Cutis marmorata Resemblance After Liposuction

Abstract

Liposuction is a safe method for the treatment of lipodystrophy. It gives good results in relation to body contours, especially when the superficial and deep layers of the superficial fascia are aspirated. The authors present clinical cases of female patients who underwent liposuction of the abdomen, flanks, and back in which superficial and deep liposuction was used. In the immediate postoperative period, these patients presented a skin pattern of marbled appearance, involving rosy-purplish stains intermingled with other whitish stains on the skin in the areas subjected to surgery and resembling the cutis marmorata described in the literature. Even 1 year after the operation, the stains had not receded. The literature mentions cases of cutaneous necrosis provoked by a temperature increase induced by liposuction cannulas. This trauma said to be the determining factor for local lesions of the subdermal plexus. However, no cases involving lesions of this plexus attributable to mechanical trauma from cannulas are cited. According to several authors, it is important during superficial liposuction to maintain a strip about 1 cm thick under the deep dermis for the preservation of the arterial plexus of the skin. This would avoid the formation of a skin pattern resembling cutis marmorata.

Safety Evaluation of Vaser® in Body Contouring Improvement Liposuction

“…Hoyos and Millard [2] affirm that the Vaser technology make the surgeon apt to indicate techniques of superficial lipoplast. The ultrasonic devices of first and second generation are associated to severe burnings and necrosis when dispersed their energy on the surface, routine that was practically annulled with the advent of the technological third generation, concept that was evidently displayed in our study [26][27][28][29][30].…”

Aesthetic subunits of the trunk: Anatomy and behavior of skin and adipose tissue in each unit for better outcomes in liposuction

“…Aggressive superficial liposuction can permanently damage the dermal vasculature causing a mottled appearance. [ 15 ] Unequal liposuction of the love handles can cause postoperative asymmetry.…”