Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs
Background: In the last 3 decades, liposuction has become a mainstay of the plastic surgeon’s armamentarium, and the technique has evolved considerably. We retrospectively review all of the liposuction procedures that we performed over the past 20 years. Methods: The principles of superficial 3-dime...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2015-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2015/01000/Article.4.aspx |
| _version_ | 1811202308826988544 |
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| author | Yi Xin Zhang, MD Davide Lazzeri, MD Luca Grassetti, MD Alessandro Silvestri, MD Aurelia Trisliana Perdanasari, MD Sheng Han, MD Matteo Torresetti, MD Giovanni di Benedetto, MD Manuel Francisco Castello, MD |
| author_facet | Yi Xin Zhang, MD Davide Lazzeri, MD Luca Grassetti, MD Alessandro Silvestri, MD Aurelia Trisliana Perdanasari, MD Sheng Han, MD Matteo Torresetti, MD Giovanni di Benedetto, MD Manuel Francisco Castello, MD |
| author_sort | Yi Xin Zhang, MD |
| collection | DOAJ |
| description | Background: In the last 3 decades, liposuction has become a mainstay of the plastic surgeon’s armamentarium, and the technique has evolved considerably. We retrospectively review all of the liposuction procedures that we performed over the past 20 years.
Methods: The principles of superficial 3-dimensional liposuction with respect to preoperative, intraoperative, and postoperative management of patients scheduled to undergo liposuction of the hips, flanks, and thighs were described.
Results: A total of 4000 patient charts were reviewed. The results indicated that 50 patients experienced a postsurgical seroma that was resolved after syringe aspirations. One patient developed a major mycobacterial infection that was resolved after antibiotic therapy. Twenty patients complained of minor asymmetries that were corrected 6 months later under local anesthesia; 18 patients suffered from minor skin irregularities, which improved after lipofilling. In 6 cases, transient hyperpigmentation (6–12 months) of the skin before the use of suction drainages in the removal of large adiposities in patients with light skin was experienced, and in 2 cases, transient paresthesia (8 and 10 months) was experienced. No skin necrosis, deep vein thrombosis, or death occurred.
Conclusions: If performed correctly, 3-dimensional superficial liposuction of the trunk, hips, and thighs can yield very satisfying outcomes because of the excellent contour and the enhanced skin retraction provided by the thin cutaneous adipose flap. Three-dimensional liposuction is a reliable method with proven results. A careful application of the technique combined with accurate surgical planning, a thorough preoperative explanation of real expectations, and postoperative care is crucial. |
| first_indexed | 2024-04-12T02:36:31Z |
| format | Article |
| id | doaj.art-8ef825bcc92246369039403f0293ef41 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T02:36:31Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8ef825bcc92246369039403f0293ef412022-12-22T03:51:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742015-01-0131e29110.1097/GOX.000000000000024101720096-201501000-00004Three-dimensional Superficial Liposculpture of the Hips, Flank, and ThighsYi Xin Zhang, MD0Davide Lazzeri, MD1Luca Grassetti, MD2Alessandro Silvestri, MD3Aurelia Trisliana Perdanasari, MD4Sheng Han, MD5Matteo Torresetti, MD6Giovanni di Benedetto, MD7Manuel Francisco Castello, MD8From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaDivision of Plastic Reconstructive and Aesthetic Surgery, Clinica Villa Salaria, Roma, ItalyDepartment of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona, Ancona, Italy;Division of Plastic Reconstructive and Aesthetic Surgery, Clinica Villa Salaria, Roma, ItalyFrom the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, ChinaPlastic and Aesthetic Surgery Unit, Shanghai Tida Medical Aesthetic Hospital, Shanghai, China.Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona, Ancona, Italy;Department of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, University Hospital of Ancona, Ancona, Italy;Division of Plastic Reconstructive and Aesthetic Surgery, Clinica Villa Salaria, Roma, ItalyBackground: In the last 3 decades, liposuction has become a mainstay of the plastic surgeon’s armamentarium, and the technique has evolved considerably. We retrospectively review all of the liposuction procedures that we performed over the past 20 years. Methods: The principles of superficial 3-dimensional liposuction with respect to preoperative, intraoperative, and postoperative management of patients scheduled to undergo liposuction of the hips, flanks, and thighs were described. Results: A total of 4000 patient charts were reviewed. The results indicated that 50 patients experienced a postsurgical seroma that was resolved after syringe aspirations. One patient developed a major mycobacterial infection that was resolved after antibiotic therapy. Twenty patients complained of minor asymmetries that were corrected 6 months later under local anesthesia; 18 patients suffered from minor skin irregularities, which improved after lipofilling. In 6 cases, transient hyperpigmentation (6–12 months) of the skin before the use of suction drainages in the removal of large adiposities in patients with light skin was experienced, and in 2 cases, transient paresthesia (8 and 10 months) was experienced. No skin necrosis, deep vein thrombosis, or death occurred. Conclusions: If performed correctly, 3-dimensional superficial liposuction of the trunk, hips, and thighs can yield very satisfying outcomes because of the excellent contour and the enhanced skin retraction provided by the thin cutaneous adipose flap. Three-dimensional liposuction is a reliable method with proven results. A careful application of the technique combined with accurate surgical planning, a thorough preoperative explanation of real expectations, and postoperative care is crucial.http://journals.lww.com/prsgo/Fulltext/2015/01000/Article.4.aspx |
| spellingShingle | Yi Xin Zhang, MD Davide Lazzeri, MD Luca Grassetti, MD Alessandro Silvestri, MD Aurelia Trisliana Perdanasari, MD Sheng Han, MD Matteo Torresetti, MD Giovanni di Benedetto, MD Manuel Francisco Castello, MD Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs Plastic and Reconstructive Surgery, Global Open |
| title | Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs |
| title_full | Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs |
| title_fullStr | Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs |
| title_full_unstemmed | Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs |
| title_short | Three-dimensional Superficial Liposculpture of the Hips, Flank, and Thighs |
| title_sort | three dimensional superficial liposculpture of the hips flank and thighs |
| url | http://journals.lww.com/prsgo/Fulltext/2015/01000/Article.4.aspx |
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