Occurrence of Fat Embolism After Liposuction Surgery With or Without Lipografting

Abstract

With this experiment, the authors showed that there is a risk of systemic mobilization of fat after liposuction surgery and that this risk is even higher when fat grafts are also carried out.

Complicações em lipoaspiração clássica para fins estéticos

“…These works assessed the variable incidence of pulmonary embolism after liposuction. The incidences of pulmonary embolism in rats after liposuction are higher in the studies performed by El-Ali & Gourlay 18 and Senen et al 21 than that in the study carried out by Franco et al 19 . Pulmonary fat embolism after liposuction is often undiagnosable since the clinical presentation can vary greatly, ranging from slight dyspnea, tachycardia, elevated temperature, and petechiae on the skin to severe cases of respiratory Complications of classical liposuction performed for cosmetic purposes failure and death.…”

“…Of these, 3 reported death after liposuction for esthetic purposes, and 2 of these reports were published in the last 5 years 13,16 . We also found 4 experimental studies on liposuction complications [18][19][20][21] . Unusual complications were as follows: 1 case of vascular injury with perforation of a large vessel during li po suction 9 ; 2 cases of intestinal perforation 22 ; 4 articles reporting severe bacterial infections after liposuction 23,24 ; 1 case of herpes zoster 25 ; 1 case of urethral injury 26 ; and 3 articles on vision loss associated with liposuction.…”

“…Therefore, it should receive more atten tion since it's incidence after liposuction is relatively high regardless of whether it is associated with fat grafting. The experimental study of Franco et al 19 highlights this potential risk; moreover, several other studies report patients that developed respiratory distress as a result of pul monary embolism.…”

“…Pulmonary fat embolism after liposuction is often undiagnosable since the clinical presentation can vary greatly, ranging from slight dyspnea, tachycardia, elevated temperature, and petechiae on the skin to severe cases of respiratory Complications of classical liposuction performed for cosmetic purposes failure and death. Its symptoms are nonspecific and often confused with those of pulmonary thromboembolism, thus resulting in severe vein thrombosis 10,12,17,19 . Although the exact risk of developing fat pulmonary embolism has not been established, death occurs in 15% of diagnosed cases.…”

“…However, there was 1 article which described a patient who previously had idiopathic intracranial hypertension, being two of these symptoms presented in the last five years 27,28 . Four well-executed experimental studies addressing the complications of liposuction were selected [18][19][20][21] ; 3 of these studies were carried out using Wistar rats, while the other 1 used pigs. These works assessed the variable incidence of pulmonary embolism after liposuction.…”