The authors were able to achieve natural results with this new procedure in arm contouring. The technique is safe and effective with reproducible results when performed through multilayer fragmentation and liposuction with an anatomical extraction. Fat grafting can be performed for contouring with no additional complications.
Background
Nowadays, corporal perception has evolved among different ethnic groups and a tendency to change from a slim to an athletic shape has been influenced by geography, culture, race, gender, and social media. Although exercise improves health status, physical appearance does as well in the long term. Patients often opt for an immediate solution for which High Definition Liposculpture has been the best choice. However, they differ on their preference regarding muscular definition.
Objectives
We are presenting a new therapeutic algorithm for High Definition Liposculpture in harmony with body biotypes and patients’ preferences.
Methods
We are reporting our experience on 1772 consecutive patients, classified according to their body type in: Endomorph (217), Ectomorph (195), and Mesomorph (1360), and treated according to our new algorithm. Patients in general good health asking for High Definition liposculpture were included, from June 2013 to September 2019. Pre- and postoperative photographs were taken to evaluate results.
Results
A total of 479 men and 1293 women were analyzed. Ages ranged from 23 to 69 years in men and 18 to 57 in women. Variable degree HD liposculpture was successfully performed in all cases. Minor complications included: Port wound dehiscence (1.2%), seroma (4.1%), prolonged bruising (1.5%), and hyperchromia (10.4%). Superficial burns (0.7%), localized infection (0.4%), erratic skin adhesion (1%), and flap necrosis (0.4%) were also reported. A high satisfaction index was reported in a non-standardized patient survey.
Conclusion
Our new algorithm helps in the decision making for High Definition liposculpture according to variable degrees of muscle definition due to patients’ preferences.
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