3,630 results match your criteria Liposuction Techniques


Liposuction: Concepts, safety, and techniques in body-contouring surgery.

Cleve Clin J Med 2020 Jun;87(6):367-375

Staff Surgeon, Department of Plastic Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio

Liposuction is the second most commonly performed cosmetic surgery in the United States and the most common surgical procedure in patients between the ages of 35 and 64; practitioners of medicine and surgery will undoubtedly encounter these patients in their practice. This brief review discusses the role of liposuction and fat transfer in aesthetic and reconstructive surgery, as well as key considerations, indications, and safety concerns. Read More

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http://dx.doi.org/10.3949/ccjm.87a.19097DOI Listing

Arteriovenous access superficialization: A new technique and review of options.

Ann Vasc Surg 2020 May 29. Epub 2020 May 29.

Dialysis Access Institute, Orangeburg, SC.

Background: As many as 30% of autogenous cephalic vein arteriovenous fistulae are too deep for reliable cannulation. Several techniques to superficialize these AVFs have been described, including direct elevation, retunneling or transposition under a flap, lipectomy, minimal incision superficialization technique (MIST), V-Wing placement, and liposuction. This report describes a new surgical technique for arteriovenous fistula superficialization and provides a brief review of each alternative above. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.020DOI Listing

Multi-modal treatment strategy for achieving an aesthetic lower face.

Arch Plast Surg 2020 May 15;47(3):256-262. Epub 2020 May 15.

Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.

Background: Most women consider an oval-shaped face to be youthful and beautiful. In recent years, demand has grown for surgical procedures with a shorter downtime and fewer complications. These minimally invasive procedures include botulinum toxin type A (BoNTA) injection, filler injection, suction-assisted liposuction (SAL), laser-assisted lipolysis (LAL), thread lifting, and fat grafting. Read More

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http://dx.doi.org/10.5999/aps.2019.01830DOI Listing

Abdominal Etching.

Clin Plast Surg 2020 Jul 25;47(3):397-408. Epub 2020 Apr 25.

Hospital General "Dr. Manuel Gea González," Mexico City, Mexico. Electronic address: https://twitter.com/DrAltamiranoA.

Abdominal etching techniques are used to improve the aesthetics of the abdominal region, providing patients an athletic physique, using liposuction and fat redistribution. Based on the anatomy of fat layers, lipocontouring for deep fat liposuction and superficial fat liposculpting for superficial fat liposuction are proposed. The degree of abdominal etching is controlled by the surgeon through the extent of lipocontouring and superficial fat liposculpting. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.001DOI Listing

Water-jet-assisted liposuction for the treatment of lipedema: Standardized treatment protocol and results of 63 patients.

J Plast Reconstr Aesthet Surg 2020 Mar 14. Epub 2020 Mar 14.

Department of Plastic Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.

Background: Lipedema is a condition of painful increase in subcutaneous fat affecting almost exclusively women. Several studies have examined the effectiveness of liposuction in the treatment of lipedema, but none has focused on water-jet-assisted liposuction technique.

Methods: A standardized treatment protocol for liposuction in lipedema, which was established over the course of 15 years, is presented. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.03.002DOI Listing

Anterior Approach to the Neck: Long-Term Follow-Up.

Aesthet Surg J 2020 Apr 18. Epub 2020 Apr 18.

Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH.

Background: The anterior or submental necklift has been well described. Long-term results have been demonstrated in patients with minimal, mild, and moderate skin excess. It relies upon the skin's unique ability to contract once separated from its attachments, treatment of the intermediate layer- subplatysmal fat, anterior digastric, submandibular gland, and platysma. Read More

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http://dx.doi.org/10.1093/asj/sjaa099DOI Listing

Transcriptome analysis and functional identification of adipose-derived mesenchymal stem cells in secondary lymphedema.

Gland Surg 2020 Apr;9(2):558-574

Center of Laboratory Medicine, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.

Background: Secondary lymphedema is a common condition that affects patients with malignant tumors. Conservative treatments fail to provide lasting relief because they do not address the underlying pathological accumulation of excessive fat. Our aim is to clarify the molecular mechanisms of abnormal adipogenic differentiation in lymphedema adipose tissue. Read More

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http://dx.doi.org/10.21037/gs.2020.02.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225476PMC

Single-stage VASER-assisted liposuction and lymphatico-venous anastomoses for the treatment of extremity lymphedema: a case series and systematic review of the literature.

Gland Surg 2020 Apr;9(2):545-557

Department of Plastic and Reconstructive Surgery, Mayo Clinic, FL, USA.

Background: A paradigm shift towards the use of combined physiological and excisional surgical approaches for the treatment of lymphedema is permeating the surgical practice worldwide. We describe a single-stage surgical approach combining-vaser assisted liposuction (VAL) and lymphatico-venous anastomoses (LVA) for the treatment of extremity-lymphedema.

Methods: Between March 2018 and March 2019, a retrospective review of patients with extremity-lymphedema stage IIb-III International Society of Lymphology who underwent the combined technique was done. Read More

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http://dx.doi.org/10.21037/gs.2020.01.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225499PMC

Combined microvascular breast and lymphatic reconstruction with deep inferior epigastric perforator flap and gastroepiploic vascularized lymph node transfer for postmastectomy lymphedema patients.

Gland Surg 2020 Apr;9(2):512-520

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Jacksonville, FL, USA.

Background: The combination of microvascular breast reconstruction (MBR) and vascularized lymph node transfer (VLNT) in a single-stage procedure is a surgical option for women who desire breast reconstruction and postmastectomy lymphedema surgery. In this study, we present a series of patients who underwent simultaneous lymphatic and MBR with the gastroepiploic VLNT (GE-VLNT) and the deep inferior epigastric perforator (DIEP) flap respectively.

Methods: Between 2018 and 2019, all consecutive patients diagnosed with lymphedema stage IIb-III International Society of Lymphology who opted to pursue simultaneous MBR with DIEP flap and GE-VLNT were included in this study. Read More

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http://dx.doi.org/10.21037/gs.2020.01.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225469PMC

Surgical management of lymphedema: a review of current literature.

Gland Surg 2020 Apr;9(2):503-511

Division of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT, USA.

Lymphedema may be characterized by a progressive clinical course and limitations in improvement despite multi-modality treatment. In westernized countries, it most commonly presents as an undesirable complication of cancer treatment, particularly breast cancer. In the past several decades, surgical treatments for lymphedema have advanced, alongside developments in microsurgery. Read More

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http://dx.doi.org/10.21037/gs.2020.03.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225501PMC

Fat Graft Size: Relationship Between Cannula and Needle Diameters.

Cureus 2020 Apr 9;12(4):e7598. Epub 2020 Apr 9.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

Background It is generally believed that trauma to fat grafts is detrimental and affects the survival of the graft. In addition, it has been shown that smaller fat particle size corresponds to better survival; however, smaller cannula openings correspond to slower and more difficult fat graft harvesting. Objectives This study documents the relationship between cannula size, harvested fat cell size, and injection needle size. Read More

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http://dx.doi.org/10.7759/cureus.7598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212710PMC

Cosmetic gynecology-a systematic review and call for standardized outcome measures.

Int Urogynecol J 2020 May 8. Epub 2020 May 8.

Department of Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, Louisiana State University Health Sciences Center, 5th Floor Department of OB/GYN, 1542 Tulane Ave, New Orleans, LA, 70124, USA.

Objective: Cosmetic gynecology, a field which has garnered substantial attention over recent years, lacks a universally accepted nomenclature. The aim of this systematic review is to evaluate techniques, outcome measures reported, and adverse events in patients undergoing cosmetic gynecology procedures and offer recommendations to improve reporting metrics.

Methods: A systematic literature search was performed using electronic databases from inception to April 2019. Read More

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http://dx.doi.org/10.1007/s00192-020-04294-5DOI Listing

In vivo comparison of MRI-based and MRS-based quantification of adipose tissue fatty acid composition against gas chromatography.

Magn Reson Med 2020 May 7. Epub 2020 May 7.

Medical Radiation Physics, Department of Translational Medicine, Lund University, Skåne University Hospital, Malmö, Sweden.

Purpose: To compare MR-based fatty acid composition (FAC) quantification methods against the gold standard technique, gas chromatography (GC), with comparison of a free and a constrained signal model. The FAC was measured in the healthy and edematous legs of lymphedema patients.

Methods: In vivo MRS and MRI data were acquired from 19 patients at 3 T. Read More

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http://dx.doi.org/10.1002/mrm.28300DOI Listing

In Vitro Comparative Study of Emulsified Fat Grafts.

Eplasty 2020 17;20:e1. Epub 2020 Apr 17.

Plastic Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Fat grafting is considered one of the most precious armamentarium in the hand of plastic surgeons. The fat grafts consist of 2 components, adipocytes and stromal cells. The adipose tissue is a reserve of stem cells. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181372PMC

Expanding Clinical Indications of Mechanically Isolated Stromal Vascular Fraction: A Systematic Review.

Aesthet Surg J 2020 May 2. Epub 2020 May 2.

Background: Mechanically isolated stromal vascular fraction (tSVF, tissue SVF) is a potent regenerative solution, increasingly used as a therapeutic modality for a variety of pathologies. With recent evidence conclusively favoring mechanical isolation over enzymatic alternatives, the therapeutic share and indications of tSVF are expected to grow even further.

Objectives: To provide a systematic review of all studies reporting on the use of tSVF. Read More

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http://dx.doi.org/10.1093/asj/sjaa111DOI Listing

A 3-step Mechanical Digestion Method to Harvest Adipose-derived Stromal Vascular Fraction.

Plast Reconstr Surg Glob Open 2020 Feb 27;8(2):e2652. Epub 2020 Feb 27.

Genetics and Bioengineering, Yeditepe University, Istanbul, Turkey.

Background: Adipose stromal vascular fraction (SVF) isolation with enzymatic digestion is the gold standard, but is expensive, having practical and legal concerns. The alternative mechanical SVF isolation methods provide lower cell yields as they employ either centrifugation, emulsification, or digestion steps alone. We combined mechanical processing with buffer incubation and centrifugation steps into an isolation method called "mechanical digestion" and compared the cell yields with that of enzymatic digestion. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159941PMC
February 2020

Surgical correction for patients with port-wine stains and facial asymmetry.

J Cosmet Dermatol 2020 Apr 19. Epub 2020 Apr 19.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Background: The refractory port-wine stains are often associated with soft and hard tissue hypertrophy leading to facial asymmetry and psychological problems.

Aims: The authors describe and illustrate a surgical strategy for the treatment of both hard and soft tissue malformations in patients with port-wine stains to restore facial symmetry.

Methods: The medical records, photographs of two patients with soft and hard tissue hypertrophy were reviewed. Read More

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http://dx.doi.org/10.1111/jocd.13415DOI Listing

TRIDIMENSIONAL COMBINED GLUTEOPLASTY: LIPOSUCTION, BUTTOCK IMPLANTS AND FAT TRANSFER.

Plast Reconstr Surg 2020 Apr 13. Epub 2020 Apr 13.

M.D. Plastic Surgeon, INNOVARE, Specialized Plastic Surgery, Division of Plastic Surgery at the Jalisco Institute of Reconstructive Surgery "Dr. José Guerrerosantos " Zapopan, Jalisco, México E mail: M.D. Plastic Surgeon, INNOVARE, Specialized Plastic Surgery, INNOVARE Aesthetic Surgery Fellow,E mail : M.D. Plastic Surgeon, INNOVARE, Specialized Plastic Surgery INNOVARE Aesthetic Surgery FellowE mail :

Introduction: There are different procedures for gluteal augmentation. We describe our gluteal augmentation technique, which combines buttock implant placement, frame liposuction and lipoinjection in the lateral third of the buttock and a plane superficial to the gluteal implant.

Materials And Methods: Patients of both sexes who underwent aesthetic gluteal augmentation with a volume deficit of the lateral third and limited fat available for grafting were included. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006918DOI Listing

[Sun's coronal sulcus ring incision plus suprapubic liposuction versus suprapubic V-Y incision for penile elongation].

Zhonghua Nan Ke Xue 2019 Aug;25(8):713-718

Department of Urology, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, China.

Objective: To investigate the clinical effect of suprapubic V-Y incision versus that of Sun's coronal sulcus ring incision plus suprapubic liposuction (CSRI+SPLS) for penile elongation.

Methods: From December 2010 to January 2018, 100 adult males with congenital short penis underwent suprapubic V-Y incision (the V-Y group, n = 50) or CSRI+SPLS (n = 50) for penile elongation surgery in our department. We statistically analyzed the clinical data on the two groups of patients, including age, body mass index (BMI), pre- and post-operative penile lengths in flaccid and erectile states, operation time, intraoperative blood loss, postoperative use of analgesics, postoperative hospital stay, stage-Ⅰ wound healing, incidence of postoperative complications, and quality of pre- and post-operative sexual life. Read More

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Improvement in Jowl Fat following ATX-101 Treatment: Results from a Single-Site Study.

Plast Reconstr Surg 2020 Apr;145(4):929-935

New York, N.Y. From private practice (Luxurgery).

Background: Jowl fat overhang can reduce jawline definition. The most common treatment to reduce jowl fat is liposuction. ATX-101 (deoxycholic acid injection), a minimally invasive treatment approved for submental fat reduction, may also be an effective treatment for jowl fat. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7099849PMC

The Combined Use of Stem Cells and Platelet Lysate Plasma for the Treatment of Erectile Dysfunction: A Pilot Study-6 Months Results.

Medicines (Basel) 2020 Mar 18;7(3). Epub 2020 Mar 18.

Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, M. Asias 21 st, 12462 Athens, Greece.

The current treatment of Erectile Dysfunction (ED) is mainly based on the use of drugs that provide erections shortly after use but they do not really treat the problem. Stem cell therapy is a novel treatment with regenerative properties that can possibly treat erectile dysfunction. Five patients with erectile disease were treated with Adipose-Derived Stem Cells (ADSCs) and Platelet Lysate Plasma (PLP). Read More

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http://dx.doi.org/10.3390/medicines7030014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151592PMC

Lymphedema in survivors of breast cancer.

Oncol Lett 2020 Mar 16;19(3):2085-2096. Epub 2020 Jan 16.

Breast Center B Ward, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China.

The tremendous improvement of survival in patients with breast cancer can be attributed to several treatment strategies, but these strategies also lead to the occurrence of breast cancer-related lymphedema (BCRL). BRCL is regularly associated with factors such as axillary lymph node dissection and local lymph node radiotherapy and manifests as an increase of >10% in the volume of affected limbs. Being overweight or having obesity (body mass index ≥25 kg/m), an excessive number of positive lymph nodes (>8) and capsular invasion by a tumor are additional risk factors for lymphedema. Read More

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http://dx.doi.org/10.3892/ol.2020.11307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039097PMC

Male Gynecomastia Correction by Superior Dynamic Flap Method: A Consistent and Versatile Technique.

World J Plast Surg 2020 Jan;9(1):33-38

Department of Plastic and Cosmetic Surgery, Contura Clinic, Bangalore, India.

Background: Gynecomastia is a common cosmetic issue in India. Many combinations of liposuction and excision of the gland have been advocated. Complete removal of the breast leaves behind a contour deformity and hence a sliver of it needs to be left behind. Read More

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http://dx.doi.org/10.29252/wjps.9.1.33DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068177PMC
January 2020

The morphology and application of stem cells in digestive system surgery.

Folia Morphol (Warsz) 2020 Mar 11. Epub 2020 Mar 11.

Background: Stem cells constitute a group of cells which possess the ability for self-renewal as well as the capacity of differentiation into a vast number of different cells within the human organism. Moreover, stem cells are able to undergo a potentially unlimited number of divisions and this characteristic is clinically essential. Specific fields of its application include treatment of diseases mainly in the field of hematology, orthopedics, surgery, dentistry, and neurology. Read More

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http://dx.doi.org/10.5603/FM.a2020.0024DOI Listing

Overcoming the Achilles' heel of orthostatic hypotension during interactive standing liposculpture.

J Cosmet Dermatol 2020 Mar 11. Epub 2020 Mar 11.

Department of Plastic and Anesthetic Surgery, Nanfang Hospital of Southern Medical University, Guangzhou, China.

Background: Orthostatic hypotension (OH) is a major obstacle to standing liposculpture.

Aims: To investigate the feasibility of a novel "interactive standing liposculpture" procedure under local anesthesia to avoid possible general anesthesia-related complications and overcome standing-associated OH.

Methods: A total of 68 subjects undergoing IsLipo were divided into three groups: Individuals with normal body weight (18 ≤ BMI < 23, n = 21, Group 1), overweight or mildly obese subjects (23 ≤ BMI < 30, n = 29, Group 2), and those with moderate-to-severe obesity (BMI ≥ 30, n = 18, Group 3). Read More

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http://dx.doi.org/10.1111/jocd.13336DOI Listing

Tumescent Liposuction Combined with Power-Assisted Dermal Curettage Through Small Incisions for Axillary Osmidrosis.

Aesthetic Plast Surg 2020 Mar 9. Epub 2020 Mar 9.

Department of Plastics and Cosmetic, The Eye Hospital of Wenzhou Medical University, No. 270, West Xueyuan Road, Wenzhou, 325000, People's Republic of China.

Background: Osmidrosis is a troublesome disease characterized by excessive bodily malodor. Invasive surgical treatments have proven effective and permanent in treating this disease. This study sets out to evaluate the effect of tumescent liposuction with power-assisted dermal curettage for the treatment of axillary osmidrosis. Read More

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http://dx.doi.org/10.1007/s00266-020-01659-5DOI Listing

Clinical Efficacy of Intra-articular Mesenchymal Stromal Cells for the Treatment of Knee Osteoarthritis: A Double-Blinded Prospective Randomized Controlled Clinical Trial.

Am J Sports Med 2020 03;48(3):588-598

Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.

Background: Currently, there are limited nonoperative treatment options available for knee osteoarthritis (OA). Cell-based therapies have emerged as promising treatments for knee OA. Autologous stromal vascular fraction (SVF) has been identified as an efficient medium for intra-articular administration of progenitor cells and mesenchymal stem cells derived from adipose tissue. Read More

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http://dx.doi.org/10.1177/0363546519899923DOI Listing

Influence of Social Media on Cosmetic Procedure Interest.

J Clin Aesthet Dermatol 2020 Jan 1;13(1):28-31. Epub 2020 Jan 1.

Dr Hopkins is with the Department of Dermatology at Broward Health in Fort Lauderdale, Florida. Mr. Moreno is with the College of Medicine at Texas A&M University in Temple, Texas.

Social media is increasingly cited as a contributing factor to the rising public interest in cosmetic procedures. By tracking online search interests, Google Trends (GT) can help quantify these trends. We used GT (trends. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7028372PMC
January 2020

Fat Processing Techniques.

Semin Plast Surg 2020 Feb 15;34(1):11-16. Epub 2020 Feb 15.

Department of Plastic and Reconstructive Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.

Autologous fat grafting is an aesthetic and reconstructive procedure in which an individual's own fat is harvested and injected into the soft tissues to correct contour and other abnormalities. Fat graft is considered the ideal soft tissue filler for its biocompatibility, lack of immunogenicity, and availability. The entire procedure of harvesting, processing, and transfer of fat graft affects fat graft take and effectiveness of fat grafting. Read More

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http://dx.doi.org/10.1055/s-0039-3402052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023966PMC
February 2020

Prevention of Umbilical Sagging After Medium Definition Liposuction.

Aesthet Surg J 2020 Feb 17. Epub 2020 Feb 17.

Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, GA, USA.

Background: The loss of the umbilical vertical axis, causing a horizontal shape deformity after liposuction, is a current aesthetic issue. The use of energy devices, such as LASER and VASER, has been advocated as an option for improving skin retraction, but no data are available on the prevention of umbilical sagging.

Objective: To describe a technique for preventing umbilical deformities after medium definition liposuction using suction-assisted liposuction (SAL). Read More

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http://dx.doi.org/10.1093/asj/sjaa051DOI Listing
February 2020

[Construction of tissue engineered adipose by human adipose tissue derived extracellular vesicle combined with decellularized adipose tissues scaffold].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Feb;34(2):226-233

Department of Plastic Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China.

Objective: To explore the possibility of constructing tissue engineered adipose by adipose tissue derived extracellular vesicles (hAT-EV) combined with decellularized adipose tissue (DAT) scaffolds, and to provide a new therapy for soft tissue defects.

Methods: The adipose tissue voluntarily donated by the liposuction patient was divided into two parts, one of them was decellularized and observed by HE and Masson staining and scanning electron microscope (SEM). Immunohistochemical staining and Western blot detection for collagen type Ⅰ and Ⅳ and laminin were also employed. Read More

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http://dx.doi.org/10.7507/1002-1892.201903064DOI Listing
February 2020

The Efficacy and Safety of Subcutaneous Radiofrequency After Liposuction: A New Application for Face and Neck Skin Tightening.

Aesthet Surg J 2020 Jan 31. Epub 2020 Jan 31.

Professor and Director of the Body Sculpture and Fat Transplantation Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Minimally invasive or noninvasive skin-tightening procedures have become trends in facial and neck rejuvenation. Radiofrequency-assisted liposuction (RFAL) is a new choice for the treatment of skin relaxation that is more effective than noninvasive surgery without surgical incision.

Objectives: The authors recommend a 2-step method in which radiofrequency is applied after appropriate liposuction is performed. Read More

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http://dx.doi.org/10.1093/asj/sjz364DOI Listing
January 2020
2.034 Impact Factor

Pneumothorax as a Complication of Liposuction.

Aesthet Surg J 2020 Jan 31. Epub 2020 Jan 31.

University of Texas MD Anderson Cancer Center, Houston, TX.

Background: Pneumothorax is a rare complication of liposuction resulting from injury to the lung parenchyma.

Objectives: To determine the incidence of pneumothorax complicating liposuction, describe an archetypal presentation, identify risk factors, and propose options for risk reduction.

Methods: In a retrospective chart review, liposuction procedures during a 16-year period by eight surgeons in one practice were screened for pneumothorax. Read More

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http://dx.doi.org/10.1093/asj/sjaa029DOI Listing
January 2020

Effect of surgical repair of acquired buried penis on sexual function in adults.

Int Urol Nephrol 2020 Jun 28;52(6):1087-1091. Epub 2020 Jan 28.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Purpose: This study was performed to investigate the effect of surgical repair of acquired buried penis on sexual function in adults and provide a reference for clinical treatment.

Methods: Thirty-two adult patients who underwent surgical treatment of buried penis from August 2010 to August 2017 were selected as the study group. The basic operative method was penile lengthening. Read More

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http://dx.doi.org/10.1007/s11255-020-02374-5DOI Listing

Prospective Analysis and Comparison of Periareolar Excision (Delivery) Technique and Pull-Through Technique for the Treatment of Gynecomastia.

Aesthetic Plast Surg 2020 Jan 27. Epub 2020 Jan 27.

Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Background: Gynecomastia is one of the most common disorders affecting adolescent and adult males. It is a benign disorder but has severe psychological manifestations like low self-confidence, depression, anxiety and social phobia in patients suffering from gynecomastia. Different surgical techniques have been described utilizing a variety of incisions, excisions, lipectomy and liposuction methods. Read More

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http://dx.doi.org/10.1007/s00266-020-01618-0DOI Listing
January 2020

Review of Insurance Coverage for Abdominal Contouring Procedures in the Postbariatric Population.

Plast Reconstr Surg 2020 Feb;145(2):545-554

Baltimore, Md. From the Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine; and the Department of Plastic Surgery, Johns Hopkins Hospital/University of Maryland School of Medicine.

Background: Following bariatric surgery, patients develop problems related to lax abdominal skin that may be addressed by contouring procedures. Third-party insurers have subjective requirements for coverage of these procedures that can limit patient access. The authors sought to determine how well third-party payers cover abdominal contouring procedures in this population. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006513DOI Listing
February 2020

Cryopreservation of Stromal Vascular Fraction Cells Reduces Their Counts but Not Their Stem Cell Potency.

Plast Reconstr Surg Glob Open 2019 Jul 5;7(7):e2321. Epub 2019 Jul 5.

Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Adipose-derived stem cells are derived from the nonfat component of adipose tissue termed the stromal vascular fraction (SVF). The use of freshly isolated autologous SVF cells as an alternative to adult stem cells is becoming more common. Repeated SVF administration for improved clinical outcomes is complicated by the need for repeated liposuction. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952153PMC

Lymphedema Liposuction with Immediate Limb Contouring.

Plast Reconstr Surg Glob Open 2019 Nov 12;7(11):e2513. Epub 2019 Nov 12.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.

Liposuction is the treatment of choice for solid predominant extremity lymphedema. The classic lymphedema liposuction technique does not remove skin excess created following bulk removal. The skin excess is presumed to resolve with spontaneous skin contracture. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908351PMC
November 2019

Short-term results of adipose-derived stem cell therapy for the treatment of complex perianal fistula A single center experience.

Ann Ital Chir 2019 ;90:583-589

Background: In this study, we aimed to investigate the early results of the safety and efficacy of adipose-derived stem cells (ADSCs) injection along with the repair of the internal orifice in the recovery of complex perianal fistula.

Methods: The study included patients who underwent autologous adipose tissue-derived stemcell injection for complex perianal fistula between December2017 and January2018. The FDA-approved Lipogems® system was used to prepare autologous micro-fragmented adipose stem cells. Read More

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January 2019

Millennial-Assisted Liposuction: The Next-Generation/Future Technique.

Ann Plast Surg 2020 Jan 6. Epub 2020 Jan 6.

From the Department of Plastic Surgery, Morsani College of Medicine, University of South Florida, Tampa, FL.

Over the past 6 decades through innovation, creativity, ingenuity, and hard work, liposuction is now one of the most popular cosmetic procedures around the world. Several different liposuction technologies now exist, which include suction-assisted lipectomy, power-assisted liposuction, and so on. We have devised a new technique geared toward the incoming Generation Y surgeon called millennial-assisted liposuction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002165DOI Listing
January 2020

Commentary on: High Definition Liposculpture in Male Patients Using Reciprocating Power-Assisted Liposuction Technology: Techniques and Results in a Prospective Study.

Aesthet Surg J 2020 Feb;40(3):308-310

Hansjörg Wyss Department of Plastic Surgery, NYU Langone School of Medicine, New York, NY.

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http://dx.doi.org/10.1093/asj/sjz302DOI Listing
February 2020

Commentary on: Power-Assisted Liposuction and Lipofilling: Techniques and Experience in Large-Volume Fat Grafting.

Aesthet Surg J 2020 01;40(2):194-196

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

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http://dx.doi.org/10.1093/asj/sjz286DOI Listing
January 2020

A Cross-sectional Analysis of Insurance Coverage of Extremity Contouring After Massive Weight Loss.

Ann Plast Surg 2020 03;84(3):253-256

From the Division of Plastic Surgery.

Introduction: After bariatric surgery, patients often experience redundant skin in the upper arms and medial thighs as sequelae of massive weight loss. Insurance companies have unpredictable criteria to determine the medical necessity of brachioplasty and thighplasty, which are often ascribed as cosmetic procedures. We evaluated current insurance coverage and characterized policy criteria for extremity contouring in the postbariatric population. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002150DOI Listing

Analysis of Adipose-Derived Stem Cells from Different Donor Areas and Their Influence on Fibroblasts In Vitro.

Aesthetic Plast Surg 2020 Jan 2. Epub 2020 Jan 2.

Division of Hematology and Center for Cell Based Therapy of Ribeirão Preto Medical School, Department of Internal Medicine, University of Sao Paulo, Ribeirão Preto, Brazil.

Background: New regenerative treatments have emerged with the use of multipotent mesenchymal cells, with special interest in adipose-derived stem cells (ADSCs). In recent years, studies that have sought to identify possible quantitative or qualitative differences in ADSCs derived from different donor subcutaneous adipose tissue have shown divergent results making the determination of a preferential donor area still considered inconclusive.

Materials And Methods: The number of ADSCs present in the adipose tissue collected by liposuction was quantified between five different body areas from 17 women, by means of the CFU-F assay and to investigate possible qualitative differences in the ADSCs from these different areas by analyzing: cell surface markers, cell kinetics, action of the supernatant produced by ADSCs from different body areas on fibroblast migration and, finally, differences in the secretome present in the supernatant produced by these cells. Read More

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http://dx.doi.org/10.1007/s00266-019-01586-0DOI Listing
January 2020

A Changing Paradigm: The Brazilian Butt Lift Is Neither Brazilian Nor a Lift-Why It Needs To Be Called Safe Subcutaneous Buttock Augmentation.

Plast Reconstr Surg 2020 01;145(1):281-283

Boston, Mass.; and Dallas, Texas From the Division of Plastic Surgery, Massachusetts General Hospital; and the Dallas Plastic Surgery Institute.

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http://dx.doi.org/10.1097/PRS.0000000000006369DOI Listing
January 2020

[Effect of human stromal vascular fraction gel on the treatment of patients with skin depressed scar and its mechanism].

Zhonghua Shao Shang Za Zhi 2019 Dec;35(12):859-865

Department of Plastic Surgery, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China.

To observe content of cytokine in human stromal vascular fraction gel (SVF-GEL) and effect of SVF-GEL on biological behaviors of epidermal and dermal cells in vitro and clinical efficacy of SVF-GEL. (1) SVF-GEL was prepared using liposuction aspirates harvested from females who received abdomen liposuction in author's unit. SVF-GEL (1 mL) and high-glucose Dulbecco's modified eagle medium (DMEM, 1 mL) were respectively cultured for 24 h with high-glucose DMEM containing 10% fetal calf serum, 10 g/L penicillin, and 10 g/L streptomycin, denoted as SVF-GEL group and negative control group, with 6 samples in each group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.12.006DOI Listing
December 2019

TRANSPLANTATION OF ADIPOSE-DERIVED MESENCHYMAL STEM CELLS IN REFRACTORY CROHN'S DISEASE: SYSTEMATIC REVIEW.

Arq Bras Cir Dig 2019 20;32(4):e1465. Epub 2019 Dec 20.

Postgraduate Program in Health and Development in the Center-West Region, Faculty of Medicine, Campo Grande, MS, Brazil.

Background: Crohn's disease is a pathological condition that has different options of treatment, but there are patients who need other therapeutic approach, such as the use of adipose-derived mesenchymal stem cells.

Aim: Systematic literature review to determine the different ways of adipose-derived mesenchymal stem cells administration in humans with luminal refractory and perianal fistulizing Crohn's disease.

Methods: It was conducted a search for articles (from 2008 to 2018) on PubMed and ScienceDirect databases using the keywords Crohn's disease, fistulizing Crohn's disease, luminal Crohn's disease and transplantation of mesenchymal stem cells or mesenchymal stem cells or stromal cells. Read More

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http://dx.doi.org/10.1590/0102-672020190001e1465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918761PMC

Vascularized lymph node transfer with submental free flap.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Jan 16;137(1):73-77. Epub 2019 Dec 16.

Chirurgie ORL et Cervico-Faciale, Institut Universitaire du Cancer de Toulouse Oncopole, Institut Claudius Regaud, 1, avenue Irène Joliot-Curie, 31059 Toulouse, France.

Limb lymphoedema is common in patients who have undergone inguinal or axillary lymph node dissection. Lymphoedema seriously impacts the patient's quality of life by inducing adipogenesis, fibrosis and repeated episodes of lymphangitis and cellulitis. Following failure of compression therapies, several curative or symptomatic surgical options have been proposed over recent decades, such as liposuction or lymphovenous anastomosis. Read More

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http://dx.doi.org/10.1016/j.anorl.2019.11.004DOI Listing
January 2020

Venous Thromboembolism (VTE) Prophylaxis After Abdominoplasty and Liposuction: A Review of the Literature.

Aesthetic Plast Surg 2020 04 19;44(2):473-482. Epub 2019 Dec 19.

Dreifaltigkeits-Krankenhaus, Bonner Str. 84, 50389, Wesseling, Germany.

Background: The aim of this review article was to study recent articles and summarise the guidelines, indications, risks and benefits of using VTE prophylaxis in patients undergoing abdominoplasty and liposuction.

Methods: A search of PubMed was performed using selected keywords related to the topic. Based on the inclusion and exclusion criteria, a total of 25 articles were included in the review. Read More

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http://dx.doi.org/10.1007/s00266-019-01576-2DOI Listing

Postoperative Complications and Patient Satisfaction After Abdominal Etching: Prospective Case Series of 25 Patients.

Aesthetic Plast Surg 2019 Dec 16. Epub 2019 Dec 16.

Department of Plastic, Reconstructive, Aesthetic and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, 94010, Créteil, France.

Introduction: Conventional liposuction has provided good outcome for years. Abdominal etching (or abdominal high definition liposuction) allows the surgeon to shape and enhance the abdominal muscles by removing specific grooves of subcutaneous fat. The aim of this study is to describe the technique and the complications and to assess patients' satisfaction rate. Read More

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http://dx.doi.org/10.1007/s00266-019-01558-4DOI Listing
December 2019