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Surgical Treatments of Obesity
Published in Ruth Chambers, Paula Stather, Tackling Obesity and Overweight Matters in Health and Social Care, 2022
Liposuction (liposculpture) is a cosmetic procedure involving the suction of fatty material from under the skin by way of a trochar. Liposuction usually results in the removal of approximately three litres of fat but has sometimes involved the loss of up to 10–12 litres in extreme cases. It does not normally result in the loss of sufficient fat to be considered in this category and has been excluded.
Liposuction: Can it be applied to management of lipedema?
Published in Byung-Boong Lee, Peter Gloviczki, Francine Blei, Jovan N. Markovic, Vascular Malformations, 2019
Robert J. Damstra, Tobias Bertsch
Liposuction is a generally accepted procedure to remove fat from the body. As lipedema is a fat disorder, the technique can be suitable to remove fat in these patients. The question remains: is liposuction the treatment of choice for lipedema? In 2018, the German Federal Joint Committee (G-BA) concluded that in general, “the proof of the effectiveness of liposuction in lipedema was not indisputable.”23
Cosmetic dermatology
Published in Ronald Marks, Richard Motley, Common Skin Diseases, 2019
Liposuction is the most popular treatment for the body – it is used to reduce localized excessive fat deposits – particularly on the lateral thighs, buttocks, inner knees, upper arms and abdomen. When undertaken with local tumescent anaesthesia (without sedation or general anaesthesia) it is an extremely safe procedure. Unfortunately some surgeons undertake liposuction with minimal or no tumescence and with deep sedation or general anaesthesia, and under such circumstances serious injuries and deaths have occurred.
Liposuction for large facial involuted infantile hemangiomas in children: clinical evaluation and management strategies
Published in Journal of Dermatological Treatment, 2021
Wei Gao, Yajing Qiu, Yunbo Jin, Xiaoxi Lin
Infantile hemangioma (IH) is one of the most common benign tumor seen in infancy. What distinguishes IH from other benign tumors is their special proliferating and involution phases. Although administration of oral beta blockers has greatly improved the outcome, the residual deformities after involution, such as redundant, atrophied, wrinkled, or discolored skin with or without a variable amount of fibrofatty residue underneath, still plague surgeons (1). In our clinical experiences, common surgical techniques for the treatment of these sequelae are aggressive and leave scars. Liposuction is a less invasive procedure and commonly used in esthetic surgery of the body and facial outline. Some case reports (2,3) have also confirmed its feasibility for large involuted IH. However, the patient outcome is uneven. Therefore, we conducted a study to explore the affecting causes of the uneven outcome and provide a comprehensive overview of clinical evaluation and management strategies.
Replacement of gluteal implants by polymethyl methacrylate filler: case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2019
Roberto Chacur, Honório Sampaio Menezes, Nívea Maria Bordin da Silva Chacur, Danuza Dias Alves, Rodrigo Cadore Mafaldo, Leandro Dias Gomes, Gina Matzenbacher, Renata Bataiolli
Cárdenas-Camarena et al. studied 62 females, and 4 males who underwent gluteoplasties in 14 years. Liposuction and lipoinjection were combined. In all cases, liposuction was also performed in other areas [17]. The infiltrated fat varied from 120 to 280 mL per glutaeus muscle, with a mean of 210 mL Follow-up ranged from 3 months to 3 years and 5 months, with an average of 17 months. Four seromas, six visible irregularities, and two palpable irregularities were seen among the cases. The complications of lipoinjection occurred in 16 glutaeus muscles (12%); all presented temporary hyperaemia and erythema, which was treated with conservative treatments, except in one case that was related to fat necrosis. A probable case of fat embolism syndrome evolved satisfactorily.
Autologous adipose stem cell therapy for knee osteoarthritis: where are we now?
Published in The Physician and Sportsmedicine, 2020
Alessio Biazzo, Riccardo D’Ambrosi, Francesco Masia, Vincenzo Izzo, Francesco Verde
The complication rate of the liposuction procedure is very low, about 0.1% according to a national survey of 112.756 reported patient procedures [34]. Regarding the complication rate and incidence of adverse events after treatment with stem cells (including SVF, bone marrow, and cultured ADSCs), a multicenter analysis performed among 2372 patients undergoing autologous stem cell therapy for different orthopedic conditions revealed that these procedures are safe [35]: the incidence of AEs was of 12.1% (the majority were pain and knee swelling), the incidence of serious AEs was 1.5% (neoplasm, neurologic, and vascular events), the incidence of neoplasm was 0.3% in contrast, the annual incidence of cancer in United States population in 2011 was 0.44% [36].