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Dermatol Ther 2019 Jan 14:e12820. Epub 2019 Jan 14.

Center of Physical and Rehabilitative Medicine, Städtisches Klinikum Dresden, Dresden, Germany.

Lipedema is a painful disease of subcutaneous adipose tissue leading to bilateral increase of leg and/ or arm volume, but sparing hands and feet. Although conservative treatment with complex decongestive therapy has been considered as the fundamental treatment, micro-cannular liposuction in tumescent anesthesia has become a surgical option. We report on 111 patients mostly with advanced lipedema treated by this technique in our center between 2007 and 2018. Read More

Diabetes Metab Syndr Obes 2018 26;11:819-825. Epub 2018 Nov 26.

Department of Surgery with Trauma, Orthopaedic and Urological Subunit, Independent Public Health Care Center of the Ministry of Interior and Administration in Lublin, Lublin, Poland,

Madelung's disease is a rare disorder described for the first time in the year 1846 by Brodie. It is characterized by the occurrence of progressive, excessive, and symmetrical deposits of adipose tissue in the subcutaneous layer. Most often, these changes concern the neck, the nape of the neck, arms, and upper back, giving the patients a specific, pseudoathletic appearance. Read More

Clin Plast Surg 2019 Jan 22;46(1):85-90. Epub 2018 Oct 22.

Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 661, Rochester, NY 14642, USA. Electronic address:

Brachioplasty is an increasingly popular procedure performed for improved arm contour in the massive-weight-loss population. There are challenging deformities presented in this population, such as redundant skin, posterior arm lipodystrophy, and loosening of fascial layers of the upper arm and chest wall that must be addressed to achieve successful contour of the arms. Common complications can be minimized with meticulous technique and knowledge of surgical anatomy. Read More

J Vasc Access 2018 Oct 28:1129729818806746. Epub 2018 Oct 28.

Department of Vascular Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Objective:: Lipectomy is an acceptable method of cephalic vein superficialization in hemodialysis arteriovenous fistula. However, limiting it to be a secondary procedure may prolong time between fistula creation and successful cannulation posing more risk of central venous catheter use.

Aim:: The aim of this study is to evaluate primary surgical lipectomy performed at the time of arteriovenous fistula creation in comparison with secondary lipectomy. Read More

Plast Reconstr Surg Glob Open 2018 Aug 16;6(8):e1912. Epub 2018 Aug 16.

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Background: Arm lymphedema is a well-recognized complication after breast cancer surgery that negatively impacts patients' quality of life, both physiologically and psychologically. Lymph stasis and inflammation result in excess formation of adipose tissue, which makes removal of the deposited subcutaneous fat necessary to eliminate the excess volume. Liposuction, combined with postoperative controlled compression therapy (CCT), is the only treatment that gives complete reduction of the excess volume. Read More

Lymphat Res Biol 2018 Oct 6. Epub 2018 Oct 6.

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

Background: In patients with arm or leg lymphedema, more fat has been found in the epifascial compartment of the edematous limb compared to the healthy limb. However, not much is known about subfascial fat accumulation in these patients. This study aims to investigate the intramuscular and intermuscular fat and muscle/water volume in lymphedema patients. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 20;72(1):71-77. Epub 2018 Sep 20.

Department of Plastic Surgery, Odense University Hospital, Odense, Denmark; The Danish Centre for Regenerative Medicine, Odense University Hospital, Denmark; Clinical Institute, University of Southern Denmark, 5000 Odense C, Denmark.

Background: Breast cancer-related lymphedema (BCRL) is a feared late complication. Treatment options are lacking at present. Recent studies have suggested that mesenchymal stromal cells can alleviate lymphedema. Read More

Aesthetic Plast Surg 2018 Dec 17;42(6):1591-1599. Epub 2018 Sep 17.

A-Plast Estetik, Akasya AVM, A1 Kule, D:117Acıbadem, Istanbul, Turkey.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. Read More

J Cutan Aesthet Surg 2018 Apr-Jun;11(2):73-78

Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy.

Massive weight loss (MWL) brachioplasty is frequently requested for the improvement of the appearance and function of arms. Despite its diffusion, this procedure can be associated with significant complications. Liposuction-assisted brachioplasty (LAB) preserves the vascular, nervous, and lymphatic network and reduces the incidence of postoperative complications. Read More

Vasa 2018 Aug 19;47(5):403-407. Epub 2018 Jul 19.

3 Department of Vascular Surgery, Königin Elisabeth Herzberge Hospital, Berlin, Germany.

Background: In obese patients with end stage renal disease, puncturing matured arteriovenous fistulas (AVF) that run deep under the skin surface may prove difficult. To achieve reliable puncturability, there are several surgical solutions. Superficialization with mobilization is common. Read More

Clin Exp Metastasis 2018 Aug 6;35(5-6):553-558. Epub 2018 Jul 6.

Harbor-UCLA Division of Plastic Surgery, Torrance, CA, USA.

Background/purpose: Lymphedema surgery, when integrated into a comprehensive lymphedema treatment program for patients, can provide effective and long-term improvements that non-surgical management alone cannot achieve. Such a treatment program can provide significant improvement for many issues such as recurring cellulitis infections, inability to wear clothing appropriate for the rest of their body size, loss of function of arm or leg, and desire to decrease the amount of lymphedema therapy and compression garment use.

Methods: The fluid predominant portion of lymphedema may be treated effectively with surgeries that involve transplantation of lymphatic tissue, called vascularized lymph node transfer (VLNT), or involve direct connections from the lymphatic system to the veins, called lymphaticovenous anastomoses (LVA). Read More

J Vasc Access 2018 Jul 15;19(4):350-357. Epub 2018 Mar 15.

AKDHC Ambulatory Surgery Center, Arizona Kidney Disease and Hypertension Center, Phoenix, AZ, USA.

Objective: Substantial percentages of cephalic arteriovenous fistulas are situated too deep and require superficialization before use for hemodialysis. The superficialization techniques are diverse: tunnel transposition, elevation, elevation transposition, and lipectomy. Since the fistula veins are not mobilized during lipectomy, it is believed that lipectomy produces better outcomes than other techniques. Read More

J Vasc Surg 2018 10 19;68(4):1150-1156. Epub 2018 Apr 19.

Department of Vascular Surgery, Institut Mutualiste Montsouris, Paris, France.

Objective: We reviewed our initial experience creating a percutaneous arteriovenous fistula (pAVF) using a thermal resistance anastomosis device with proximal radial artery inflow.

Methods: A retrospective review was conducted of all patients who underwent a pAVF creation procedure between May 2017 and October 2017. Primary end points of the study were technical success, patency by Doppler ultrasound examination or angiography, flow levels achieved, time to first use, and pAVF-related complications. Read More

J Otolaryngol Head Neck Surg 2018 Mar 26;47(1):22. Epub 2018 Mar 26.

Division of Otolaryngology - Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada.

Background: Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to review the outcomes of head and neck cancer patients at our center who have undergone submental liposuction for post-treatment lymphedema and compare their subsequent results with a control group. Read More

Aesthet Surg J 2018 Jul;38(8):850-860

United States Navy, Naval Medical Center San Diego, San Diego, CA.

Arm contour improvement is a desired goal of the massive weight loss and the aging population who want to maintain the arm aesthetics. Brachioplasty is a growing and safe procedure to improve the arm contour and different approaches and innovative treatment options have been described since the 1930s. This paper reviews the relevant literature in arm contouring including surgical and nonsurgical procedures used to aesthetically improve the arm. Read More

Aesthet Surg J 2018 Aug;38(9):980-989

Andrew Technologies, Haddonfield, NJ.

Background: Tissue liquefaction liposuction (TLL) deploys a novel energy source utilizing a stream of warmed, low-pressurized, and pulsed saline to extract fat tissue.

Objectives: Compare TLL to suction-assisted liposuction (SAL) to determine which device is more efficient for surgeons and provides better recovery for patients.

Methods: Thirty-one adult female patients were followed prospectively in a contralateral study design comparing differences in bruising, swelling, tenderness, and incision appearance ratings between TLL and SAL procedures. Read More

Plast Reconstr Surg 2018 02;141(2):344-353

Rome, Italy From the Department of Plastic, Reconstructive, and Aesthetic Surgery, the Nonlinear Physics and Mathematical Model Laboratory, and the Laboratory of Tissue Engineering, "Campus Bio-Medico di Roma" University.

Background: Brachioplasty is an increasingly performed procedure following massive weight loss. A visible scar is the main hindrance to this surgery. The aims of the study were to develop a physical model to investigate the ideal location of the surgical incision and to present the authors' technical refinements with the posteromedial scar approach. Read More

N Engl J Med 2017 11;377(18):1788-1789

Boston Children's Hospital, Boston, MA

JAMA Facial Plast Surg 2018 May;20(3):202-206

Facial Plastic Surgery Associates, Houston, Texas.

Importance: Since its approval by the US Food and Drug Administration for treatment of moderate to severe submental liposis in April 2015, deoxycholic acid (Kybella) has received significant media attention as a novel aesthetic treatment. Four phase 3 clinical trials have published data demonstrating the safety and efficacy of the drug compared with placebo; however, no study has juxtaposed the product with submental liposuction.

Objective: To evaluate the efficacy of injectable deoxycholic acid in the treatment of isolated submental liposis. Read More

Aesthet Surg J 2017 Oct;37(9):1022-1031

Department of Plastic and Reconstructive Surgery and the Department of Gynecology, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.

Background: Varied deformities of the upper arm are common after massive weight loss. Brachioplasty techniques have been successively modified to improve aesthetic outcomes and avoid complications, especially lymphedema and sensory damage.

Objectives: The authors evaluated lymphatic drainage and sensory function of the upper limbs after brachioplasty performed with a double-ellipse marking technique, a medial incision, superficial undermining, and posterior arm liposuction. Read More

Lymphat Res Biol 2018 04 28;16(2):174-181. Epub 2017 Sep 28.

1 Department of Clinical Sciences, Lund University , Malmö, Sweden .

Background: Lymphedema leads to adipose tissue deposition. Water-fat magnetic resonance imaging (MRI) can quantify and localize fat and water. The presence of excess fat and excess water/muscle in the subfascial compartment of the lymphedematous limb has not been investigated before. Read More

Plast Reconstr Surg 2018 01;141(1):119-124

München and Bad Mergentheim, Germany From the Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München; the Klinik für Plastische, Rekonstruktive, Hand- und Verbrennungschirurgie, Klinikum Bogenhausen; and the Klinik für Handchirurgie, Caritas Krankenhaus Bad Mergentheim.

Background: Various operative approaches exist for treatment of trapeziometacarpal joint osteoarthritis. The aim of this study was to compare the results of Lundborg resection arthroplasty with solely autologous fat injection.

Methods: Twenty-one patients with symptomatic osteoarthritis of the trapeziometacarpal joint (Eaton-Littler classification stages III/IV) underwent either a Lundborg resection arthroplasty (n = 12) or autologous fat injection into the trapeziometacarpal joint (n = 9). Read More

Stem Cells Transl Med 2017 Aug 27;6(8):1666-1672. Epub 2017 Jun 27.

Departments of Plastic Surgery, Odense University Hospital, Odense, Denmark.

Breast cancer-related lymphedema (BCRL) is a debilitating late complication with a lack of treatment opportunities. Recent studies have suggested that mesenchymal stromal cells can alleviate lymphedema. Herein, we report the results from the first human pilot study with freshly isolated adipose-derived regenerative cells (ADRC) for treating lymphedema with 6 months follow-up. Read More

Dermatol Surg 2017 Jul;43(7):940-949

*Carruthers & Humphrey Cosmetic Dermatology Clinic, Vancouver, British Columbia, Canada; Departments of †Ophthalmology, and ‡Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada; §Pacific Dermaesthetics, Vancouver, British Columbia, Canada.

Background: Cryolipolysis of the arms has been shown to be an effective but somewhat time-consuming process.

Objective: The study evaluated safety and efficacy of a contoured cup cryolipolysis applicator for reduction of arm fat. The prototype was designed to maximize tissue contact with the cooling surface to improve comfort, while reducing treatment time by 25 minutes. Read More

Plast Reconstr Surg 2017 Aug;140(2):327-335

Hameln, Leverkusen, and Oldenburg, Germany From the Department of Plastic, Aesthetic Surgery, and Hand Surgery, Sana Klinikum Hameln Pyrmont; Plastic and Aesthetic Surgery, Department of Orthopaedic, Trauma, Hand, and Reconstructive Surgery, Klinikum Leverkusen; and the Klinik für Kinder- und Jugendpsychiatrie/Psychosomatik und Psychotherapie, Klinikum Oldenburg.

Background: Most operations for carpometacarpal joint osteoarthritis of the thumb irreversibly alter or destroy the anatomy. There is a high demand for minimally invasive alternatives. The authors report the results of autologous fat transfer for treatment of thumb carpometacarpal joint osteoarthritis. Read More

Lymphat Res Biol 2018 02 27;16(1):20-27. Epub 2017 Mar 27.

2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .

Background: Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic.

Methods And Results: Patients underwent routine bilateral arm MRI both before and after liposuction for advanced lymphedema. Read More

Aesthet Surg J 2017 Jun;37(6):715-722

Dr Capizzi is a plastic surgeon in private practice in Charlotte, NC.

Background: Many patients that have undergone mastectomy surgery are left with residual lateral fat under the arm. While the fat may be associated with pain and cause undesirable bulges in clothing and skin irritation, most post-mastectomy patients are not interested in additional surgery.

Objectives: Cryolipolysis is a nonsurgical procedure for fat reduction. Read More

Lymphat Res Biol 2017 03 30;15(1):87-98. Epub 2017 Jan 30.

1 Department of Clinical Sciences in Malmö, Lund University , Malmö, Sweden .

Abstracts Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Read More

Aesthetic Plast Surg 2017 Apr 7;41(2):352-358. Epub 2017 Jan 7.

Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, Via Morandi, 30, 20097, San Donato Milanese, Milan, Italy.

Introduction: Necrotizing fasciitis (NF) is a rare, potentially fatal, infective complication that can occur after surgery. Diagnosis is still difficult and mainly based on clinical data. Only a prompt pharmacological and surgical therapy can avoid dramatic consequences. Read More

Lasers Surg Med 2016 10 20;48(8):734-741. Epub 2016 Jun 20.

The Inner Beauty Clinic Ltd., 104 Oak Road, Tiptree CO50NA, Essex, United Kingdom.

Background And Objective: To better understand adipocyte sensitivity under hyperthermic conditions, the ULTIMA system (also known as MUST) was designed to induce the thermal destruction of fat cells using ultrasound, radiofrequency, and vacuuming. This clinical study assessed the safety and efficacy of ULTIMA in non-invasive reductions of abdominal circumference.

Study Design: This open-label, single-arm exploratory study monitored the response of 21 patients to a single fat reduction treatment session with the ULTIMA system. Read More

Plast Reconstr Surg 2016 Sep;138(3):447e-50e

Dallas, Texas; and New York, New York From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and Division of Plastic Surgery at New York Presbyterian Weill Cornell Medical Center in New York, N.Y.

Upper arm contouring is based on the location and amount of excess skin and fat. The short-scar brachioplasty addresses minimal to moderate skin laxity and lipodystrophy in the proximal arm in patients with appropriate skin tone and quality. This article highlights technical refinements of the senior author's (R. Read More

J Cosmet Dermatol 2016 Dec 23;15(4):561-564. Epub 2016 Jun 23.

Main Line Center for Laser Surgery, Ardmore, PA, USA.

Cryolipolysis is a noninvasive esthetic procedure that utilizes controlled cooling to reduce subcutaneous fat. Clinical studies have established its safety, efficacy, and tolerability for fat reduction in a variety of areas including the abdomen, flanks, thighs, submental area, arms, back, and chest. Because of obvious esthetic concerns, long-term unilateral studies leaving an untreated flank, thigh, or arm are not performed, but serve as ideal controls for weight gain or loss or re-distribution of fat for other reasons. Read More

Lymphology 2016 Jun;49(2):85-92

The objective of this study was to assess erysipelas incidence before and after liposuction treatment for patients suffering from post-mastectomy lymphedema. A prospective cohort study of 130 patients at Skåne University Hospital in Malmö, Sweden with postmastectomy arm lymphedema, who had poor outcomes from prior conservative treatment and clinical signs of subcutaneous adipose tissue hypertrophy, underwent liposuction between 1993-2012. Pre- and postoperative incident data on erysipelas were available for all of them. Read More

Aesthet Surg J 2016 07 23;36(7):804-6. Epub 2016 May 23.

Dr Shermak is an Associate Professor, Department of Plastic Surgery, The Johns Hopkins Medical Center, Baltimore, MD, USA.

Stem Cells Transl Med 2016 Jul 5;5(7):857-9. Epub 2016 May 5.

Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark.

Unlabelled: : Lymphedema is one of the most frequent side effects following cancer treatment, and treatment opportunities for it are currently lacking. Stem cell therapy has been proposed as a possible novel treatment modality. This study was the first case in which freshly isolated adipose-derived stromal cells were used to treat lymphedema. Read More

Dermatol Surg 2016 May;42 Suppl 2:S119-23

*Goldman, Butterwick, Groff, Fabi and Wu, Cosmetic Laser Dermatology, San Diego, California; †Skin Associates of South Florida, Coral Gables, Florida.

Background: The aging arm is characterized by increased dyspigmentation, a proliferation of ectactic blood vessels, excessive adiposity, excessive skin laxity, and actinic keratosis. A variety of laser, energy, and surgical techniques can be used to improve these features.

Objective: The objective of this article is to describe the treatment modalities that have proven efficacious in rejuvenating the aging arm and combination therapies that have the potential to optimize patient outcomes while maintaining safety and tolerability. Read More

EBioMedicine 2016 Mar 19;5:204-10. Epub 2016 Jan 19.

Laboratory of Molecular and Cellular Cardiology, Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense, Denmark; Institute of Molecular Medicine, University of Southern Denmark, Winsloewparken 21 3rd, 5000 Odense C, Denmark; The Danish Centre for Regenerative Medicine (www.danishcrm.com); Odense University Hospital, Denmark.

Background: Prostate cancer is the most common cancer in men, and radical prostatectomy (RP) often results in erectile dysfunction (ED) and a substantially reduced quality of life. The efficacy of current interventions, principal treatment with PDE-5 inhibitors, is not satisfactory and this condition presents an unmet medical need. Preclinical studies using adipose-derived stem cells to treat ED have shown promising results. Read More

J Plast Reconstr Aesthet Surg 2016 May 2;69(5):700-5. Epub 2016 Feb 2.

Department of Bariatric and Metabolic Surgery, CHU Avicenne, 93000 Bobigny, France; Paris North University, 99 Avenue Jean Baptiste Clément, 93430 Villetaneuse, France.

Background And Aim: Persistent postsurgical pain (PPP) has been reported by patients following various surgeries. Body contouring procedures are being performed more frequently, but no data are available regarding the effects of these procedures. Long-term disability occurring after performing "functional" procedures on healthy subjects is a particular concern. Read More

Aesthet Surg J 2016 Sep 23;36(8):908-17. Epub 2016 Feb 23.

Dr Abboud is Head and Dr Dibo is a Fellow, Division of Plastic Surgery, Centre Hospitalier Universitaire de Tivoli, Brussels, Belgium. Mr Abboud is a fourth-year medical student, Universite Libre de Bruxelles, Brussels, Belgium.

Background: Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring.

Objectives: The authors proposed a new classification system and treatment algorithm for brachial ptosis and described their experience with power-assisted liposuction and lipofilling to treat brachial ptosis without excisional surgery. Read More

J Cosmet Laser Ther 2016 Jun 8;18(3):126-9. Epub 2016 Mar 8.

b Department of Dermatology , Korea University College of Medicine , Ansan , Korea.

Background: Cryolipolysis received U.S. Food and Drug Administration clearance for reducing fat from the flanks, abdomen, and thighs. Read More

Mol Med Rep 2016 Feb 14;13(2):1063-9. Epub 2015 Dec 14.

Department of Plastic and Reconstructive Surgery, General Hospital of Shenyang Military Area Command, Shenyang, Liaoning 110840, P.R. China.

Cell-assisted lipotransfer (CAL) has been widely used in various clinical applications, including breast augmentation following mammectomy, soft-tissue reconstruction and wound healing. However, the clinical application of CAL has been restricted due to the transplanted fat tissues being readily liquefied and absorbed. The present review examines 57 previously published studies involving CAL, including fat grafting or fat transfer with human adipose-stem cells in all known databases. Read More

Surg Today 2016 Jul 5;46(7):835-42. Epub 2015 Sep 5.

Department of Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Purpose: Adipose-derived stem cell (ADSC) transplantation is expected to be a minimally invasive, but effective, treatment for postoperative enterocutaneous fistulas associated with poor blood flow and chronic inflammation. The aim of this study was to assess the safety and efficacy of a novel ADSC therapy for this condition.

Methods: We conducted an open-label, single-arm exploratory phase I study to assess the safety and efficacy of a novel ADSC therapy. Read More

Plast Reconstr Surg Glob Open 2015 Jul 10;3(7):e459. Epub 2015 Aug 10.

Manhattan Eye, Ear & Throat Hospital, New York, N.Y.; and Elysium Aesthetics SAS, Bogota, Colombia.

Background: Liposuction of the arms alone may be inadequate for aesthetic improvement because of skin laxity. Radiofrequency-assisted liposuction (RFAL) and aggressive superficial liposuction (SupL) have been described to stimulate soft tissue retraction to improve results. We compare the techniques and describe a classification scheme that factors skin laxity, skin quality, and Fitzpatrick type to provide treatment recommendations. Read More

Ann Surg Oncol 2015 Dec 30;22 Suppl 3:S1263-70. Epub 2015 Jun 30.

Department of Clinical Medicine, Faculty of Medicine and Health Sciences, 2 Technology Place, Macquarie University, Sydney, NSW, Australia.

Purpose: This research describes and evaluates a liposuction surgery and multidisciplinary rehabilitation approach for advanced lymphedema of the upper and lower extremities.

Methods: A prospective clinical study was conducted at an Advanced Lymphedema Assessment Clinic (ALAC) comprised of specialists in plastic surgery, rehabilitation, imaging, oncology, and allied health, at Macquarie University, Australia. Between May 2012 and 31 May 2014, a total of 104 patients attended the ALAC. Read More

Lasers Med Sci 2015 Nov 23;30(8):2165-9. Epub 2015 Jun 23.

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Pran-nok Road, Bangkok, 10700, Thailand.

Cryolipolysis has emerged as a new non-invasive body contouring method using controlled cooling to selectively destroy fat cells. Previous studies demonstrated the safety and efficacy of cryolipolysis for the reduction of localized subcutaneous fat on abdomen and flanks. Recently, the new flat cup vacuum applicator has been developed to treat localized subcutaneous fat on arms and inner thighs. Read More

Zhonghua Zheng Xing Wai Ke Za Zhi 2014 Nov;30(6):439-42

Objective: To improve a better method to achieve the upper arm's circumferential harmony by using adjacent aesthetic unit combined upper arm liposuction.

Methods: Liposuction of upper arm, axilla and part of the scapula area was performed on 88 cases at one stage from January 2007 to March 2013.

Results: All the cases achieve satisfactory results. Read More

J Reconstr Microsurg 2016 Jan 20;32(1):56-65. Epub 2015 Apr 20.

Lymphedema Center, Department of Clinical Sciences, Lund University, Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden.

Background: Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a large chronic nonpitting lymphedema. Liposuction is therefore a logical and tempting treatment to reduce the adipose tissue volume excess. Read More

J Reconstr Microsurg 2016 Jan 13;32(1):16-27. Epub 2015 Apr 13.

Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau (Universitat Autonoma de Barcelona), Barcelona, Spain.

Background: Lymphedema is a well-known sequela of breast but no consensus has been reached about the ideal treatment. Surgical approaches, however, are receiving increased attention. Various microsurgical reconstructive techniques aim to restore anatomy and function of the lymphatic system in upper limb breast cancer-related lymphedema (BCRL). Read More

Lasers Med Sci 2015 May 28;30(4):1377-85. Epub 2015 Mar 28.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, 2 Yuh-Der Road, 40447, Taichung, Taiwan.

Upper limb lymphedema following breast cancer surgery is a challenging problem for the surgeon. Lymphatico-venous or lymphatico-lymphatic anastomoses have been used to restore the continuity of the lymphatic system, offering a degree of improvement. Long-term review indicates that lumen obliteration and occlusion at the anastomosis level commonly occurs with time as a result of elevated venous pressure. Read More