Abdominoplasty is one of the more common procedures after which seroma may occur. Reported incidences range from 5% to 50%. For more than 5 years, we have used the quilting suture technique in 130 patients without the occurrence of seroma after abdominoplasty. The technique has also been used to treat pseudobursas and tissue avulsion and after mastectomy to prevent seromas.
It has been possible to determine the number of live fat cells available in samples of aspirated fat which are going to be used in lipoinjection procedures. It has been possible to develop a technical procedure that quantifies the number of live fat cells in 1 mm of injection. Without taking into account different methods for fat injection, there is a 95% correct conclusion that it is immaterial whether the syringe or a cannula with a pump is used. However, the higher the amount of blood found in the samples being used for injection, the less amount of live fat cells found.
The experiences of almost three decades of performing various types of body contouring surgery, in both pre- and postlipoplasty periods, using many different techniques are described. Contouring surgery for such body areas as the abdomen, flanks, inner and outer thighs, and buttocks is discussed in detail.
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