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At least 577 records · Page 32Linked to original sources
PubMed1990

Circumferential liposuction of calves and ankles.

Calf and ankle liposuction was performed on 110 patients for a total of 166 cases. Only 84% of these patients were satisfied with the results compared with 98% of those who underwent liposuction in other parts of the body. The author presents statistics and explains the criteria used to select patients for treatment. Selection is partly based on the preoperative thickness of subcutaneous fat. He also outlines the minimum amount of fat that should be reserved to avoid postoperative skin irregularity. The difficulties encountered during liposuction that are caused by the anatomical characteristics of the calves and ankles are discussed, and suggestions for solving such problems are presented. The author also describes special instruments he designed.

Consumer Behavior↗
PubMed1991

Obesity can be treated by suction lipoplasty when combined with other procedures.

The development of serial suction lipoplasty enables us to remove substantial amounts of subcutaneous fat safely and dependably on an outpatient basis, and free our patients of the worry of exogenous blood transfusion. Many practitioners and researchers do not advocate suction for the treatment of obesity, but rather regard it as a means of treating localized small deposits of fat or "figure faults." The reason for their caution is that the amounts of fat to be removed from the obese patient would require extensive hospitalization, transfusion, and increased risk of complications. Liposuction, when performed as a series, can make the treatment of obesity as safe as the treatment of smaller figure faults. We now use serial suction as an adjunct to other surgical and dietary methods for the control of obesity.

Adult↗
PubMed1991

Treatment of the particularly fatty neck and the short-interval secondary facelift.

In patients with normal body weight but with large accumulations of submental and cervical fat, good results can be obtained by an extensive subcutaneous dissection, carefully sculpted removal of the excess fat, and relatively limited work on the platysema. For some patients there may be an indication for a secondary facelift involving skin dissection alone within a relatively short interval.

Adipose Tissue↗
PubMed1991

Comparison of the syringe and pump aspiration methods of lipoplasty.

In our study of six patients who underwent fat aspiration with a syringe on one side and with a pump on the other, there was notably less blood in the fat aspirate from the syringe and less bruising and morbidity in the postoperative period. The only variable in the study for each patient was the method of aspiration.

Buttocks↗
PubMed1991

Liposuction: more curettage than aspiration.

After infiltration with epinephrine solution in each adipose area, an 8- or 10-mm cannula, without the suction tube connected, was introduced. With a curettage maneuver and by directing the cannula upward, the fat began to come out spontaneously. After obtaining a considerable amount of fat, the suction tube was connected and the remaining fat tissue aspirated at low suction power (250 mm Hg). With this curettage maneuver adiposity of the abdomen, knees, and trochanteric areas can be reduced. However, in the back, buttocks, or thighs, where adiposity is more fibrous, aspiration is needed from the start in almost every case, but always at low-power suction. This procedure is indicated in particular for the face and neck and for secondary liposuction. The fact that fat comes out easily through the cannula (without suction) demonstrates that the curettage maneuver is more important than the aspiration. Only with curettage can a considerable amount of fat be removed. No fat is removed when aspiration of 1 atm without a curettage maneuver is used. Suction only helps to remove fat already mobilized and free in the cannula. Our experience includes 34 patients.

Abdomen↗
PubMed1991

Central (third) fat pad of the upper eyelid.

A clinical study on the surgical anatomy of the upper-eyelid fat pads was performed on 55 consecutive patients who underwent a blepharoplasty. It was confirmed that the periorbital fat is encapsulated in compartments and that the number of fat pads varies. In 56% of the cases there were two fat pads and in the 44% three fat pads in the upper eyelid. The third fat pad is anatomically and histologically an accessory medial extension of the lateral fat pad. However, for the sake of clarity, the term central fat pad of the upper eyelid is proposed as a denominator of this structure. The purpose of this article is to make the less experienced surgeons aware of variations in the configuration of the periorbital fat and to remind them that after two fat pads are removed from the upper eyelid there might still be a third.

Adipose Tissue↗
PubMed1991

Syringe liposculpture: a two-year experience.

Syringe liposculpture is a method that combines two relatively new techniques of plastic surgery: syringe liposuction and fat grafting. We can reshape the face and the body by removing localized fat deposits and reinjecting this fat where needed. When we do not reinject, we call the technique reduction liposculpture. In 1989 we introduced a new technique--superficial syringe liposculpture--to treat patients with flaccid skin, superficial irregularities or depressions, "cellulite," and liposuction sequelae. The technique combines syringe liposculpture, superficial liposuction, and our method of treating skin irregularities by breaking the fibrous adherences and injecting fat superficially.

Adipose Tissue↗
PubMed1993

Liposuction-assisted revision and recontouring of free microvascular tissue transfers.

Liposuction has become a widely accepted and utilized technique that allows the aesthetic surgeon to improve regional definition and contour. Although the techniques of liposuction have now been extended to a variety of noncosmetic procedures as well, the application of this technique in the area of reconstructive surgery has lagged. To ascertain the applicability and effectiveness of liposuction for the revision of free microvascular tissue transfers we undertook a retrospective analysis of our free flap reconstruction cases that were revised and recontoured using liposuction. From this review of 12 cases we found liposuction to be a safe and effective technique for the delayed revision of free flap reconstructions of the head and neck region and lower extremity.

Adult↗
PubMed1993

Local anesthesia for abdominoplasty, liposuction, and combined operations.

This article describes a procedure to perform abdominoplasty, liposuction, and combined operations under local anesthesia. With an anesthetic solution composed of 25 cc of 2% lidocaine, 25 cc of 0.5% bupivacaine, 1 cc of epinephrine or ornipresine, and 350 cc of saline solution, a satisfactory dilution with low concentration and lasting effects was obtained. After infiltration a large amount was lost in the incision, the dissection, and the resected dermofatty tissue. A small amount of anesthetic remained in the operated area to be metabolized by the liver. Low lidocaine levels were found in venous blood samples during surgery. This type of anesthesia is advised in minor, limited, and normal abdominoplasties in normal-sized patients, or major abdominoplasties in small patients. In liposuction procedures, it is possible to anesthetize the patient using the same procedure and operate in an equivalent area. As a high proportion of the infiltrated anesthesia was lost during the operation, a similar amount could be used to infiltrate and operate other areas so that an abdominoplasty might be combined with liposuction or mastoplasty. We have experience with 25 abdominoplasties and 21 liposuctions performed under local anesthesia. There were no complications related to local anesthesia and no one had unpleasant memories of intraoperative events.

Abdominal Muscles↗
PubMedDate not supplied

Superficial liposuction.

Over a period of 12 years, the authors have seen that skin retracts after the judicious treatment of deep and superficial layers of fat tissue, laying to rest what has been one of the biggest fears of this treatment of lipoaspiration, namely cutaneous flaccidity. The adequate and judicious approach to these two layers, along with the increasing use and help of lipo-injection, permits the lessening of irregularities such as undulations and/or depressions.

Abdomen↗
PubMedDate not supplied

Partial subfascial abdominoplasty.

An efficient liposuction is one performed behind and above the abdominal superficial fascia. It is followed first by a dissection at the deep side of this fascia, and then after a change of plane, at the supra-umbilical level to reach the pre-muscular fascia plane. Dissection is then adjusted according to the amount of excess skin. As the amount of tissue that needs to be vascularized by the subdermal arterial network is reduced, and as no major lymphatic trunk is cut, the partial subfascial abdominoplasty respects the anatomy of the region better. In our experience (65 cases since March 1989) this quick and reliable technique totally avoids the most frequent risk of abdominoplasty: seroma.

Abdomen↗
PubMedDate not supplied

Study of aspirated adipose tissue.

The author studied the components of aspirated adipose tissue. The several phases of this material were dissociated through decantation and centrifugation. The components were studied "in vitro" by fresh observation with loupes and microscopes. Histologic preparations were also used in this study. The results disclosed a heterogeneous material composed of free fat, blood components, fragments of adipose tissue of different shapes and sizes, collagen septa, vessels and nerves, clots, ruptured cells, and macromolecules of proteases, hemoglobin, and inflammatory proteins. These findings were present in the fat aspirated both with liposuction devices and with syringes.

Adipose Tissue↗
PubMedDate not supplied

Fat grafting of the buttocks and lower limbs.

This article presents the senior author's experience in fat grafting for the treatment of contour deformities of the buttocks and lower limbs. This method has been termed liposculpture and consists in removal of adipose tissue by cannula and syringe and cleaning of the aspirated material with saline. All external contact is thus carefully avoided, preventing contamination. Fat grafting is done in multiple tunnels in a deep plane. Total of 140 patients were treated over the last 5 years and results were considered uniformly satisfactory. Fat absorption was estimated by clinical evaluation to be less than 20% volume. A low rate of complications (less than 3%) supports the authors' opinion that this is an efficient and safe procedure to correct or enhance contour deformities of the lower limbs.

Adipose Tissue↗
PubMedDate not supplied

Thick skin and cosmetic surgery of the nasal tip: how to avoid the cutaneous polly beak.

Although thick skin is generally considered a disadvantage in cosmetic surgery of the nasal tip, responsible for the supra tip deformity known as "polly beak" and other aesthetic defects, there are surgical guidelines that can greatly reduce the occurrence of these problems, the most interesting of which is grafting. On the contrary, thick skin could even be considered an advantage, if it masks amputated cartilaginous margins following any dome-sectioning technique.

Adipose Tissue↗