<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922023000200006</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922023000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colgajo de transposición adipomuscular de glúteo mayor para deformidades glúteas por pérdida masiva de peso]]></article-title>
<article-title xml:lang="en"><![CDATA[Transposition gluteal adipomuscle flap for massive weight loss gluteal deformities]]></article-title>
<article-title xml:lang="pt"><![CDATA[Retalho de transposição adipomuscular de grande glúteo nas deformidades glúteas pós perda ponderal massiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses-De Lima]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Passos-Meireles]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baptista-Fernandes]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UpClinic Surgery and Aesthetics Departamento de Cirugía Plástia ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Loures Departamento de Cirugía Plástia ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>139</fpage>
<lpage>146</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922023000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922023000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922023000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La pérdida masiva de peso provoca múltiples deformidades en el contorno corporal, incluida la región de los glúteos: pérdida de volumen y proyección, exceso de piel y ptosis tisular generalizada que dan lugar a antiestéticas deformidades. La reconstrucción quirúrgica de la región glútea en estos pacientes mediante lipoinjertos de grasa, colgajos adipocutáneos o colocación de implantes glúteos, arroja resultados subóptimos. El objetivo de este trabajo es presentar la versatilidad del colgajo de transposición adipomuscular de glúteo mayor en este tipo de deformidad.  Material y método. Realizamos 20 remodelaciones glúteas con colgajo de transposición adipomuscular del glúteo mayor.  Resultados. Los 20 pacientes fueron mujeres, con edades entre 33 y 61 años (media de 45 años). El colgajo de transposición adipomuscular de glúteo mayor se utilizó en combinación con lifting inferior circunferencial en 15 casos (75%), con lifting de glúteos escisional en 4 (20%) y en 1 caso secundario de deformidad provocada por colocación de implantes glúteos (5%).  Conclusiones. En nuestra práctica clínica, el colgajo de transposición adipomuscular del glúteo mayor permite obtener buenos resultados estéticos en las deformidades glúteas posteriores a la pérdida masiva de peso en diferentes escenarios clínicos y en combinación con otros procedimientos, como el lifting circunferencial inferior o el escisional. También se puede realizar en procedimientos secundarios tras resultados insatisfactorios con la colocación de implantes glúteos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Massive weight loss causes multiple body contour deformities, including the gluteal region. Volume and projection loss, excess skin associated with tissue ptosis lead to unsightly deformities of the gluteal contour. Surgical reconstruction of the gluteal region in these patients through fatgrafts, adipocutaneous flaps or gluteal implants have shown suboptimal results. The goal of this work is to present the versality of the transposition gluteus adipomuscular flap in these type of deformities.  Methods. Twenty gluteal remodeling surgeries were performed using the transposition gluteus adipomuscular flap.  Results. The 20 patients were women, aged between 33 and 61 years (mean 45 years). The transposition gluteus maximus adipomuscular flap was used in combination with lower bodylift in 15 cases (75%), with excisional gluteal lifting in 4 (20%) and in 1 secondary case of deformity caused by gluteal implant placement (5%).  Conclusions. In our practice, the transposition gluteus adipomuscular flap allows good aesthetic results to be obtained in gluteal deformities after massive weight loss, namely in different clinical scenarios in combination with other procedures, such as the lower bodylift or the excisional gluteal lifting. It can also be performed in secondary procedures after unsatisfactory results using gluteal implants.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e objetivo. A perda de peso massiva provoca múltiplas deformidades do contorno corporal, incluindo da região glútea. A perda de volume e projecção, o excesso cutâneo e a ptose generalizada dos tecidos, levam nesses pacientes ao aparecimento de deformidades inestéticas do contorno glúteo. A reconstrução cirúrgica da região glútea em doentes após perda ponderal massiva através da realização de lipoenxertos de gordura, retalhos adipocutâneos ou colocação de implantes glúteos, apresentam resultados subótimos. O objetivo deste trabalho é apresentar a versatilidade do retalho de transposição adipomuscular de grande glúteo neste tipo de deformidades.  Métodos. Foram realizadas vinte remodelações glúteas utilizando o retalho de transposição adipomuscular de grande glúteo.  Resultados. Os 20 pacientes eram mulheres, com idade entre 33 e 61 anos (média de 45 anos). O retalho de transposição adipomuscular do glúteo máximo foi usado em combinação com lower bodylift em 15 casos (75%), com lifting glúteo excisional em 4 (20%) e em 1 caso secundário de deformidade causada pela colocação de implante glúteo (5%).  Conclusões. Na nossa prática clínica o retalho de transposição adipomuscular de grande glúteo permite-nos obter bons resultados estéticos nas deformidades glúteas pós perda massiva de peso, nomeadamente em diferentes cenários clínicos e em combinação com outros procedimentos, tais como o lower bodylift ou o lifting glúteo excisional. Pode ainda ser realizado em procedimentos secundários, após resultados insatisfatórios com a colocação de implantes glúteos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Gluteus]]></kwd>
<kwd lng="en"><![CDATA[Massive weight loss]]></kwd>
<kwd lng="en"><![CDATA[Gluteal muscle flap]]></kwd>
<kwd lng="en"><![CDATA[Gluteal ptosis]]></kwd>
<kwd lng="en"><![CDATA[Body contouring]]></kwd>
<kwd lng="es"><![CDATA[Glúteos]]></kwd>
<kwd lng="es"><![CDATA[Pérdida masiva peso]]></kwd>
<kwd lng="es"><![CDATA[Colgajo adipomuscular glúteo]]></kwd>
<kwd lng="es"><![CDATA[Ptosis glútea]]></kwd>
<kwd lng="es"><![CDATA[Contorno corporal]]></kwd>
<kwd lng="pt"><![CDATA[Glúteos]]></kwd>
<kwd lng="pt"><![CDATA[Perda ponderal massiva]]></kwd>
<kwd lng="pt"><![CDATA[Retalho adipomuscular glúteo]]></kwd>
<kwd lng="pt"><![CDATA[Ptose glútea]]></kwd>
<kwd lng="pt"><![CDATA[Contorno corporal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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