Unfavourable outcomes of liposuction and their management

Dixit, Varun; Wagh, Milind S.

doi:10.4103/0970-0358.118617

Cited by 90 publications

(86 citation statements)

References 53 publications

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“…The 3-month photographic result following 2 treatments spaced 6 weeks apart with the 1,060 nm diode laser demonstrates smooth and tight periumbilical contour. Despite the specific technology employed during liposuction procedures, localized, or diffuse surface contour irregularities manifested by concavities due to adipose tissue deficiency or convexities due to adipose tissue excess are commonly seen as short-term and long-term following all of the various types of liposuction procedures [7]. Additionally, of paramount importance, is the clinical state of the skin in the anatomical area to be treated by liposuction techniques.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study to Assess the 1,060 nm Diode Laser for the Treatment of Post‐Liposuction Deformities

Petti¹,

Stoneburner²

2019

Lasers Surg Med

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Background and ObjectivesLiposuction has become increasingly popular in the past decade due to advances in technique and technology. Despite the demand, there exists a significant population of patients who have contour deformities post‐liposuction. The 1,060 nm diode laser has been Food and Drug Administration cleared for the removal of unwanted fat, so it was theorized that this noninvasive laser system could be efficacious to smooth these areas of post‐liposuction contour deformities. This study was designed to retrospectively study the clinical changes induced by a 1,060 nm diode laser system to treat contour deformities in tissue post‐liposuction.Study Design/Materials and MethodsFifteen patients with contour deformities post‐liposuction (minimally six months post‐surgery) were treated in the area of the deformity with the noninvasive hyperthermic 1,060 nm diode laser system. Each patient received two treatments at a 6‐week interval in the anatomical area of their contour deformity.ResultsFifteen subjects had completed two treatments and the necessary follow‐up needs to be included in these results. Two blinded evaluators could correctly identify the pre‐treatment image compared to the post‐treatment image in an average of 85% of subjects. So, 100% of the patients were graded to be at least “Improved” with an average of 40% of subjects being “Very Much Improved”. Patient satisfaction was “High” in all subjects who have completed the treatment protocol. The physician satisfaction was rated as “Much Improved” in 33% of the patient results and “Improved” in 66% of the patient results.ConclusionsThe noninvasive hyperthermic 1,060 nm diode system is highly effective and safe for the treatment of contour deformities post‐liposuction. Lasers Surg. Med. © 2019 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Clinical Study to Assess the 1,060 nm Diode Laser for the Treatment of Post‐Liposuction Deformities

Petti¹,

Stoneburner²

2019

Lasers Surg Med

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“…Careful analysis of these problems relates them to operating on thick skin with excess fat, design of the skin resection pattern, lack of multiple layer closure and not tackling the mons pubis region. In presence of excess fat and regardless of how tight the skin may be pulled, over time, there will be some loss of shape or contour [11,12,13]. Liposuction is one of the most popular cosmetic surgery procedures currently performed by plastic surgeons around the world.…”

Section: Discussionmentioning

confidence: 99%

Waist Curve Forming As An Adjuvant Procedure In Abdominoplasty

Bayumi¹

2017

IOSR JDMS

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“…Many complications relate to the ultimate cosmetic appearance however there are potentially life threatening complications. These include pulmonary embolism, abdominal fascia penetration, thoracic penetration, cardiorespiratory failure, lidocaine toxicity and haemorrhage [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Bowel Injury following Liposuction. A rare Complication of Cosmetic Surgery

Reddy

2016

Int Arch Med

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Liposuction is one of the most commonly performed surgical procedures for aesthetic reasons. It is often performed as day-case surgery and is thought to be a low-risk 'minor' procedure. We present a rare case of necrotising abdominal wall infection due to small bowel injury resulting in extensive abdominal wall debridement and the development of an enteric fistula. Case presentationMr G is 56-year-old previously fit and well male that presented to our institution following liposuction surgery performed under general anaesthesia at another private hospital. His liposuction surgery was initially planned as a day-case procedure however due to post operative discomfort Mr G stayed overnight in hospital. Mr G presented to our emergency department 6 days after the procedure with significant abdominal pain and bloating. He had a septic presentation with marked abdominal wall erythema, a temperature of 38.4 degrees Celsius and tachycardia (pulse 120/min). Examination of his abdomen revealed widespread crepitus. InvestigationsBiochemical investigations demonstrated a white cell count of 14.2 x109/L and C-reactive protein of 396mg/l. Haemoglobin, coagulation and renal function studies were normal. An erect chest X-ray demonstrated free intra-peritoneal air. TreatmentMr G was resuscitated with intravenous fluid and commenced on broad spectrum antibiotics. He was then taken to the acute operating theatre. Exploration of his abdomen confirmed necrotising infection of the abdominal wall and widespread bile staining. Figure 1 demonstrates the wide extent of undermined tissue as a result of the necrotising infection and a fascia puncture site can be seen.

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Unfavourable outcomes of liposuction and their management

Cited by 90 publications

References 53 publications

Clinical Study to Assess the 1,060 nm Diode Laser for the Treatment of Post‐Liposuction Deformities

Clinical Study to Assess the 1,060 nm Diode Laser for the Treatment of Post‐Liposuction Deformities

Waist Curve Forming As An Adjuvant Procedure In Abdominoplasty

Bowel Injury following Liposuction. A rare Complication of Cosmetic Surgery

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