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At least 757 records · Page 42Linked to original sources
PubMed2004

Painful fat syndrome in a male patient.

Painful fat syndrome or lipoedema is a distinct clinical condition, characterised by bilateral and symmetrical enlargement of the upper and lower leg with tenderness, but excluding the feet. Lipoedema occurs almost exclusively in females, and no male patient has been reported in the literature published in English. We report on an extremely rare presentation of lipoedema in a male patient. A thorough study based on the case history, physical manifestations, and magnetic resonance imaging (MRI) provided valuable clues for a differential diagnosis. Conservative treatment using weight reduction, compression-stocking application, and diuretic therapy was not effective. Tumescent liposuction with postoperative pressure garments provided a satisfactory treatment.

Adiposis Dolorosa↗
PubMed2005

Pseudocyst formation after abdominal liposuction-extravasations of Morel-Lavallée on MR images.

A swelling of the abdominal wall in a 27-year-old woman after undergoing liposuction is described. Pseudocyst of Morel-Lavallée was located within the abdominal fascia and removed by surgery. MRI showed a non-homogenous mass with hyper intense fluid level and septations in T2-weighted images. We speculated that MRI can be used to guide the treatment (conservative or surgical). The literature concerning liposuction is reviewed.

Abdominal Muscles↗
PubMed2006

Complications of 278 consecutive abdominoplasties.

The case notes of 278 consecutive patients who underwent abdominoplasty, during a five-year period, in one institution under the care of four surgeons were reviewed. Patient details, early and late complications and revision procedures were noted. Seventy-five percent of patients had a 'full' abdominoplasty with undermining to costal cartilage and repositioning of the umbilicus and 23% had 'mini abdominoplasties', 2% were revision operations. Eighteen percent of patients suffered from early complications the most common of which were seroma (5%), haematoma (3%), infection (3%), skin or fat necrosis (2.5%) and delayed healing (2%). Twenty-five percent of patients had late complications which were often relatively minor. These included 'dog ears' (12%), localised fatty excess (10%) and unsatisfactory scars (8%). Twenty-four percent of patients underwent revision surgery. Most commonly further liposuction (12%), dog ear revision (10%) and scar revision (5%). Analysis failed to reveal significant risk factors. Despite an apparently high complication and revision rate the subjective impression is of a satisfied patient cohort.

Abdomen↗
PubMed2006

Free DIEAP and SGAP flap breast reconstruction after abdominal/gluteal liposuction.

Perforator flaps are widely used in our unit for breast reconstruction. They provide ample tissue with minimal donor site morbidity together with long lasting aesthetic results. Increasing number of patients may have liposuction procedure which may jeopardise areas such as the abdomen and the buttock which are the donor sites for perforator-free flaps in breast reconstruction. Therefore, liposuction has been considered as a relative contraindication of raising perforator flaps. Six patients who had previous liposuction of the donor sites underwent autologous breast reconstruction with perforator-free flaps. Colour Duplex imaging was obtained in all cases preoperatively in order to evaluate the blood supply to the flap and to map the perforators. There were five deep inferior epigastric artery flaps (DIEP) and one superior gluteal artery perforator (SGAP) flap used. Total flap survival was obtained in all cases. Postoperative course was uneventful. Our results showed that raising perforator flaps after liposuction of the donor sites is possible. Preoperative radiological evaluation of the perforators is mandatory for such difficult cases.

Abdominal Wall↗
PubMed2005

Human adipose tissue as a source of Flk-1+ cells: new method of differentiation and expansion.

OBJECTIVE: The low number of postnatal endothelial progenitor cells (EPC) in the circulation limits their therapeutic application in cardiovascular medicine. Processed lipoaspirate (PLA) cells differentiate into osteoid, adipose, muscle, and cartilaginous cells. This study examines the potential of PLA cells as a source of EPCs. METHODS: PLA cells obtained from human lipoaspirates were cultured for 1 week in serum-depleted medium to form three-dimensional cell clusters (3DCC). The phenotype of 3DCC-derived cells was assessed by immunofluorescence staining and FACS analysis. RESULTS: Flow cytometry showed that 45+/-5% of cells derived from the 3DCC expressed Flk-1, a marker of early EPC, whilst only 4+/-0.5% of freshly isolated PLA were Flk-1+. The proportion of Flk-1+ cells increased to 98+/-2% during culture in hematopoietic stem cell medium. When cultured in an endothelial cell (EC)-specific medium, Flk-1+ cells also expressed Ve-cadherin, von Willebrand's factor (vW), and a lectin receptor, and took up low-density lipoprotein. Incorporation into an endothelial cell tubular network confirmed their functional activity. CONCLUSION: This report describes the first isolation and culture of Flk-1+ cells from human adipose tissue. The feasibility of the extraction and culture of these cells in increased numbers suggests that such autologous cells will be useful for applications ranging from basic research to cell-based therapies.

Adipocytes↗
PubMed2004

Perioperative management of the post-gastric-bypass patient presenting for body contour surgery.

Bariatric surgery has evolved as an effective and relatively safe treatment for morbid obesity. With nearly every region of the body as a potential operative site and an unprecedented number of surgical procedures available, we must give attention to thoughtful perioperative management. Bariatric surgery is a life-changing event for the morbidly obese patient, and the body contouring that follows weight loss often has an equally profound effect. Plastic surgeons must strive to maintain the highest level of safety in this pursuit. The authors address issues surrounding preoperative evaluation and measures to minimize the risk of complications.

Comorbidity↗
PubMed2006

Complications of body sculpture: prevention and treatment.

In many countries, lipoplasty is the most frequently performed aesthetic procedure. It has been promoted as a safe, easy-to-learn, outpatient procedure. Although plastic surgeons have developed safety measures to perform the technique, there are serious risks, including death at a rate of 1/5000 procedures. Life-threatening complications include pulmonary embolism, hemorrhage, perforation, infection, lidocaine toxicity, epinephrine toxicity, third space fluid shifts, and fat embolism syndrome. Aesthetic complications include undercorrection (insufficient fat removal), overcorrection (excess fat removal), irregular fat removal with palpable and visible irregularities, edema, hematoma, seroma, local infection, cutaneous slough, hyperpigmentation, vasculopathies, and permanent color changes in the skin. In this article we present methods to prevent and, when possible, treat these complications.

Anesthetics, Local↗
PubMed2006

Liposuction anesthesia techniques.

This article discusses intravenous sedation, the authors' anesthesia of choice when performing most esthetic body contour refinement procedures. This technique is comfortable, safe, contemporary, and beneficial to the patient and medical crew. The preanesthesia evaluation is emphasized as a safety and high-quality action to any anesthesia procedure. Alternative anesthesia techniques are also discussed, including their possible advantages, disadvantages, indications, and counterindications.

Analgesia↗
PubMed2006

Sequential (serial) suction.

As the popularity of liposuction continues to increase, so have the variety of methods available to perform the procedure. One factor that remains the same regardless of how liposuction is performed is that there will always be a limit to how much fat can be removed in a single sitting. When amounts to be removed exceed safe quantities, serial suction offers a safe and effective approach to achieve the desired result.

Adult↗
PubMed2006

Subdermal liposuction: long-term experience.

This article discusses the technique of subdermal liposuction treating superficial subdermal fat. Advantages include the treatment of small adiposities, removal to favor skin accommodation, improvement of the cullulitic aspect of skin, and more progressive suction with better control of the evolution of the procedure.

Dermatologic Surgical Procedures↗
PubMed2006

Power-assisted liposuction.

This article describes vibroliposuction, a mechanical technique using compressed air to perform liposculpture.

Adult↗
PubMed2006

Liposuction and VASER.

VASER is a fat pretreatment device based on the emission of pulsed or continuous ultrasound energy to emulsify fat before its aspiration by means of suction-assisted lipoplasty or power-assisted lipoplasty. If compared with previous generation UAL machines, it carries important technologic advances that focus on the safety and efficiency of the process. VASER is the result of improvements in surgical instrumentation and technique, proper use of wetting solutions, and knowledge about the best use of ultrasound for fat fragmentation. With its thinner cannulas and decreased use of ultrasonic energy, it allows greater emulsification of fat, creates more tunnels, diminishes the operative time, preserves vessels and nerves, and causes less pain and hematomas.

Catheterization↗
PubMed2006

Liposuction and tumescent surgery.

When guidelines for tumescent surgery are followed, treatment of patients with a broad range of concerns can be extremely effective. Whether its use is as a primary technique as in liposuction, or as an adjunct to another procedure such as reduction mammoplasty, the effects of reduced blood loss, pain control, and fluid management make it a powerful tool for the surgeon. Constant awareness of volumes infiltrated and aspirated, as well as the patient's clinical status, are critical in the safe delivery of tumescent surgery.

Anesthetics, Local↗
PubMed2006

Liposuction: techniques and guidelines.

The apparent simplicity of liposuction and the ease with which it is performed, may lull the novice plastic surgeon into overlooking the evolutionary developments that have brought it to today's level of popularity in body contouring surgery. Patients who may benefit from liposuction range widely from the thin patient desiring contouring of localized areas of stubborn adiposity to the obese patient in whom diet has failed to control weight. One of the major drawbacks of liposuction is its ability to thin, but not tighten. Reliance upon skin retraction to affect a proper outcome will only lead to disappointment, and this patient may instead benefit from an excisional-type procedure. Careful patient selection, education, and proper administration of the technique as a primary or an adjunctive tool will help deliver the most desirable aesthetic result.

Bandages↗
PubMed2006

Low-level laser-assisted liposuction: the Neira 4 L technique.

Low-level laser-assisted liposuction (LLLL), known as the Neira 4 L technique, is an excellent adjuvant tool for the surgeon practicing liposculpture. A low-level laser is used to create a transitory pore in the cell membrane of the adipocyte to move fat from inside the cell to the interstitial space outside without killing the cell. LLLL has been performed successfully in in-vitro and human adipose tissue cultures. It protects the patient from the surgical trauma of liposuction by protecting and preparing tissues for the surgical trauma; modulating the inflammatory response to prevent short and long-term side effects of surgery; and improving the quality and quantity of the healing process by accelerating recovery time, modulating secondary cicatrization, and preventing postoperative neuralgias.

Equipment Design↗
PubMed2006

Complications of liposuction.

This article discusses the complications of liposuction and is divided into two parts. The first part discusses surgical and systemic complications. Since liposuction is surgery, it has the same complications as any surgery, but because of the minimalization of the procedure done by the author since he invented it in 1977, the complications were and are still minimal in the traditional way. Others have tried to maximalize the procedure and so, almost immediately after, appear a maximalization of complications and new severe complications. The second part discusses sequelae or undesirable results, which are numerous and complex. To really understand these sequelae, the second part is divided into four sections: description of sequelae, how and why do they appear, how to try to avoid them, and how to try to treat them.

Esthetics↗