Pathophysiology
Fluorescence patterns showed that the vastus lateralis motor nerve had a stronger and quicker initial perfusion compared to the femoral cutaneous nerve, suggesting differences in their vascular support mechanisms [PMID:25388999].
Diagnosis
The study demonstrates the utility of ICG fluorescence angiography for measuring blood perfusion parameters (Imax, Tmax, Te) at specific points along the included nerves, aiding in the diagnosis and understanding of their vascular supply [PMID:25388999].
Management
The average operating time was 45 minutes longer when an outer thigh lift was performed, though the median length of hospitalization remained similar between groups [PMID:38652856].
Quantitative evaluation with ICG fluorescence angiography revealed significantly different blood perfusion metrics (Imax, Tmax, Te) between the vastus lateralis motor nerve and femoral cutaneous nerve, indicating a quicker and stronger perfusion in the motor nerve [PMID:25388999].
Complications
The complication rate was notably higher at 26% for the body lift group versus 60% for the thigh lift group, with dehiscence being the most common complication [PMID:38652856].
Prognosis & Follow-up
Despite increased complications, the satisfaction rate was high, correlating with enhanced quality of life as measured by the BODY-Q questionnaire [PMID:38652856].
References
1 Ragonez D, Musmarra I, Barbera F, Couteau C, Aguilar P, Quilichini J. Body Lift with Lateral Thigh Lift: Surgical Technique and Comparison with the Inferior Body Lift. Plastic and reconstructive surgery 2025. link 2 Tanaka K, Okazaki M, Yano T, Miyashita H, Homma T, Tomita M. Quantitative evaluation of blood perfusion to nerves included in the anterolateral thigh flap using indocyanine green fluorescence angiography: a different contrast pattern between the vastus lateralis motor nerve and femoral cutaneous nerve. Journal of reconstructive microsurgery 2015. link
2 papers cited of 3 indexed.