A Systematic Review of Efficacy and Complications of High Definition Liposuction

Abstract

Background: Traditionally, liposuction is performed on the deeper layer of fat. However, in 1983, Illouz described a liposuction technique targeting the superficial layer of fat. High-definition liposuction (HDL) is an advanced technique of liposuction that generates a desirable profile of anatomical area while promoting skin retraction. Although the safety profile of basic or traditional liposuction has been extensively studied, data relevant to HDL are limited. A systematic review to determine the effectiveness and complications was conducted. Methods: Across the 21 articles included in the synthesis, a total of 6964 patients underwent HDL procedures. Of the cases where gender was reported, 44% were female patients (n = 1241) and 56% were male patients (n = 1556). The average age of patients was 38 years (range, 15 to 76 years) and body mass index was 25 kg/m2 (range, 18 to 38 kg/m2). Results: An overall complication rate of 14.4% (n = 994) was calculated, with only 0.2% (n = 13) of complications classified as major. Transient hyperpigmentation was the most frequently reported complication, affecting 260 patients (3.8%), followed by seroma in 231 (3.3%) and transient soft-tissue fibrosis in 185 (2.7%). Despite an absence of uniform reporting, satisfaction rates of 92.6% (n = 1497) were reported. Conclusions: There is a high demand for HDL surgery globally, and this systematic review illustrates the safety and efficacy of HDL. Major complication rates across the entirety of the literature reviewed were 0.2%, with minor complications seen in 14.2% across the 6964 cases reported. High patient satisfaction of 92.6% from HDL procedures was achieved, indicating the efficacy of this procedure.

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I)

“…Our findings demonstrate that UUAIST can be performed in less than 60 minutes, with a high satisfaction rate and minimal complications. 21–23 Besides, a 7-cm reduction was reported for rib remodeling alone compared with the 9-cm reported by HDL + rib remodeling. This not only means that rib remodeling can be added to HDL but also supports the great reduction of waist circumference by UUAIST.…”

Mesh-like External Suture Splint: A Way to Improve Results and Reduce Postoperative Complications after High-definition Liposculpture

“…Fibrosis and postoperative skin laxity after body contouring procedures are still a big concern among patients undergoing HDL. 9 , 10 In effect, they are usually complications that go unnoticed due to the usual success of the overall result after HDL. 6 We came up with the idea to use a net to improve the results after HDL, based on the remarkable findings by Auersvald.…”

Discussion: A Systematic Review of Efficacy and Complications of High-Definition Liposuction

“…Discussion: A Systematic Review of Efficacy Complications of High-Definition Liposuction Mauricio Perez, MD 1 Alfredo E. Hoyos, MD 1,2 Dallas, TX; and Bogota, Colombia T he rising number of worldwide publications and presentations about high-definition liposculpture (HDL) 1 indirectly means that there is also a growing number of surgeons who are now either being trained or switching from standard liposuction techniques to HDL. Aesthetic standards and beauty conceptions are constantly changing, in addition to the clear differences between sexes, races, ethnicities, and even societies.…”