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Original Research

Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients

, MDORCID Icon, , MD, PhD, , MD, , MDORCID Icon, , MD, , MD, , MD, , MD, PhD & , MD show all
Pages 620-626 | Received 18 Oct 2021, Accepted 27 Mar 2021, Published online: 24 May 2021

Figures & data

Figure 1. Preoperative markings of the helix thigh lift. The incision lines lie in the gluteal crease and the middle transverse thigh fold (left picture). The marked fold has to be pinched to simulate skin closure with no undermining. The surgical markings are tapered upwards over the anterolateral region of the thigh. On the medial aspect, a pinch test is used to assess the amount of skin excess. The anterior medial markings are tapered toward, but do not reach the inguinal crease (they stop about 2–3 cm distally) (middle and right pictures). See Supplemental Digital Content 1 - Video.

Figure 1. Preoperative markings of the helix thigh lift. The incision lines lie in the gluteal crease and the middle transverse thigh fold (left picture). The marked fold has to be pinched to simulate skin closure with no undermining. The surgical markings are tapered upwards over the anterolateral region of the thigh. On the medial aspect, a pinch test is used to assess the amount of skin excess. The anterior medial markings are tapered toward, but do not reach the inguinal crease (they stop about 2–3 cm distally) (middle and right pictures). See Supplemental Digital Content 1 - Video.

Figure 2. A 39-year-old woman is seen preoperatively. The helical shape of the incision allows skin flaps to maintain perfusion (left and middle pictures); judicious liposuction is performed just on the areas to be excised. The pancake stack deformity is evident on the posterior view: The markings are barely visible due to the severity of skin folds (right picture). The surgery was combined with a lower body lift.

Figure 2. A 39-year-old woman is seen preoperatively. The helical shape of the incision allows skin flaps to maintain perfusion (left and middle pictures); judicious liposuction is performed just on the areas to be excised. The pancake stack deformity is evident on the posterior view: The markings are barely visible due to the severity of skin folds (right picture). The surgery was combined with a lower body lift.

Table 1. Patients and procedures.

Table 2. Thigh lift complications.

Table 3. Statistical analysis - factors affecting complication development.

Table 4. Outcomes evaluation.

Figure 3. Fifteen-month postoperative views show a significant body contour improvement of the posterior, medial and lateral thigh, along with the inferior buttocks. The combined lower body lift accounts for the improved ptosis of the mons and gluteal region along with an improvement of the flanks contour and the trochanteric area.

Figure 3. Fifteen-month postoperative views show a significant body contour improvement of the posterior, medial and lateral thigh, along with the inferior buttocks. The combined lower body lift accounts for the improved ptosis of the mons and gluteal region along with an improvement of the flanks contour and the trochanteric area.