High-Definition Liposculpture: What are the Complications and How to Manage Them?

Danilla, Stefan; Babaitis, Ricardo; Jara, Rocío; Quispe, Diego; Andrades, Patricio; Erazo, Cristián; Albornoz, Claudia R.; Sepúlveda, Sergio A.

doi:10.1007/s00266-019-01475-6

Cited by 30 publications

(25 citation statements)

References 26 publications

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“…This rate is, however, lower compared with the recent literature, where 16% to 30% of patients developed seromas, albeit under general anesthesia, where a smaller volume of tumescent solution was used. 6,11 In contrast, seromas did not occur in a larger series of 4380 patients, where only fat was debulked. 12…”

Section: Discussionmentioning

confidence: 90%

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

et al. 2021

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In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.

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Section: Discussionmentioning

confidence: 90%

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

et al. 2021

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“…The search for submental liposuction usually occurs in patients > 50 years old ( 1 ). In this scoping review’s studies, the participants had a mean age of 55.77 years.…”

Section: Discussionmentioning

confidence: 99%

“…It is an excellent technique on face and anterior neck to remove fat deposits, usually at the subplatysmal level, improving the contour of these regions. When performed at the submental region it is through an insertion of an aspiration cannula through a small incision of 1 to 2 cm in the skin ( 1 - 3 ).…”

Section: Introductionmentioning

confidence: 99%

Complications associated with submental liposuction: a scoping review

Diniz

Gonçalves²,

Silva³

et al. 2022

Med Oral

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Background Liposuction is one of the most commonly performed cosmetic procedures worldwide. Complications associated with submental liposuction are rare. However, when they occur they are significant and can cause disFiguring consequences. The objective of this study was evaluated complications from submentual liposuction in literature and description of clinical experience of complication after submentual liposuction. Material and Methods At first, a scoping review was carried out online search with no time restrictions for complications after submental liposuction was performed in the databases Medline / PubMed, Embase, and Web of Science. The variables analyzed were: age, sex, type of esthetic procedure, anesthesia, complications, time after Procedure, treatment, follow-up care, and sequelae. Then, a case of a patient with submental hematoma after an aesthetic procedure for submental liposuction was described. Results Firstly, 539 articles were selected, after application of the inclusion criteria, 4 studies were included. Most cases were female (8:1), with a mean age of 55.77 years. Postoperative complications were found, such as submental depression, submental edema, hypertrophic scar formation, scar contracture, cervical necrotizing fasciitis, Cervico-facial dystonia and transient facial nerve paralysis. The follow-up period for cases ranged from 3 to 12 months. The clinical case presented there was no sequelae. Conclusions Submental liposuction requires the surgeon's attention. Anatomical knowledge, correct clinical and surgical management, diagnosis, and immediate approach to adverse situations are points that must be respected in this type of esthetic procedure to avoid more serious complications. Key words: Surgery plastic, lipectomy, postoperative complications, hematoma.

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“…Yet, the technique is time‐consuming, due to the separate emulsification and skin tightening steps, and involves a steep learning curve 4,5 . In addition, complications related to this procedure included hyperpigmentation, seromas, nodular fibroses, and burns 6 . Similarly, water‐assisted liposuction emits thin, fan‐shaped jets of tumescent solution, which loosens fat cells, with minimal collateral damage to surrounding soft tissue.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 In addition, complications related to this procedure included hyperpigmentation, seromas, nodular fibroses, and burns. 6 Similarly, water-assisted liposuction emits thin, fan-shaped jets of tumescent solution, which loosens fat cells, with minimal collateral damage to surrounding soft tissue. Cannula dimensions and the sheer stress applied provide for adjustment of the depth and aggressiveness of the process, which is generally considered gentle, but largely lacking in subsequent skin contraction.…”

Section: Introductionmentioning

confidence: 99%

1470‐nm Radial fiber‐assisted liposuction for body contouring and facial fat grafting

Heller

Menashe

Plonski

et al. 2022

J of Cosmetic Dermatology

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Background Laser‐assisted liposuction using 1470‐nm radial fiber emits light energy preferentially absorbed by water, yielding a rapid and localized contouring and tightening effect, with minimal scarring. When collected under appropriate conditions, extracted fat samples can be exploited as autologous filling material in liposculpturing procedures. Objectives To assess the 6‐month contouring efficacy of 1470 radial fiber‐assisted liposuction and the volumetric enhancement effect of the harvested tissue in facial fat grafting. Methods Twenty subjects underwent liposuction (BeautiFill, Alma Lasers, Inc.) of lower abdominal or outer thigh fat. In seven subjects, harvested samples were grafted into facial regions. Treatment safety, body weight, blinded evaluator‐assessed aesthetic improvements, and subject‐rated satisfaction were monitored for 6 months. Abdominal and facial fat thickness were assessed by magnetic resonance imaging (n = 5) within 3 months of treatment. Results One‐month posttreatment, most subjects ranked improvements good/excellent (88%) and skin tightening satisfactory/very satisfactory (92%), with >70% of subjects providing similar scores 6‐month posttreatment. Blinded evaluators noted improved/very much improved aesthetic appearance (87%). Harvested tissue injected as a facial filler (21.0 ± 5.2 ml) led to a 0.63 ± 0.12 mm increase in facial fat thickness, observed by MRI, within 3 months. Six months postfilling, the majority of subjects (83%) were satisfied with the outcome. All procedures were well‐tolerated. Conclusions A single 1470 nm radial fiber‐assisted abdominal and thigh liposuction session provided for effective and durable reduction of adipose tissue deposits, with appreciable skin tightening and aesthetic improvements. The gentle harvesting method yielded viable filler material, which was well‐retained in facial regions for up to 6 months.

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High-Definition Liposculpture: What are the Complications and How to Manage Them?

Cited by 30 publications

References 26 publications

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

Complications associated with submental liposuction: a scoping review

1470‐nm Radial fiber‐assisted liposuction for body contouring and facial fat grafting

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