Scholarlink

Background <p>The increasing prevalence of seeking torso back aesthetic surgery in recent years reflects the negative impact these deformities have on body image. Existing classification systems fail to adequately guide individualized surgical planning. We aimed to develop and validate a novel evaluation system for torso back deformities and assess its clinical role in body contouring surgery.</p> Methods <p>A prospective descriptive case series was conducted at Assiut University (2019–2024) that included 14 female patients (age 20–45 years; BMI 18.5–30) presenting with torso back contour deformities. Exclusion criteria included congenital deformities, prior buttock or back contour surgery, and unsafe BMI. Patients were evaluated using a novel scale incorporating [<CitationRef CitationID="CR1">1</CitationRef>] buttock shape angle [<CitationRef CitationID="CR2">2</CitationRef>], buttocks projection ratio, and [<CitationRef CitationID="CR3">3</CitationRef>] dynamic subunit scoring (seven-number code: +1 to + 3 = bulges, 0 = neutral, -1 to -3 = depressions). Surgical management included extended abdominoplasty, liposuction, and autologous fat grafting. Outcomes included correction of deformity, projection improvement, and patient satisfaction.</p> Results <p>Four buttocks frame types (V, H, round, and heart-shaped) were identified. The dynamic system successfully categorized deformities and guided individualized correction. Buttock projection improved significantly, with restoration of round or heart-shaped frames in most cases. Patient satisfaction was high (≥ 80%), and complications were minor (seroma, contour irregularities, no fat embolism).</p> Conclusions <p>The novel evaluation system appears to be a practical tool that may enhance preoperative planning and intraoperative decision-making in torso back contouring. Within the limitations of this small prospective series, the system showed promise in guiding individualized correction strategies and improving aesthetic balance.</p> Level of Evidence <p>Level IV, diagnostic study.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A novel torso back contour evaluation system for the highly challenging deformed cases and its application in a case series study

  • 期刊论文

  • 发表日期：

    2026年1月19日

查看全文
  • Mohamed EL Shaier,
  • Wagdi M. Ali,
  • Mahmoud Abdelaal,
  • Awny Asklany,
  • Assem Husein

摘要

Background

The increasing prevalence of seeking torso back aesthetic surgery in recent years reflects the negative impact these deformities have on body image. Existing classification systems fail to adequately guide individualized surgical planning. We aimed to develop and validate a novel evaluation system for torso back deformities and assess its clinical role in body contouring surgery.

Methods

A prospective descriptive case series was conducted at Assiut University (2019–2024) that included 14 female patients (age 20–45 years; BMI 18.5–30) presenting with torso back contour deformities. Exclusion criteria included congenital deformities, prior buttock or back contour surgery, and unsafe BMI. Patients were evaluated using a novel scale incorporating [1] buttock shape angle [2], buttocks projection ratio, and [3] dynamic subunit scoring (seven-number code: +1 to + 3 = bulges, 0 = neutral, -1 to -3 = depressions). Surgical management included extended abdominoplasty, liposuction, and autologous fat grafting. Outcomes included correction of deformity, projection improvement, and patient satisfaction.

Results

Four buttocks frame types (V, H, round, and heart-shaped) were identified. The dynamic system successfully categorized deformities and guided individualized correction. Buttock projection improved significantly, with restoration of round or heart-shaped frames in most cases. Patient satisfaction was high (≥ 80%), and complications were minor (seroma, contour irregularities, no fat embolism).

Conclusions

The novel evaluation system appears to be a practical tool that may enhance preoperative planning and intraoperative decision-making in torso back contouring. Within the limitations of this small prospective series, the system showed promise in guiding individualized correction strategies and improving aesthetic balance.

Level of Evidence

Level IV, diagnostic study.