Clinical trial NCT04167215: Aesthetic Analysis of Gluteal Deformity After Weight Loss and Assessment the Role of Autologous Tissue Augmentation for Gluteal Contouring
Official title: Aesthetic Analysis of Gluteal Deformity After Weight Loss and Assessment the Role of Autologous Tissue Augmentation for Gluteal Contouring
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Body Contouring
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2019-11-18
Enrollment: 100
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: assessment the role of autologous augmentation in management of different buttock deformity by using either perforator flaps or fat injection
Primary purpose: OTHER

Brief summary: this study aim to evaluate the role of autologous augmentation for buttock contouring and analyze different aethetic gluteal deformity

Detailed description: The last decades showed an increasing demand for bariatric surgery and diet dependent massive weight loss , these successful strategies for weight loss result in significant deformities in general body contour , buttock normal appearance is very important for posterior trunk aesthetic image and its severely affected after massive weight loss .

Aesthetically attractive buttocks required special features include adequate volume, projection, and a defined infragluteal fold.. The gluteal region in patients with massive weight loss is characterized by excessive skin and exaggerated fat loss. Lower body lift procedures remove excess skin and lift sagging buttock tissue. unsatisfactory buttock shape especially V shaped buttock is considered as important indication for gluteal reshaping Mendieta and Cuenca-Guerra and Quezada have proposed novel methods of describing and analyzing gluteal aesthetics.

There are a multitude of options that can be used to improve the buttock includ-ing non-surgical injections, implants, fat, excisional, liposuction and various energy devices

Eligibility criteria: Inclusion Criteria:

* Female patients.
* patients who are seeking for gluteal contouring after massive weight loss
* age above 18 years and fixed weight for 6months.

Exclusion Criteria:

* Male patients
* Patients that will refuse the procedure,
* patients who thad a residual body mass index greater than 35
* patients have uncontrolled medical conditions.

Primary outcomes:
measure: Analysis of different gluteal deformity as regarding gluteal projection ptosis and waist hip ratio.
timeFrame: 2 years
measure: Analysis of gluteal deformity after massive weight loss regarding gluteal ptosis
timeFrame: 2 years
measure: Analysis of gluteal deformity after massive weight loss regarding waist hip ratio.
timeFrame: 2 years
measure: Assessment the role of autologous flaps for gluteal contouring.
timeFrame: 2 years
measure: patient satisfaction from surgery .
timeFrame: 2 years
measure: surgery complications.
timeFrame: 2 years
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
citation: Richter DF, Stoff A. Circumferential body contouring: the lower body lift. Clin Plast Surg. 2014 Oct;41(4):775-88. doi: 10.1016/j.cps.2014.07.004.
citation: Colwell AS, Borud LJ. Autologous gluteal augmentation after massive weight loss: aesthetic analysis and role of the superior gluteal artery perforator flap. Plast Reconstr Surg. 2007 Jan;119(1):345-356. doi: 10.1097/01.prs.0000244906.48448.5d.
citation: Centeno RF. Gluteal aesthetic unit classification: a tool to improve outcomes in body contouring. Aesthet Surg J. 2006 Mar-Apr;26(2):200-8. doi: 10.1016/j.asj.2006.01.001.
citation: Pascal JF, Le Louarn C. Remodeling bodylift with high lateral tension. Aesthetic Plast Surg. 2002 May-Jun;26(3):223-30. doi: 10.1007/s00266-002-1478-z.
citation: Gonzalez-Ulloa M. Torsoplasty. Aesthetic Plast Surg. 1979 Dec;3(1):357-68. doi: 10.1007/BF01577875.
citation: Offman SL, Geddes CR, Tang M, Morris SF. The vascular basis of perforator flaps based on the source arteries of the lateral lumbar region. Plast Reconstr Surg. 2005 May;115(6):1651-9. doi: 10.1097/01.prs.0000161464.11134.c1.