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At least 343 records · Page 19Linked to original sources

PubMed1992

External lipoplasty suction device.

Most mobile suction devices specially designed for blunt suction lipectomy are to some degree noisy and several of them could be considered expensive. Their exhaust goes out in the operating room (OR). The potential contamination by aerosoles and fumes favor the use of special outlet filters. The author describes the suction equipment he made in 1984. An industrial high-power vacuum pump is placed outside the OR. The suction tubing goes out of the ceiling in the OR. The machine has double remote pedal control. The exhaust vents out at a hidden place in the clinic's garden, where eventually any AIDS or hepatitis virus will die promptly. This equipment has been used in more than 4200 suction lipoplasty procedures with no technical or surgical complications related to the device.

Lipectomy↗

PubMed1989

Liposuction and the treatment of nasolabial folds.

We investigate whether the application of liposuction to the nasolabial region is a useful adjunct to the rhytidectomy procedure. We have devised a system to grade the severity of the depth and the length of the nasolabial folds pre- and postoperatively. This grading system was used to evaluate the nasolabial region in 60 consecutive patients who underwent rhytidectomy. We compared two subgroups: those who underwent rhytidectomy alone (Group I) and those who underwent rhytidectomy augmented by liposuction in the region of the nasolabial folds (Group II). A change in the length of the fold occurred in 2% of Group I and in 30% of Group II. A change in depth of the fold occurred in 12% of Group I and in 70% of Group II. These results suggest that suction-assisted lipectomy consistently improves the results of rhytidectomy in the region of the nasolabial fold.

Female↗

PubMed1989

A twelve year experience with reduction mammoplasty and abdominoplasty.

In the last 12 years we performed mammoplasty on 191 patients, using the Wise pattern and the Strömbeck technique. In the same 12-year period, we also performed abdominoplasty in 108 patients, using the Pitanguy and the Grazer procedures. In the last four years we performed suction lipectomy in 43 patients, using the Illouz technique. In this article we present our moderate modifications on these techniques and the complications.

Abdominal Muscles↗

PubMed1992

Inferior pedicle reduction technique for larger forms of gynecomastia.

The treatment of larger types of gynecomastia is significantly different than that of less severe gynecomastias. Special concerns of the former include areola enlargement, nipple-areola ptosis, and redundant skin. Many procedures have been described to address these issues, none of which is completely satisfactory; these are reviewed here. Unsatisfactory results may be due to residual breast hypertrophy, skin redundancy, complications related to nipple-areola placement, form and viability, and cosmetically unacceptable scars. We describe a new technique that uses an inferior pedicle to reposition the nipple-areola complex and to maintain its neurovascular integrity and form. A superiorly based chest wall flap in conjunction with suction-assisted lipectomy maximizes chest wall contour. There are no breast mound scars, only a periareolar and inframammary scar.

Adult↗

PubMed1988

Further advantages of the "vest over pants" abdominoplasty.

The standard abdominal lipectomy is a risky procedure with respect to where the first incision (i.e., the transverse suprapubic incision) is located. Failure to place the incision successfully may distort the whole procedure, resulting in an overly tight abdominal wall, hypertrophy, and upward displacement of the scar along with the pubic hair, and also excessive tension causing skin necrosis of the abdominal flap. Advantages of our reversed technique are emphasized.

Abdominal Muscles↗

PubMed1991

Metabolic response to localized surgical fat removal in nonobese women.

Although suction lipectomy and dermolipectomy are common surgical procedures, the body's response to localized removal of fat and the long-term efficacy of these procedures remain controversial. Seven women who underwent liposuction or abdominoplasty were studied prior to surgery and between one and two months postoperatively. All patients were weight-stable prior to surgery and the reported daily food intake and nutrient composition of the diet did not change. The following parameters were measured: resting oxygen uptake (VO2), glucose-induced increment in VO2, anthropometry, and site-specific fat cell size. Fat samples were taken by needle aspiration from abdominal and femoral regions. Resting energy expenditure and the response to glucose feeding were not significantly different postoperatively. Furthermore, site-specific fat cell size did not change, nor were there any significant differences in the sum of four skinfold thicknesses. These results suggest that energy balance was not altered as a result of localized fat removal in previously weight-stable women. Thus, short-term follow-up suggests that surgical fat removal does not result in a compensatory change in metabolic efficiency or fat cell size and distribution in these weight-stable women. Therefore, this technique may prove effective for body contouring in nonobese women.

Abdomen↗

PubMed1991

Two arcane areas in liposuction: the banana and the sensuous triangle.

Two new approaches in suction lipectomy of the buttocks region are described: liposuction of the "banana" and liposuction of the "sensuous triangle." The banana is the highest part of the posterior thigh just below the buttocks crease. It appears only in certain individuals and appears as a bulge under the buttocks crease. The preferred approach to liposuction of the banana is discussed as well as a theory as to its etiology. A common complication of liposuction of this area is ptosis of the buttocks crease. Methods of treatment of this complication are also discussed. The second topic addressed is liposuction of the sensuous triangle which is at the junction of the lateral buttocks, lateral thigh, and posterior thigh. The result of suctioning this area is a more athletic-appearing buttocks region.

Buttocks↗

PubMedDate not supplied

Does liposuction influence lipidogram in females: in vivo study.

Suction lipectomy is one of the most commonly performed cosmetic procedures that is ideally indicated for the treatment of minimal to moderate localized fat deposits. The safety of the procedure has been addressed regarding patient selection, complications and results. Little is known about the impact of liposuction on lipid metabolism during and immediately after the procedure. Ten consecutive patients operated on for moderate volume liposuction (mean 1470 cc, range 500-2800 cc) were included in the present study. Blood samples analysis were obtained preoperatively (T1), 20 minutes after the beginning of the procedure (T2), one hour (T3), and four hours postoperatively (T4). The levels of total cholesterol, HDL cholesterol, LDL cholesterol,triglycerides, lipoprotein lipase, A1 lipoprotein, and B lipoprotein were measured from T1 to T4. All the values were increased at T2 and T3, but remained under upper normal values and nearly complete return to baseline was observed at T4, underlining the safety of the procedure on a metabolic basis.

Adult↗

PubMedDate not supplied

Improving nasal tip projection and definition using interdomal sutures and open approach without transcolumellar incision.

The object of this study was to maximally take advantage of the combination of two surgical techniques to manage the nasal tip. For this, an approach similar to the open tip approach without a transcolumellar incision was performed and the management of the alar cartilages with multiple combined sutures was carried out. This study represents more than two years of work where 57 primary and secondary rhinoplasty patients were operated on. In all of them, the nasal tip was managed by means of utilizing different types of sutures in the alar cartilages, according to the characteristics and needs of each patient. At the same time, an extensive lipectomy was performed on the nasal tip, if indicated. All of the nasal tip surgeries were performed with an open approach without transcolumellar incision. This approach has been previously described, is highly simple, and it eliminates the principal disadvantage of a transcolumellar scar that arises from the open approach technique. Although the scar is hardly noticeable in Caucasian patients, in non-Caucasians it could constitute an important undesirable effect. This approach permits us to manage the cartilages using sutures in many diverse types and variations in a more complete form, similar to which one could achieve using the classical open approach technique. The results are highly satisfactory and result in a definition and rotation of the nasal tip which would be difficult using the closed technique. Therefore, this study represents another alternative surgical technique in the surgical management of the nasal tip.

Adult↗

PubMedDate not supplied

Liposuction in benign symmetric lipomatosis: sense or senseless?

Benign symmetric lipomatosis is a rare form of typical fat distribution in the shoulders, the arms, and the neck that can compromise the respiratory, nutritional, and psychological status of the patient. Alcoholism, malignant tumors of the upper airways, endocrine tumors, hypothyroidism, diabetes, and hypertriglyceridemia are often associated with its occurrence. Surgical removal via lipectomy or liposuction can give good cosmetic results, although recurrences often occur. Liposuction has become the first choice to treat this disorder in patients with smaller masses. We have operated on four such cases in which liposuction failed and surgical excision had to be performed. We present a summary of the clinical characteristics of all four patients and discuss the different treatment options.

Adult↗

PubMed2004

Low-volume tumescent liposuction does not change plasma malondialdehyde levels: a preliminary study.

To evaluate the effects of low-volume tumescent liposuction on plasma malondialdehyde (MDA) levels, a controlled clinical study was conducted. Venous blood samples were taken just before and 10 min after the completion of tumescent suction-lipectomy for 15 patients. The means +/- standard deviations for patients' data were as follows: of patients' age (29.81 +/- 13.2 years) aspirate volume (1,250 +/- 450 ml), and body mass index (24.5 +/- 1.2). There was no significant difference between the preoperative and postoperative plasma malondialdehyde levels (p > 0.05). The results show no evidence of increased lipoperoxidation in the systemic circulation during low-volume tumescent liposuction.

Adult↗

PubMedDate not supplied

Autoprosthesis buttock augmentation during lower body lift.

With the increasing popularity of bariatric surgery, patients with multiple body contour deformities have become more common in plastic surgery practice. Most of the deformities involving the abdomen, thighs, and buttocks can be effectively corrected with belt lipectomy and lower body lift. A common problem with this procedure is postoperative loss of gluteal projection and resulting flattened buttock contour, which is directly proportional to the extent of lower body lift achieved. The use of local myocutaneous flaps to provide coverage for the lumbosacral defects is a common plastic surgery procedure. The authors have used these techniques to create an autologous buttock implant for additional projection during a lower body lift. A local myocutaneous flap originating within the regularly excised supragluteal tissue is rotated caudally to function as an autologous buttock implant. This flap has reliable circulation, can be custom designed for each patient, requires minimal additional operating time, and allows the creation of more than one flap if necessary. This article describes the results of this procedure used for 20 consecutive women. There were no major complications, and the most common minor complications included delayed wound healing and local hardness in the area, suggesting fat necrosis, which resolved without intervention in a few months. High patient satisfaction combined with a low complication rate suggests that this reliable, versatile technique nicely complements the lower body lift procedure.

Abdomen↗

PubMedDate not supplied

Abdominoplasty with total abdominal liposuction for patients with massive weight loss.

BACKGROUND: Massive weight loss after bariatric surgery is associated with significant skin excess, laxity, and ptosis over the abdomen. Good results have been achieved with abdominoplasty and circumferential lipectomy. However, blood transfusions are sometimes needed, and patients may require long hospital stays. Furthermore, morbidity rates are high. Total abdominal liposuction performed with abdominoplasty allows for the preservation of lymphatic vessels below Scarpa's fascia and eliminates the need for upper flap undermining. This study aimed to evaluate this technique in patients with anterior abdominal redundancy attributable to massive weight loss after bariatric surgery. METHODS: The charts of 60 patients treated between December 2001 and October 2004 were retrospectively reviewed. All the patients had undergone previous bariatric surgery as well as subsequent total abdominal liposuction and abdominoplasty. RESULTS: The average amount of wetting solution used was 3.1 l, and the average total aspirate was 2.5 l. The mean pannus weight was 3,649 g, and the average dimension was 48 x 25 x 6 cm. No patient required a blood transfusion. The median in-hospital stay was 1 day, with 42% of the patients treated as outpatients. The median follow-up period was 3 months. Morbidity was 22%. Factors associated with the development of complications were weight of the pannus, transverse dimension of the pannus, and body mass index. All the patients were satisfied with the results. CONCLUSIONS: Total abdominal liposuction followed by abdominoplasty is adequate treatment for anterior abdominal redundancy for patients with massive weight loss.

Abdominal Wall↗

PubMedDate not supplied

The "lazy S-shaped" plication of the SMAS-platysma musculoaponeurotic system: a 10-year review.

Morphological changes that appear with the aging process are expressed by loss of the youthful face and neck contours. A "lazy S-shaped" plication involving the superficial musculoaponeurotic system (SMAS)-Platysma has been performed to recover the face and neck contour. On the neck, the posterior segment of the lateral portion of the muscle was stretched upward and backward to the mastoid. On the face, plication was done laterally and superiorly to the corner of the mouth toward the zygomatic arch. The anterior platysmal bands were approached in the midline to reinforce the muscle sling of the neck. Extensive skin dissection with suction lipectomy under direct visualization of the submental and cervical fat were associated. Photographs were taken preoperatively, 1 year, and 10 years after the surgery. Face and neck contour at 10 years was compared with that at 1 year after the surgery and with the patient look before the surgery. Improvement of the face and neck contour was achieved in all patients at 1 year postoperatively. At 10 years after the surgery the face and neck contour was equal or eventually better than before the surgery.

Esthetics↗

PubMedDate not supplied

Ultrasound assisted liposuction for the palliative treatment of Madelung's disease: a case report.

Benign Symmetric Lipomatosis (Madelung's disease) is a rare disease, characterized by massive fatty deposits in the neck, the shoulders, and the upper extremities. The deformity is associated with chronic alcohol use, malignant tumors of the upper airways, neuropathy, diabetes mellitus, hyperlipidemia, and other metabolic disorders. Although the deformity is prone to recurrence, surgical removal via lipectomy or liposuction provides the only way of palliation. This paper describes the treatment of a 51-year-old man with a history of alcoholism and liver cirrhosis. He reported masses in his cervical and facial regions that had gradually enlarged over a period of 6 years. He also developed respiratory symptoms due to the fatty compression of his upper airways. Our experience with ultrasound-assisted liposuction for the palliative treatment of this disease is reported.

Humans↗

PubMedDate not supplied

Postliposuction histologic alterations of adipose tissue.

The author studied seven patients who received suction assisted lipectomy prior to classic abdominal dermolipectomies. The liposuction sessions were performed 180, 150, 60, 30, 15, 12, 8, and 5 days before the abdominoplasties. Histologic studies disclosed extensive amounts of dead adipocytes and free fat within the aspirated area. The pockets left behind were filled with serum hemorrhagic material and evolved to the healing process. Collagen synthesis was increased initially then followed by gradual decrease and a remodeling process. Our findings suggest that liposuction techniques preserve some vessels and nerves, but the final resolution may take several months or years, depending on the amount of tissue damage.

Abdominal Muscles↗

PubMedDate not supplied

Neck rhytidectomy: aesthetic treatment variations.

The aesthetic treatment of the cervical region had its real importance in neck rhytidectomy, after the publications of, among others, Padgett, Cardoso de Castro, Millard, Illouz. The author makes an analysis of various cervical pathologies, their treatment with lipoaspiration, lipectomy, and the connection of the platysma muscle (isolated and in conjunction). Pre- and postoperative aspects of cases of diverse neck deformities, and surgical procedures are discussed. Surgeries were done under sedation or local anesthesia as the case dictated. The importance of case-specific treatment for each patient is discussed. The author demonstrated one complication in a patient who underwent neck rhytidectomy before the therapeutic possibilities of today were developed.

Adult↗

PubMed1997

Creation of a neoabdominal wall to facilitate emergency placement of a terminal ileostomy in a morbidly obese patient.

Morbid obesity of the abdominal area creates difficulty with creation of a Brooke ileostomy because of thickened, foreshortened mesentery of the terminal ileum, limitation to mobilization, and thickness of the abdominal wall through which the terminal ileum must be placed in the stoma, causing undue tension on the vasculature with a higher frequency of retraction and necrosis. Such a problem may be ameliorated by performing a subcutaneous lipectomy about the stoma and creating a thinned neoabdominal wall to facilitate the creation of a temporary Brooke stoma. Despite initial difficulty with stoma appliances, this operative technique in selected obese patients outweighs the limited complications that may be encountered.

Abdominal Muscles↗