Circumferential Lipobrachioplasty Is a Safe Procedure

Ahmad, Mahfouz S. I.

doi:10.1097/prs.0000000000007430

“…[4][5][6][7] I have found that waiting for 5 minutes after fluid infiltration, as justified in the Methods section of my study, leads to less tissue edema and hence a tensionless closure. 8 The same reason has been mentioned by others. 1,9 475e Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model W e read with great interest the article published in the June of 2021 issue of Plastic and Reconstructive Surgery by Kwon and Kim entitled "Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model."…”

Section: Reply: Circumferential Lipobrachioplasty Is a Safe Proceduressupporting

confidence: 57%

“…I have found that waiting for 5 minutes after fluid infiltration, as justified in the Methods section of my study, leads to less tissue edema and hence a tensionless closure. 8 The same reason has been mentioned by others. 1,9…”

supporting

confidence: 57%

“…

The average volume of fat removed is already described in the Table 2. 8 In my study, there was no control group. 8 The results were compared with those of previous studies that did have control groups.

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mentioning

confidence: 85%

“…In my study, there was no control group. 8 The results were compared with those of previous studies that did have control groups. My study results revealed comparable complication rates; however, all other series cited in the Discussion section reported other types of complications, such as seromas, secondary operations, wound infections, hematomas, and lymphedemas, which did not occur in my study.…”

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confidence: 99%

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Reply: Circumferential Lipobrachioplasty Is a Safe Procedure

Ahmad¹

2022

Plastic &Amp; Reconstructive Surgery

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The average volume of fat removed is already described in the Table 2. 8 In my study, there was no control group. 8 The results were compared with those of previous studies that did have control groups. My study results revealed comparable complication rates; however, all other series cited in the Discussion section reported other types of complications, such as seromas, secondary operations, wound infections, hematomas, and lymphedemas, which did not occur in my study. I reported a very high patient satisfaction rate (95.2 percent highly satisfied) in comparison to others, such as de Runz et al., 10 who mentioned overall satisfaction classified as excellent in 12 patients (22.6 percent) and pleasing for 24 (45.3 percent), while other authors did not mention numbers. Han et al. 9 reported that most of their patients were satisfied, although most of them developed hypertrophic scars. Nguyen and Rohrich 11 reported achieving good results. Hill et al. 12 reported that circumferential liposuction with a short-scar brachioplasty is simple and safe, with high patient and surgeon satisfaction.With regard to sharp versus electrocautery dissection, although this comparison has no issue in lipobrachioplasty, there is great consensus that electrocautery leads to a greater incidence of seroma formation. Such comparison is valuable in areas that require too much dissection, as in lipoabdominoplasty, in which case the controversy remains, but most series recommend sharp dissection. [13][14][15][16][17][18][19][20][21][22][23] Few studies have found sharp dissection and electrocautery to be equivalent or consider both sharp and electrocautery dissection to have the same incidence of postoperative seroma. [24][25][26]

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“…We read the article entitled “Circumferential Lipobrachioplasty Is a Safe Procedure” 1 with great interest, and we congratulate Dr. Ahmad on the results. In recent years, the discussion about aesthetic surgical procedures performed on patients with a body mass index exceeding 30 kg/m 2 has become more controversial, as a body mass index exceeding this value has been identified as an independent risk factor for the occurrence of complications.…”

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Circumferential Lipobrachioplasty Is a Safe Procedure

Resch

¹

,

Radtke

²

2022

Plastic &Amp; Reconstructive Surgery

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The average volume of fat removed is already described in the Table 2. 8 In my study, there was no control group. 8 The results were compared with those of previous studies that did have control groups. My study results revealed comparable complication rates; however, all other series cited in the Discussion section reported other types of complications, such as seromas, secondary operations, wound infections, hematomas, and lymphedemas, which did not occur in my study. I reported a very high patient satisfaction rate (95.2 percent highly satisfied) in comparison to others, such as de Runz et al., 10 who mentioned overall satisfaction classified as excellent in 12 patients (22.6 percent) and pleasing for 24 (45.3 percent), while other authors did not mention numbers. Han et al. 9 reported that most of their patients were satisfied, although most of them developed hypertrophic scars. Nguyen and Rohrich 11 reported achieving good results. Hill et al. 12 reported that circumferential liposuction with a short-scar brachioplasty is simple and safe, with high patient and surgeon satisfaction.With regard to sharp versus electrocautery dissection, although this comparison has no issue in lipobrachioplasty, there is great consensus that electrocautery leads to a greater incidence of seroma formation. Such comparison is valuable in areas that require too much dissection, as in lipoabdominoplasty, in which case the controversy remains, but most series recommend sharp dissection. [13][14][15][16][17][18][19][20][21][22][23] Few studies have found sharp dissection and electrocautery to be equivalent or consider both sharp and electrocautery dissection to have the same incidence of postoperative seroma. [24][25][26]

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Ultrasound-Assisted Liposuction (UAL) Arm Contouring in Non-Post-Bariatric Patients: No Rush for Brachioplasty

Fahar

¹

,

El-Gharbawi²

2022

Aesth Plast Surg

5

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Background A witnessed rise in patients’ requests for arm contouring reflects the parallel public’s pursuit of slimmed bodies and rapid advancement in weight reduction methods. Brachioplasty with its known complications is still the traditional method of management, but nearly all patients feel worried about the length and appearance of the scar and seek other non-excisional alternatives. The authors wanted to share their experience in arm contouring in non-post-bariatric patients using ultrasound-assisted liposuction (UAL). Patients and Methods Over 16 month period, 28 female patients complaining of arm lipodystrophy (classes IIA, IIB, III) underwent UAL contouring under general anesthesia. Preoperative and postoperative mid-arm circumferences were measured and recorded. Outcome evaluation was done by the complication incidence, patient satisfaction survey, and independent surgeon evaluation of patients' photographs. Results There were no complications in the study group. The outcome evaluation survey has shown high patient satisfaction. The outcome survey demonstrated that 85.71% of the patients were very satisfied, while 14.29 % were satisfied with the procedure and all of them recommend the procedure to others. On the other hand, the independent surgeon evaluation showed that 92.86% of the results were excellent and 7.14 % were very good. Conclusion Our work has shown how versatile is the UAL in contouring a wide spectrum of arm lipodystrophy stages in non-post-bariatric patients and presents a non-excisional alternative for arm aesthetic refinements without a rush for brachioplasty with its unpleasant complications. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Circumferential Lipobrachioplasty Is a Safe Procedure

Cited by 4 publications

References 36 publications

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Circumferential Lipobrachioplasty Is a Safe Procedure

Ultrasound-Assisted Liposuction (UAL) Arm Contouring in Non-Post-Bariatric Patients: No Rush for Brachioplasty

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