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SELECTIVE NEURECTOMY, TENSOR FASCIA LATA MYOMECTOMY AND LIPOSUCTION FOR TOTAL LEG CONTOURING: ANATOMIC AND BIOCHEMICAL RESEARCHES WITH THEIR CLINICAL IMPLICATIONS
Presenter: FC Tsai, MD, PhD
Co-Authors:
Taipei Medical University Hospital

Calf hypertrophy and thigh lipodystrophy are of major concern to Asians. A technique of selective neurectomy of all triceps surae muscle, tensor fascia lata (TFL) myomectomy and liposuction are extensively used to improve results of leg contour. Between 1999 and 2011, 2100 patients underwent the above procedures. An anatomical study on seven cadaver limbs and biochemical analysis help us to develop the new techniques and improve the understanding of denervation. Gait analysis and electromyographic studies were also performed to evaluate the functional deficits. The results showed that mean reduction in calf and mid-thigh circumference was 3.45 and 6.21 cm at 14 months respectively. Short-term disability less than 8 months was noted. Complications including wound dehiscence and lateral ankle numbness were noted in less than 1.2 percent. Moreover, the additive effect of botulinum toxin and apoptosis-inducing factor (AIF) for persistent neurectomy were found. Dissatisfaction was noted in 2.01 percent. Selective neurectomy, TFL myomectomy and liposuction can offer the effective methods of improving total leg contour.


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