Suction assisted lipectomy of the face and neck.
A method of suction assisted lipectomy of the face and neck is presented as a preferable alternative to sharp, direct excision of such fat. Complications and results are discussed.
Adipose Tissue↗
SEARCH · PubMed Health
Results for “Lipectomy”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Buccal lipectomy.
An operation to correct "chubby" cheeks is described. The technique is simple and safe and gives predictable results. The buccal lipectomy may be performed by itself or as an adjunct to other facial cosmetic surgery. No permanent complications were experienced in 9 patients over a three and a half-year period.
Adipose Tissue↗
A new device for suction-assisted lipectomy: a flexible cannula.
A new type of cannula, "Flex," has been designed for suction-assisted lipectomy. It is flexible, permitting easy access to areas distant from the skin incision. Flex is best characterized by one word: Bend.
Adipose Tissue↗
Use of dermal-fat flaps in treating abdominal scars, in abdominoplasty, and in subtrochanteric lipectomy.
Triangular dermal-fat flaps can be used in the excision of adherent vertical scars in the lower abdomen to prevent a recurrence of the depressed adhesion. Also, several such flaps can be used on the upper margin of an abdominoplasty, and one on the lower edge (above the pubis), to equalize the thickness and the lengths of the two edges. This results in a better final appearance. Finally, the use of a single triangular dermal-fat flap on the lower margin when doing a lipectomy for "subtrochanterric lipodystrophy" (or a "plastic on buttock") gives the buttock a more normal shape--round in the medial two-thirds and almost flat in the lateral one-third.
Abdomen↗
Contouring the neck in rhytidectomy by lipectomy and a muscle sling.
Accurate diagnosis of the cause of the objectionable contour problems is necessary for the execution of appropriate and adequate surgical technique for correction. For improving neck contour, I use an adequate lipectomy combined with deep support provided by a sling made from full-width platysma muscle flaps.
Adipose Tissue↗
Pulmonary complications following abdominal lipectomy.
Previous reports underestimate the morbidity of a lipectomy, having focused on mortality statistics. Alterations of respiratory kinetics leading to complications do not always correlate with the usual signs and symptoms of respiratory failure. Patients at increased risk, namely, those with obesity, a smoking history, or lung disease, deserve special attention, including appropriate pulmonary function studies in the preoperative and postoperative phase. The following studies are indicated in the preoperative assessment of the high-risk patient: (1) vital capacity, (2) arterial blood gases, and (3) chest radiograph.
Abdomen↗
Face and neck suction-assisted lipectomy associated with rhytidectomy.
A technique is described in which suction-assisted lipectomy is used for excessive fat removal in association with the standard rhytidectomy. It is safe, reliable, and can be performed through a small horizontal submental incision. A more natural appearing neck is produced by adjusting the amount of fat removed. Areas previously considered dangerous for excision because of possible damage to branches of the facial nerves, such as the cheek areas, jowls, parotid, and nasolabial folds, can now be approached.
Adipose Tissue↗
A new device to avoid unfavorable results in suction lipectomy.
A cannula system with guard wheel attachment and special wrench has been developed and used for suction lipectomy. The devices facilitate the procedure, and results are more consistent and dependable.
Adipose Tissue↗
Skin sensation after suction lipectomy: a prospective study of 50 consecutive patients.
Using a reproducible pain stimulus, skin sensation was evaluated in a prospective study of 50 consecutive patients who underwent suction lipectomy. A total of 294 anatomic areas were evaluated and treated. Before operation, many patients were found to have patchy areas of decreased sensation, a condition that was unknown to them. Initially after surgery, all patients had decreased sensation in the treated areas. However, sensation usually returned to normal in 6 to 8 months. In some patients, sensory return to preoperative levels took as long as 1 year, and in a few, patchy areas of decreased sensation were present even longer. In general, the larger the treated area, the larger are the area and degree of sensory loss and the slower is the return of sensation.
Adipose Tissue↗
Acute renal failure in association with cosmetic suction lipectomy.
A case of severe non-oliguric acute renal failure following cosmetic suction lipectomy in a 33 year old woman is described. The renal failure, although requiring emergency treatment, resolved spontaneously with only negligible residual impairment of renal function. An aetiology involving rhabdomyolysis and myoglobinuria is proposed and other mechanisms are discussed.
Acute Kidney Injury↗
Adipose tissue regeneration in 6-month-old and adult rabbits following lipectomy.
The effects of surgical ablation of adipose tissue were studied in male New Zealand rabbits. They were lipectomized or sham-operated either at 6 or 12 months, ages at which size and number of adipocytes are, respectively, stabilized in this species. The lipectomized animals were subjected to removal of about 80% of the perirenal and omental and to the totality of the dorsoscapular and inguinal fat tissues. Approximately 35 and 48% of the total body fat were, thus, surgically removed, respectively, in 6- and 12-month-old rabbits. All rabbits were killed 3 months after surgery and were carefully dissected. There was no significant difference in food consumption and body weight gain between lipectomized and sham-operated rabbits. Surgical removal of dorsoscapular, inguinal, and omental fat did not lead to regeneration whereas regeneration of the perirenal fat was substantial. At sacrifice the perirenal weight reached approximately 55% of the initial weight. Regeneration of perirenal adipose tissue in adults proceeded at roughly the same rate as after lipectomy in younger rabbits. These results suggest that adipose tissue regeneration in the rabbit is site dependent.
Adipose Tissue↗
The anatomic rationale for abdominal lipectomy.
Changes occur in the vascular and lymphatic flow and in the sensory pattern of the superficial abdominal wall during abdominal lipectomy. The development of these systems, their anatomic descriptions in the abdominal wall, and the changes created by the surgery are documented to explain tissue survival following the procedure.
Abdominal Muscles↗
[Selective lipectomy and lipolysis after Illouz].
A technique of lipectomy for moderate degree of fatty deposition was described in 1976 by Fischer. Modifications of the technique have been popularized by Kesselring and Meyer (1978), and by Illouz in 1978. The technique can be either dry--direct suction--or wet--suction after local injection of hypotonic solution. The aspiration is carried out by preserving 1 or 2 cm of subcutaneous fat. Tunnels are created at different levels and the incision is placed at a distance from the mass to be removed. The technique can be used to treat unsightly fat deposits in many sites of the body, including the thighs, buttocks, abdomen, hips, arms, ankles, breasts, and submental regions. The results are based on a series of 2000 patients operated on, mostly in Paris since 1977. The results are good, longlasting, and the complications rare if the operation is performed by well trained plastic surgeons.
Adipose Tissue↗
[Aspiration lipectomy, late results, unsatisfactory results and their correction].
When new techniques become available and subsequently are adopted by a large number of surgeons, improvements occur and an average complication rate becomes apparent. It is the analysis of the unfavourable results and the complications that stimulates improvement. After nine years of experience in suction lipectomy this technique has become in our hands a very safe procedure. If the empiric laws of surgery are observed, complications are extremely rare. Good indication and choice of the right patient are the key to success and it is important to realize that the amount of volume reduction is dictated by the limited retractile elasticity of the skin.
Adipose Tissue↗
The risks of suction lipectomy. Their prevention and treatment.
All surgical procedures are associated with risks. They may be divided into undesired sequelae, which are normal and expected, and complications, which are not normal or expected. The undesired sequelae of suction lipectomy are contour irregularities, hypesthesia, edema, ecchymosis, and pigmentary deposits. The potential complications are blood loss, hematoma, seroma, infection, greater saphenous vein thrombosis, fat emboli, and skin slough. These are discussed in detail.
Adipose Tissue↗
Japanese suction-assisted lipectomy.
The author discusses implementation of suction-assisted lipectomy in Japan and describes his experience in coping with the complications of this procedure over the past four years. Included are patient selection, preoperative testing, operative procedure, as well as complications.
Abdomen↗
Suction lipectomy: a retrospective analysis of 100 patients.
Suction lipectomy has been used to treat localized collections of fat in 100 patients. Best results were obtained in patients with good skin tone and near normal weight. Good candidates achieved good results; however, lesser candidates also achieved improvement. The technical details have been reviewed, and particular note has been taken of the difficulty of assessing contour during the operation. This is suggested to be the cause of the most frequent undesired sequelae, postoperative contour irregularities.
Adipose Tissue↗
[Aspiration lipectomy, a status determination].
The method of suction lipectomy, which was introduced by us in 1976, has proved to be successful as an alternative and supplementary form of therapy in cases of therapy-resistant localised fat deposits. Critical selection of suitable patients and a meticulous surgical technique are essential for this procedure, whilst the shape of the suction tube is of secondary importance. Opinions vary as to whether it is better to perform a continuous or layered fat resection or to use a "tunnelling" procedure. For the reasons already mentioned we prefer to use the procedure of layered fat resection; developments in the future will establish whether different indications exist for both these techniques. We will also be in a position to judge the efficacity of the fibrinogen adhesives which we have been using in certain selected cases for the past two years.
Adipose Tissue↗