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Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery

BACKGROUND: Aesthetic units (AUs) and zones of adherence (ZAs) have been previously noted in the face and torso. A systematic classification of common AUs and ZAs has not been previously described for the torso and extremities. Contour and scars are equally important in obtaining the best result. Th...

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Autor principal: Kirwan, Laurence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448935/
https://www.ncbi.nlm.nih.gov/pubmed/37635698
http://dx.doi.org/10.1097/GOX.0000000000005093
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author Kirwan, Laurence
author_facet Kirwan, Laurence
author_sort Kirwan, Laurence
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description BACKGROUND: Aesthetic units (AUs) and zones of adherence (ZAs) have been previously noted in the face and torso. A systematic classification of common AUs and ZAs has not been previously described for the torso and extremities. Contour and scars are equally important in obtaining the best result. Therefore, the six principles to consider in body contouring surgery (BCS) are that the resulting scar be anchored at a zone of adhesion; at the interface of AUs; concealed within flexion or extension skin creases, or placed according to conventional usage and experience; positioned on the medial aspect of a limb; hidden when nude, topless, or in a variety of clothing such as one-piece and two-piece swimsuits, crop tops, short sleeves, etc; and positioned to avoid a contracture across a flexion joint crease or a dehiscence across the extension aspect of a joint. METHODS: Images of male and female massive weight loss (MWL) patients with a history of MWL were reviewed and analyzed. RESULTS: AUs and Zas are described and codified. An algorithm is provided to aid in planning incisions for BCS. CONCLUSION: With the increase in BCS after MWL, a classification of AUs and ZAs is considered useful in planning surgery and optimizing the aesthetic result.
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spelling pubmed-104489352023-08-25 Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery Kirwan, Laurence Plast Reconstr Surg Glob Open Cosmetic BACKGROUND: Aesthetic units (AUs) and zones of adherence (ZAs) have been previously noted in the face and torso. A systematic classification of common AUs and ZAs has not been previously described for the torso and extremities. Contour and scars are equally important in obtaining the best result. Therefore, the six principles to consider in body contouring surgery (BCS) are that the resulting scar be anchored at a zone of adhesion; at the interface of AUs; concealed within flexion or extension skin creases, or placed according to conventional usage and experience; positioned on the medial aspect of a limb; hidden when nude, topless, or in a variety of clothing such as one-piece and two-piece swimsuits, crop tops, short sleeves, etc; and positioned to avoid a contracture across a flexion joint crease or a dehiscence across the extension aspect of a joint. METHODS: Images of male and female massive weight loss (MWL) patients with a history of MWL were reviewed and analyzed. RESULTS: AUs and Zas are described and codified. An algorithm is provided to aid in planning incisions for BCS. CONCLUSION: With the increase in BCS after MWL, a classification of AUs and ZAs is considered useful in planning surgery and optimizing the aesthetic result. Lippincott Williams & Wilkins 2023-06-23 /pmc/articles/PMC10448935/ /pubmed/37635698 http://dx.doi.org/10.1097/GOX.0000000000005093 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cosmetic
Kirwan, Laurence
Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title_full Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title_fullStr Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title_full_unstemmed Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title_short Aesthetic Units and Zones of Adherence, Relevance to Planning Incisions in Body Contouring Surgery
title_sort aesthetic units and zones of adherence, relevance to planning incisions in body contouring surgery
topic Cosmetic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448935/
https://www.ncbi.nlm.nih.gov/pubmed/37635698
http://dx.doi.org/10.1097/GOX.0000000000005093
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