Reshaping the oversized waist through Oblique flankplasty with Lipoabdominoplasty (OFLA)

Introduction: Designed in response circumferential lower body lifts (LBL) failure to deepen waists, oblique flankplasty with lipoabdominoplasty (OFLA) not only aesthetically reshapes the waist, but also the hips, buttocks, and upper lateral thighs with minimal morbidity. Methods: OFLA technique was standardized with 3 of 53 cases presented. Clinical records of operations on the lower torso from March 2000 to January 2018 yielded 30 initial OFLA cases, and hundreds of LBLs. A subset of randomly selected LBL and flank liposuction operations yielded 91 cases. Through SurveyMonkey©, authors and 16 unbiased observers graded flank and global deformity using the Pittsburgh and novel posterior trunk aesthetics scales. Results: OFLA deepened and smoothly transitioned waists. Medial rotation of the lateral buttocks over posterior iliac spine retained lateral fullness and establish hip prominence. Central buttock laxity was corrected without intergluteal cleft lengthening. The immediate result persisted, satisfying high patient expectations. There were three minor complications and three non-excisional revisions with no unscheduled hospital admissions. All cases mean flank deformity of 1.93 was by chi-square analysis significantly more than 0.88 post-operative deformity (p

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