence, creating a large open wound, warranting rapid wound closure to avoid further pain and infection. The patient was treated for eight weeks with conservative measures. After eight weeks of failed attempts to close her wound, she was referred for specialist care. Upon initial examination, the donor site wound measured 3.5 cm x 3.5 cm x 1.25 cm deep with no sign of epithelialization. The patient received a single dose of Wharton’s jelly flowable perinatal tissue allograft and twelve hyperbaric oxygen therapy treatments over seven weeks. Upon inspection at the final examination, the wound was closed entirely with 100% epithelialization. This case study demonstrates a precedent for the application of Wharton’s jelly flowable allografts in complicated cosmetic post-surgical wounds. Future efforts will be directed at applying Wharton’s jelly allografts on a preventative basis. Preventative applications could be in stage 2 pressure sores, in the region of recurrent chronic venous insufficiency ulcers between stages of tenuous healing, prior to joint replacement in patients with immune compromised states, or prior to surgical intervention in patients with a known history of postoperative infections. The obvious goal is to prevent needless patient suffering and reduce unnecessary healthcare costs.

Response to: Eliminating the Sacral Component of the Lower Body Lift.

Response to: Eliminating the Sacral Component of the Lower Body Lift.

Most Cited Articles in Body Contouring: A Bibliometric Analysis of the Past 45 Years.

Introduction: The purpose of this study is to produce a bibliometric review of the 30 most cited articles related to 6 major domains of body contouring-abdominoplasty, thighplasty, brachioplasty, gluteoplasty, body lift, and liposuction-for resident and fellow education. Methods: The authors utilized the Web of Science Citation Index to identify the 30 most cited articles related to surgery for body contouring published from 1975 to 2020. Articles were classified according to their level of evidence, type of study, and country of publication. Results: A total of 336 articles were reviewed to compile our list. The mean number of citations across the articles was 114.7 ± SD 86.1. The highest prevalence of the papers was published between 2000 and 2009 (n = 15, 50%). The country with the highest number of contributions was the United States (n = 22, 73%). Plastic and Reconstructive Surgery served as the main journal of publication for these papers (n = 22, 73.3%). The majority of articles were designated for clinical-type studies (n = 26, 86.7%). No basic science or prevalence study design papers were listed. In terms of level of evidence (LoE), most papers were assigned IV (n = 11, 36.7%) and III (n = 7, 23.3%). Conclusions: Our study reveals that the most cited papers in body contouring are of LoE III and IV. Although the LoE of plastic surgery research, in general, has improved, in the past decade, a call for higher quality papers remains. Overall, this analysis provides an easy, electronic starting point for residents and fellows interested in understanding the field's evolution.

Complications et qualité de vie après bodylift inférieur : à propos de 143 patients

The rise of bariatric surgery has led to a considerable increase in the demand for weight loss surgery. The lower body lift consists of removing the residual abdominal fat and skin excess and re-tensioning the surfaces. The objective of our study was to evaluate the associated complications, as well as the consequences of this surgery on the quality of life of the patients. A retrospective monocentric study was conducted in patients operated on for lower body lift between 2010 and 2019 at the University Hospital of Besançon. We collected postoperative complications and studied the satisfaction and quality of life of the operated patients using the Body-QoL and SF-36 questionnaires. One hundred forty-three patients were included with a mean age of 41.2 years. The mean body mass index was 26.6kg/m2 with a mean weight of 73.8kg and a mean weight loss of 54.4kg. Forty-one patients (29.7%) had at least one complication. Most complications were minor, with 16.8% of scar disunions, and 7% of complications were major, requiring revision surgery. Ninety-three patients (65%) responded to the satisfaction questionnaires with improvement mostly in physical symptoms and social life. The lower body lift is an effective, safe procedure with mostly minor complications that do not influence quality of life. Patient satisfaction is high, and it is therefore justified to continue offering this procedure to correct the sequelae of massive weight loss.

Eliminating the Sacral Component of the Lower Body Lift.

Eliminating the Sacral Component of the Lower Body Lift.

Negative Pressure Wound Therapy in Postbariatric Lower Body Lift-A Method of Decreasing Postoperative Complications.

Lower body lift procedure is one of the most common procedures in postbariatric surgery, which can be followed by postoperative complications that delay the healing time. The purpose of this study was to analyse whether the use of negative pressure wound therapy (NPWT) as a replacement for the classical drainage method would provide better postoperative results with fewer complications. The authors reviewed their experience with 46 consecutive patients that underwent lower body lift surgery from 2018 to 2021. They were divided into two groups: 23 of them received NPWT as drainage method and another 23 received classical active drains. We assessed the complication rates and types between the two groups to demonstrate the efficiency of NPWT as a support in the surgical protocol. Forty-six patients were included in this study. Two equal groups formed by 23 patients were analysed for age, sex, type of weight loss, type of circumferential lower body lift, type of drainage, quantity of drainage, time of drain usance, postoperative complications, operation time, hospital stay and frequency of hospital visits. The group that received NPWT had a 26.08% rate of complications as compared with the drain group that had a 47.8% complication rate. This study is performed as a comparison between negative pressure wound therapy and classical drainage method in lower body lift surgery, as a new method of reducing the postoperative complications. By achieving faster closure of large, undermining areas, it concludes in a lower risk of seroma or hematoma formation. 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 .

Video Commentary on: De-epithelialized Dermal Flap to Reduce Sacral Wound Healing Complications After Lower Body Lift Procedure

Video Commentary on: De-epithelialized Dermal Flap to Reduce Sacral Wound Healing Complications After Lower Body Lift Procedure

Autologous Gluteal Augmentation with Parasacral Perforator-Pedicled Propeller Flaps

De-epithelialized flaps have been used in gluteal contouring over the last three decades, but most improve the projection rather than the upper quadrants. The authors provide a detailed description of their method of gluteal augmentation using parasacral perforator-pedicled propeller flaps. This technique achieves a volumetric increase and maximal buttock projection at the midlevel and in the medial half of the buttocks. Between January and December of 2019, a series of 18 patients on whom a lower body lift with a parasacral perforator-pedicled propeller flap had been performed by the senior author (F.B.) were prospectively evaluated. Postoperatively, the satisfaction rate was assessed using a 10-point analog scale (1 = unsatisfied, 10 = very satisfied) by the patient and by two independent surgeons based on photographs taken 1 year after surgery. Eighteen patients underwent this procedure. Their mean age was 32.2 ± 5.6 years (range, 24 to 40 years). The mean flap length was 20.3 cm, their mean width was 10.4 cm, and the mean thickness was 3.4 cm. The authors noted only two minor complications, one seroma and two skin dehiscences that healed without surgery. The rate of satisfaction as assessed by the patients was 8.3 out of 10 (±1.1), and by surgeons, 7.9 and 8.1. This article describes a gluteal autoaugmentation flap technique using parasacral perforator-pedicled propeller flaps to increase projection and volume in the inferomedial gluteal region after lower body lift. Therapeutic, IV.

Multi-modal locomotor costs favor smaller males in a sexually dimorphic leaf-mimicking insect

BackgroundIn most arthropods, adult females are larger than males, and male competition is a race to quickly locate and mate with scattered females (scramble competition polygyny). Variation in body size among males may confer advantages that depend on context. Smaller males may be favored due to more efficient locomotion leading to higher mobility during mate searching. Alternatively, larger males may benefit from increased speed and higher survivorship. While the relationship between male body size and mobility has been investigated in several systems, how different aspects of male body morphology specifically affect their locomotor performance in different contexts is often unclear.ResultsUsing a combination of empirical measures of flight performance and modelling of body aerodynamics, we show that large body size impairs flight performance in male leaf insects (Phyllium philippinicum), a species where relatively small and skinny males fly through the canopy in search of large sedentary females. Smaller males were more agile in the air and ascended more rapidly during flight. Our models further predicted that variation in body shape would affect body lift and drag but suggested that flight costs may not explain the evolution of strong sexual dimorphism in body shape in this species. Finally, empirical measurements of substrate adhesion and subsequent modelling of landing impact forces suggested that smaller males had a lower risk of detaching from the substrates on which they walk and land.ConclusionsBy showing that male body size impairs their flight and substrate adhesion performance, we provide support to the hypothesis that smaller scrambling males benefit from an increased locomotor performance and shed light on the evolution of sexual dimorphism in scramble competition mating systems.

Design and verification of the active suspension mobility system of the Zhurong Mars rover

<p indent="0mm">This work describes the design and development of the active suspension mobility system of the Zhurong Mars rover. The suspension system achieves the functions of peristaltic movement, body lifting, wheel lifting, and omnidirectional movement; and solves the problems of a passive suspension mobility system, such as poor collapse ability in soft terrain, low climbing angle, and fault-free wheel isolation ability. The verification results show that, through peristaltic motion, the rover can quickly break free from up to<sc>300 mm</sc> settlement of all 6 wheels in <sc>16 min.</sc> Moreover, through peristaltic movement and the multi rut climbing strategy, the climbing ability of the rover on soft terrain is improved from a slope of 20° to one of 25°. Compared with dragging, the power consumption is reduced by more than 50%. It is the first active suspension mobility system to land on an alien planet.

De-epithelialized Dermal Flap to Reduce Sacral Wound Healing Complications After Lower Body Lift Procedure.

Lower or circumferential body lift procedures in the massive-weight-loss population have been associated with significant complication rates. Particularly, the sacral area is at risk of wound-healing problems due to high wound tension or shear forces. The authors introduced a de-epithelialized dermal flap to reinforce the sacral area. Within this retrospective study, outcomes of 40 consecutive patients who underwent lower body lift between 2017 and 2021 were analyzed. The patient population was divided into 2 study groups (sacral flap vs no flap) including 20 patients each. Demographic and surgical data as well as complications were evaluated and compared. Appropriate statistical analysis was performed. Thirty-seven female and 3 male patients with a median age of 36.5 years (range, 23-54 years) and a mean weight loss of 46.3 ± 12 kg participated in the study. The most common complication was sacral wound dehiscence (n = 7, 17.5%), and its occurrence was statistically significantly lower in the sacral flap group (P = 0.037). The odd ratios for complications when executing the sacral flap procedure were reduced to 0.306 (95% confidence interval = 0.075 to 1.246) and 0.261 (95% confidence interval = 0.055 to 1.250) for the uncorrected and corrected logistic regressions, respectively. In addition, findings showed a significantly shorter hospital stay as well as statistical trends towards a lower occurrence of overall complications in the sacral flap group. Concerning the remaining data, no statistically significant differences between study groups were detected. The presented de-epithelialized dermal flap leads to a significant reduction of sacral wound-healing complications and a shorter hospital stay for patients. This surgical technique is easily reproduceable, rapid, and effective; therefore, we would recommend it for each circumferential or lower body lift procedure.

The Impact of Comorbidities on Patient Outcomes in the Upper Body Lift: A Retrospective Review.

BackgroundNonsurgical and surgical weight loss options have improved over the past several decades resulting in an increased number of patients who present with body contour deformities. This review focuses on the upper truncal deformity. This deformity is discernable by its residual tissue laxity in the upper arm, back, lateral chest, and breast.ObjectiveThe purpose of this study is to evaluate the morbidity of this procedure when these regions are treated in one operative setting.MethodsA retrospective chart review of patients who underwent an upper body lift for truncal deformities after massive weight loss by the senior author between August 2006 and December 2019 was performed. Patient comorbidities and demographics, preoperative parameters, operative factors, and minor and major complications were assessed.ResultsNo intraoperative or major complications occurred. The overall complication rate was 71% (20/28), which were all minor and most related to wound breakdown. Using logistical regression analysis, we found that neither BMI nor amount of weight resected contributed to a higher complication rate in this cohort. Simple matching coefficients analysis identified anemia, hypertension, lifetime smoking history, celecoxib use, and multiple concurrent procedures as comorbidities and intraoperative factors with an increased risk for adverse outcomes.ConclusionsThis review helps define the role of upper body lift in the care of patients with massive weight loss and addresses the morbidity of a comprehensive approach to upper body deformity. Appropriate patient selection, preoperative patient counseling, sound operative technique, and supportive postoperative care can help to avoid adverse outcomes.Level of Evidence: 4

Two Surgeons' Approaches to the Upper Body Lift: A Video Discussion.

Body contouring post massive weight loss is becoming increasingly more common. In this article and accompanying video, 2 experienced surgeons, Jeffrey Kenkel, MD, and Al Aly, MD, discuss the upper body lift procedure through a moderated discussion. The goal of this article is to elucidate the similarities and differences between the surgeons’ guiding principles and specific approaches to this procedure. Topics covered in this discussion include indications, intraoperative sequencing, male chest, brachioplasty, closing technique, postoperative complications, and the typical postoperative course.Level of Evidence: 4

Analysis of the stress state of the 4-axle dump truck lifting mechanism hydraulic cylinder support

Dump trucks are widely used in construction industry, mining, agriculture, etc. There is a risk of stability loss when dumping. Cases of dump truck tipping over are often reported. The dump truck tipping over is the result of many causes which need more of research. Its design features and environments, inter alia, can lead to the dump truck tipping over. In order to effectively use electronic systems, it is necessary to identify the factors that most cause the loss of stability of a particular dump truck design. The paper deals with the case of the dump truck KRAZ-7133S4 tipping over. The assumption was made that the KRAZ-7133S4 tipping over was caused by the loss of stability of the body lifting system parts. Creo Parametric software methods for determining the strength and stability were used to analyze the possibility of the hydraulic cylinder lower support design stability loss. It was established that the hydraulic cylinder lower support design possesses more than 14-fold margin of safety. It was concluded that the dumping mechanism parts were strained at the final stage of the tipping process. The loss of stability of the hydraulic cylinder support is not the cause of the KRAZ-7133S4 dump truck tipping over.

Surgical circumferential contouring: lower body, upper body, and in-between

Deformities in the body contouring population are rarely isolated to one area, and procedures can be combined to achieve more substantial results. While there is no formula for optimal surgical sequencing and timing, there are certain principles which - when applied appropriately - can yield results that are reliable, aesthetically pleasing, and aligned with the patient’s desires and preferences. In this article, we outline our latest thinking in circumferential body contouring and how to integrate the lower body lift with procedures of the abdomen, upper body, breasts, back, and arms to achieve the complete 360° look.

The Three-Hour Lower Body Lift: Evolution of a Technique and Personal Experience after 155 Consecutive Cases.

Body-contouring is a surgical field in growing demand, as the number of massive weight loss patients following bariatric surgery is increasing. The purpose of this study was to provide a straightforward and time-efficient circumferential body lift technique to achieve optimal lower truncal contouring. A total of 155 massive weight loss patients (133 women and 22 men) underwent lower body lift surgery between 2006 and 2018. The mean preoperative weight reduction and body mass indices were 56.5 ± 16.6 kg and 26.7 ± 4.7 kg/m2, respectively. The preoperative markings focused on the back and gluteal region, and the modified surgical technique are described. Additionally, improvements of intra-operative repositioning of the patient and how to deal with sterilization and dressings are elucidated. The average intra-operative time was 178 ± 54.6 minutes. The mean follow-up of all patients was 8.2 ± 2.4 years. The most common complications were related to wound dehiscence (n = 38) and seroma (n = 18). The mean weight of the resected tissue was 3 056 ± 1 816.5 g. The lower body lift represents an effective and safe body contouring procedure to treat massive weight loss patients with multiple regions of concern. The current study describes a modified surgical technique that reduces operating time and complications, notably. 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 http://www.springer.com/00266 .

Latihan Sirkuit 5 Pos untuk Meningkatkan Kebugaran Jasmani Siswa di Masa Pandemi

This study aims to see the effect of 5 Post Circuit exercises and Cross Country exercises to improve students' physical fitness, which was carried out by Junior High School students during the pandemic. The method used is experimental. The population in this study were 20 students of class 8A SMPN Padalarang. The instruments used are the Indonesian Physical Fitness Test for junior high school (SMP) level: 50-meter sprint test, 30-second body lift test, 60-second lying down test, upright jump test and 1000-meter long-distance running test. The results of the analysis of 5 items of physical fitness test with an average category of being. It can be concluded that the 5 post circuit training and cross-country training have a significant effect on increasing students' physical fitness during the pandemic.