Aesthetic or Functional Indications for Liposuction

Costagliola, M; Atiyeh, Bishara S.; Rampillon, Florence; Illouz, Yves-Gérard; Dibo, Saad

doi:10.1177/1090820x13511454

“…It has now been adopted for microvascular free flap revision [11] and has become a method widely resorted to since it offers microsurgeons the ability to thin the entries subcutaneous tissue of a flap with minimal risk of injury to the perforator blood supply or pedicle. This method offers the ability to thin the entire subcutaneous tissue without the potential risk to the perforator vessels as in the direct excision approach and hence a less risk of partial or full flap loss [1][2][3][5][6][7][9][10][11][12][13][14][15][16][17]. This technique is safe since it is known that flap revascularization does occur and comes from the wound bed itself.…”

Section: Introductionmentioning

confidence: 99%

Liposuction Contouring After Head and Neck Free Flap Reconstruction

Ibrahim¹,

Janom²,

Raad³

2016

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Resection of bulky head and neck tumors is typically followed by microvascular free flap reconstruction. The latter has shown an acceptable success rate but often requires a secondary revision with a free tissue transfer reconstruction to improve outcome; both cosmetic and functional. Direct surgical revision via electrocautery/scalpel poses a high risk of flap perfusion compromise. Suction assisted lipectomy on the other hand is a feasible and safe technique that offers favorable contouring with comparable restoration cosmetic and functional outcomes. In this article, we review the indications and advantages of this technique and provide an outlook on its safety and pitfalls.

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“…It has now been adopted for microvascular free flap revision [11] and has become a method widely resorted to since it offers microsurgeons the ability to thin the entries subcutaneous tissue of a flap with minimal risk of injury to the perforator blood supply or pedicle. This method offers the ability to thin the entire subcutaneous tissue without the potential risk to the perforator vessels as in the direct excision approach and hence a less risk of partial or full flap loss [1][2][3][5][6][7][9][10][11][12][13][14][15][16][17]. This technique is safe since it is known that flap revascularization does occur and comes from the wound bed itself.…”

Section: Introductionmentioning

confidence: 99%

Liposuction Contouring After Head and Neck Free Flap Reconstruction

Ibrahim

¹

,

Janom

²

,

Raad

³

2015

Anaplastology

2

0

View full text Add to dashboard Cite

Resection of bulky head and neck tumors is typically followed by microvascular free flap reconstruction. The latter has shown an acceptable success rate but often requires a secondary revision with a free tissue transfer reconstruction to improve outcome; both cosmetic and functional. Direct surgical revision via electrocautery/scalpel poses a high risk of flap perfusion compromise. Suction assisted lipectomy on the other hand is a feasible and safe technique that offers favorable contouring with comparable restoration cosmetic and functional outcomes. In this article, we review the indications and advantages of this technique and provide an outlook on its safety and pitfalls.

show abstract