Samad REZAEE KHIABANLOO 医师
皮肤科医师
其他作者: Leyla Khalili(MD,Gynecologist)
Art of nonsurgical correction for selected mons pubis ptosis, an innovative technique by P(LA/CL) threads: A pilot study
Objectives: Regarding impacts of mons pubis ptosis on the patients; including psychosocial discomfort and embarrassment, and also safety. Efficacy and longevity of P(LA/CL) threads in correction of ptosis in different parts of body, we claim our innovative method with appropriate P(LA/CL) threads might be effective procedure with acceptable safety for selected volunteers with mons pubis ptosis.
Introduction: Pubic ptosis may be associated with weight gain, weight loss, and aging. It affects both men and women. Understanding of the anatomy of the superficial fascial system has improved results significantly and decreased complications of trunk and lower body lift. Laxity of the entire lower trunk could be treated in one stage nonsurgical methods for selected patients. Alterations in volume, dimensions, and projection of soft tissue in the pubic area can bring psychosocial discomfort and embarrassment to patients. In some cases, the deformity can be seen even under clothing.
Materials / method: we conducted a pilot study with 10 volunteers with grade 1 or 2 ptosis of mons pubis. from 2 Discrete entry points (3 to 5 cm apart) blow umbilicus on the drown line between iliac spines ,10 branches of P(LA/CL) thread inserted in subcutaneous tissue towards pubis area in an innovative fanning technique.
Photos were taken before and 6th month of doing procedure. By comparing photos, the patients rated improvement based on a 5-point Likert scale with options of 1 (very dissatisfied), 2 (dissatisfied), 3 (moderately satisfied), 4 (satisfied), and 5 (very satisfied), surgeons rated on GAIS.
Results: Regarding primitive data of our pilot study, we found acceptable to strong agreement in improvement of mons pubis ptosis between patients, surgeons. We didn’t find any major complication in the pilot study. The study will be continued up to 25 volunteers.
Conclusion: With a low rate of side effects and positive results of improvement, our simple innovative technique with appropriate P(LA/CL) threads might be considered as an alternative to correct ptosis of the mons pubis for selected volunteers.