Transverse medial thigh lift

Published on 23/05/2015 by admin

Filed under Plastic Reconstructive Surgery

Last modified 23/05/2015

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Chapter 34 Transverse medial thigh lift

Anatomical Considerations

Fat Layers

Fat distribution under the human skin is uneven (Fig. 34.1). There is an almost uniform superficial layer, where lobules are organized in a “vertical” manner, perpendicular to the skin surface. In these areas, the fascia superficialis is fused with the deep, premuscular fascia. In some areas, there is another layer, deep to the fascia superficialis, where the fat is organized in a “horizontal”, lamellar fashion, parallel to the skin surface. Liposuction allows for the elimination of most of the fat in the different layers, achieving not only volume reduction but also skin release. Skin retraction is best in those areas of deep fat, as retraction of the superficial, “vertical” fat layer often leads to surface irregularities.

Lymphatic Distribution

The lymphatic vessels of the skin (Fig. 34.1), after collecting from the surface, join into vessels situated just deep to the fascia superficialis. Therefore, in areas where there is deep fat, it is of the utmost importance that dissection stays superficial, in order to avoid any impairment of the lymphatic drainage. In some anatomical areas this boundary is not particularly obvious, for example in the outer thigh. Nevertheless, due to the frequently described lymphatic complications,7 dissection should stay superficial.