Liposuction of the Arm Concurrent with Brachioplasty in the Massive Weight Loss Patient

Bossert, Ronald P.; Dreifuss, Stephanie E.; Coon, Devin; Wollstein, Adi; Clavijo-Alvarez, Julio A.; Gusenoff, Jeffrey A.; Rubin, J. Peter

doi:10.1097/prs.0b013e3182789de9

Cited by 57 publications

(35 citation statements)

References 14 publications

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“…A possible explanation for this finding is the increased operative time with each additional procedure, as shown by prior series. 47 As a result, surgeon fatigue may lead to less meticulous hemostasis, and intraoperative hypothermia is more likely to occur, which in turn could potentially disrupt the coagulation cascade. The length of operation is not available in the CosmetAssure TM database, thus we were unable to explore this hypothesis further.…”

Section: Risk Factorsmentioning

confidence: 99%

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Kaoutzanis

Winocour

Gupta

et al. 2017

Aesthetic Surgery Journal

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Background: Postoperative hematomas are one of the most frequent complications following aesthetic surgery. Identifying risk factors for hematoma has been limited by underpowered studies from single institution experiences. Objectives: To examine the incidence and identify independent risk factors for postoperative hematomas following cosmetic surgery utilizing a prospective, multicenter database. Methods: A prospectively enrolled cohort of patients who underwent aesthetic surgery between 2008 and 2013 was identified from the CosmetAssure database. Primary outcome was occurrence of major hematomas requiring emergency room visit, hospital admission, or reoperation within 30 days of the index operation. Univariate and multivariate analysis was used to identify potential risk factors for hematomas including age, gender, body mass index (BMI), smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures. Results: Of 129,007 patients, 1180 (0.91%) had a major hematoma. Mean age (42.0 ± 13.0 years vs 40.9 ± 13.9 years, P < 0.01) and BMI (24.5 ± 5.0 kg/m 2 vs 24.3 ± 4.6 kg/m 2 , P < 0.01) were higher in patients with hematomas. Males suffered more hematomas than females (1.4% vs 0.9%, P < 0.01). Hematoma rates were higher in patients undergoing combined procedures compared to single procedures (1.1% vs 0.8%, P < 0.01), and breast procedures compared to body/extremity or face procedures (1.0% vs 0.8% vs 0.7%, P < 0.01). On multivariate analysis, independent predictors of hematoma included age (Relative Risk [RR] 1.01), male gender (RR 1.98), the procedure being performed in a hospital setting rather than an office-based setting (RR 1.68), combined procedures (RR 1.35), and breast procedures rather than the body/extremity and face procedures (RR 1.81). Conclusions: Major hematoma is the most common complication following aesthetic surgery. Male patients and those undergoing breast or combined procedures have a significantly higher risk of developing hematomas.

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Section: Risk Factorsmentioning

confidence: 99%

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

Kaoutzanis

Winocour

Gupta

et al. 2017

Aesthetic Surgery Journal

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“…Many authors suction the skin planned for resection to ease dissection of the tissue off of the arm. 47 In this With an overall complication rate of 46 percent, there was no significant difference in complication rates of those patients with and without liposuction. 46 Not long ago, it was advocated that liposuction be performed in the first stage of an at least twostage brachioplasty, to allow satisfactory results in arms with significant adipose tissue.…”

Section: Adjunctive Liposuction In Brachioplastymentioning

confidence: 63%

“…2 Many authors use drains with compressive dressings in traditional and extended brachioplasty, but not in minimal incision brachiopla sty. 13,25,26,28,47,49 13,25,26,28,47,49 …”

Section: Drains and Postoperative Compressionmentioning

confidence: 99%

Aesthetic Refinements in Body Contouring in the Massive Weight Loss Patient

Shermak¹

2014

Plastic and Reconstructive Surgery

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“…The endpoint of tumescent is tense tissue turgor. While liposuction may be safely performed outside the area of planned resection, 10 for the purposes of this article, we are discussing our standard brachioplasty technique, and the tumescent solution is infiltrated only under the area of planned resection.…”

Section: Operative Techniquementioning

confidence: 99%