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Aesthet Surg J 2022 Jun;42(7):NP474-NP476

Instituto Ana Torres, Teknon Hospital, Barcelona, Spain.

Z Orthop Unfall 2022 Mar 10. Epub 2022 Mar 10.

Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie / Handchirurgie, Klinikum Lüdenscheid, Lüdenscheid, Deutschland.

Background: Initial results after autologous fat transfer for treatment of thumb carpometacarpal joint osteoarthritis have been promising. But long-term results have not yet been available.

Methods: In a prospective study, 42 patients with thumb carpometacarpal joint osteoarthritis were observed for a mean time of 5 years after autologous fat transfer. Read More

Lasers Surg Med 2022 Jul 9;54(5):672-681. Epub 2022 Mar 9.

Division of Biostatistics, Boston Biostatistics Research Foundation, Inc., Framingham, Massachusetts, USA.

Objectives: The primary objective of this pilot study was to confirm the safety of a 1064-nm laser device with a novel robotic arm for noninvasive subcutaneous fat reduction in the flank area. Secondary objectives included: assessing the extent of subject discomfort during treatment, overall subject satisfaction with the results of the procedure, and a determination of subcutaneous fat reduction in the treated area, in preparation for larger upcoming trials.

Materials And Methods: A 110-cm area on both flanks of enrolled subjects (N = 11; 22 flanks) was treated for 20 minutes with a Food and Drug Administration-cleared robotic noncontact 1064-nm laser system (EON®; Dominion Aesthetic Technologies, Inc. Read More

Plast Reconstr Surg 2022 05 9;149(5):881e-892e. Epub 2022 Mar 9.

From the Department of Plastic Surgery, Cairo University.

Background: Only a few studies have directly compared outcomes of different arm contouring techniques across matched cohorts of patients. In this study, the authors present preliminary data comparing outcomes of conventional open suction-assisted brachioplasty (using the Pascal and Le Louarn procedure) versus combined liposuction/laser skin tightening in (grade 2b arm ptosis per El Khatib classification).

Methods: Thirty patients (60 arms) (28 women, two men) with moderate brachial ptosis (severe upper arm adiposity and a moderate degree of skin laxity) (grade 2b arm ptosis per El Khatib classification) were included. Read More

Ann Plast Surg 2022 06 18;88(5 Suppl 5):S433-S438. Epub 2022 Feb 18.

From the Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, NC.

Abstract: Brachioplasty has become one of the fastest-growing aesthetic surgery procedures, paralleling rising rates of weight loss surgery nationally. However, controversy persists regarding incision placement and utility of concurrent liposuction. In this article, the authors describe indications, patient selection, expected outcomes, and photographic standards for patients seeking brachioplasty after weight loss. Read More

Aesthet Surg J 2022 Jun;42(7):NP463-NP473

Department of Plastic Surgery, Reconstructive Surgery and Burn Management, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Surgical excision remains the gold-standard therapy for arm skin laxity. However, many patients refuse surgical treatment for fear of the prominent long scars associated with brachioplasty.

Objectives: The objective of the study was to compare the aesthetic outcome of 2 energy-assisted liposuction arm-contouring techniques, radiofrequency-assisted liposuction (RFAL; Group A) and Renuvion helium subdermal coagulation (Group B), with a control group treated with VASER-assisted liposuction (VAL) alone (Group C). Read More

Plast Reconstr Surg 2022 Jan;149(1):83-95

From the Division of Plastic and Reconstructive Surgery, McGill University Health Center; and Division of Experimental Surgery, Faculty of Medicine, and Department of Anesthesia, McGill University.

Background: Brachioplasty procedures have experienced a surge in popularity over the past decade, mirroring the rise in bariatric procedures and growing population of massive weight loss patients. The authors estimated the incidence of associated complications and identify possible patient- or procedure-related predictive factors.

Methods: A systematic review was performed using the PubMed, Cochrane, and Embase databases; extracted data were synthesized through a random-effects meta-analysis of proportions and a multivariate meta-regression. Read More

Aesthetic Plast Surg 2022 Apr 8;46(2):786-794. Epub 2021 Oct 8.

UOC Chirurgia Plastica, Dipartimento per la Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Università Cattolica del "Sacro Cuore", Largo A. Gemelli 8, 00168, Rome, Italy.

Background: Many types of brachioplasty techniques have been described in the literature, and the main focus has been scar aesthetics, reproducibility and safety. Little attention has been given to other two aspects of the procedure: overall aesthetic with a focus on the torso-brachial angle and on the lymphatic distress related to the procedure. In this paper, we described a novel technique of brachioplasty called lipobrachiopexy, a lymph-sparing procedure which includes tendon suspension suture to improve cosmetics . Read More

BMJ Open 2021 09 16;11(9):e051413. Epub 2021 Sep 16.

Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Centre+, Maastricht, The Netherlands.

Introduction: Pioneers have shown that it is possible to reconstruct a full breast using just autologous fat harvested by liposuction or autologous fat transfer (AFT). This study describes the first multicentre randomised study protocol to thoroughly investigate the effectiveness of AFT to reconstruct full breasts following mastectomy procedures (primarily and delayed).

Methods And Analysis: This study is designed as a multicentre, randomised controlled clinical superiority trial with a 1:1 allocation ratio. Read More

J Plast Surg Hand Surg 2022 Jun 2;56(3):172-179. Epub 2021 Aug 2.

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

Lymphedema is caused by dysfunctional lymph vessels or as a complication of cancer treatment leading to edema and adipose tissue deposition. One hypothesis is that adipocyte hypertrophy contributes to the volume increase in lymphedema. The aim of the study was to compare adipocyte size in arm and leg lymphedema and controls. Read More

Aesthetic Plast Surg 2021 10 20;45(5):2242-2243. Epub 2021 Jul 20.

Department of Plastic Surgery, University of Pittsburgh Medical Center, 3550 Terrace Street, 6B Scaife Hall, Pittsburgh, PA, 15261, USA.

Aesthetic Plast Surg 2022 Feb 13;46(1):132-142. Epub 2021 May 13.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France.

Introduction: Autologous fat transfer is becoming a more and more widespread procedure in aesthetic breast surgery. Power-assisted technology produces oscillating reciprocal movements of cannula tip, which reproduce the motion of the operator's arm with lower amplitude. The power-assisted mechanism can be applied to the fat liposuction and injection phases. Read More

Aesthetic Plast Surg 2021 06 17;45(3):1125-1126. Epub 2021 Mar 17.

H/ K/B Plastic Surgery Center, Charlotte, NC, USA.

Lymphat Res Biol 2022 02 2;20(1):53-63. Epub 2021 Mar 2.

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

Adipose tissue deposition is a known consequence of lymphedema. A previous study showed that the affected arm in patients with nonpitting breast cancer-related lymphedema (BCRL) had a mean excess volume of 73% fat and 47% muscle. This condition impairs combined physiotherapy as well as more advanced microsurgical methods. Read More

Aesthet Surg J 2021 09;41(10):1155-1165

Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX, USA.

Background: Despite the proven efficacy of liposuction, there is a population of patients who prefer non-surgical alternatives. Laser hyperthermia-induced lipolysis has emerged as one non-invasive alternative to liposuction.

Objectives: The authors sought to evaluate the safety and efficacy of a 1060-nm (±10 nm) diode laser for non-invasive fat reduction of the abdomen. Read More

Plast Reconstr Surg 2021 02;147(2):337-344

From the Plastic Surgery Department, Faculty of Medicine, Zagazig University.

Background: Excess fat and skin in the upper arms have become troublesome with aging and especially after the advancement in methods of weight reduction. Arm contouring procedures can be divided into three groups: those dealing with skin redundancy, those dealing with the lipodystrophy, and a combination of both. This study tries to find an answer to the debate about the safety of simultaneous circumferential liposuction and brachioplasty. Read More

Aesthetic Plast Surg 2021 06 2;45(3):1115-1124. Epub 2021 Feb 2.

The 16th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33, BaDaChu Road, Shijingshan District, Beijing, 100144, China.

Background: Upper arm liposuction mainly focuses on the posterolateral region, which may lead to a lack of harmony between the aspirated and unaspirated areas. In addition, the treatment effect of arm liposuction is often evaluated only by preoperative and postoperative photograph comparison and simple measurement; quantitative research on this topic is still lacking.

Methods: The multi-positional circumferential arm liposuction (MCAL) technique was proposed and applied to a total of 34 females in our hospital from 2017 to 2019. Read More

Aesthet Surg J 2021 06;41(7):783-791

Background: As power-assisted liposuction (PAL) gains in popularity, plastic surgeons operating these devices experience occupational exposure to hand-transmitted vibration, which can result in hand-arm vibration syndrome, a debilitating neurovasculopathy.

Objectives: The objective of the study was to determine vibration exposure from the utilization of a PAL device during surgery to generate recommendations for safe use.

Methods: Vibration emission of a commonly utilized PAL system (MicroAire-650, Surgical Instruments, Charlottesville, VA) was examined employing a vibration data logger under both controlled laboratory conditions and during 13 typical liposuction cases. Read More

Int J Urol 2020 10 30;27(10):859-865. Epub 2020 Jul 30.

Department of Biostatistics and Bioinformatics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Objectives: To report the outcome of the ADRESU study, a multicenter, single-arm, investigator-initiated clinical trial to confirm the efficacy and safety of regenerative treatment for male patients with stress urinary incontinence.

Methods: The participants were male patients with mild-to-moderate stress urinary incontinence persisting for >1 year after prostatectomy. Autologous adipose-derived regenerative cells were isolated using the Celution system from adipose tissue obtained by liposuction. Read More

Curr Oncol Rep 2020 07 28;22(10):97. Epub 2020 Jul 28.

The University of North Carolina at Chapel Hill, Campus Box 7213, 1150 POB, 170, Dr. Chapel Hill, Manning, NC, 27599-7213, USA.

Purpose Of Review: For patients who have or may develop lymphedema due to oncologic resection, surgical options are available to prevent and treat this chronic disease. Here, we review the current pathophysiology, classification systems, surgical preventive techniques, and treatment options for lymphedema reduction.

Recent Findings: Preventive surgical techniques, including de-escalation of axillary surgery, sentinel lymph node biopsy (SLNB), axillary reverse mapping (ARM), and lymphedema microsurgical preventive healing approach (LYMPHA), have been shown to reduce the incidence of lymphedema. Read More

Aesthetic Plast Surg 2020 10 8;44(5):1596-1603. Epub 2020 Jul 8.

Hunstad Kortesis Bharti Plastic Surgery Center, Charlotte, NC, USA.

Background: In attempting to overcome the challenges associated with arm contouring, arm liposuction has been an area of focus in recent years. In appropriately selected patients, circumferential liposuction is the procedure of choice. The objective of this study is to describe our experience with the four-position four-entry site circumferential arm liposuction technique. Read More

Lymphology 2020 ;53(1):38-47

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Germany.

Surgical treatment of lymphedema with liposuction typically requires subsequent compression therapy. Here we describe an approach where secondary arm lymphedemas are initially treated by autologous lymphatic grafting to bypass the axilla and restore lymphatic flow. In the presence of excess adipose tissue, liposuction is then performed in a second procedure. Read More

J Cosmet Dermatol 2020 Nov 12;19(11):2898-2905. Epub 2020 Apr 12.

Universidade Estácio de Sá, Rio de Janeiro, Brazil.

Background: Localized fat is a matter of great concern among individuals from today's society. Cryolipolysis is a noninvasive technique that have shown great results in reducing localized fat.

Aims: To analyze the efficacy of cryoplipolysis on visible local fat reduction in submental region, arms, or male breast (pseudogynecomastia) in Brazilian subjects, and to assess possible factors associated with treatment success. Read More

Plast Reconstr Surg 2020 04;145(4):754e-756e

From the Dallas Plastic Surgery Institute.

With a growing massive weight loss population, upper arm contouring continues to rise in popularity. Refinements in technique, such as modification of skin excision patterns and the adjunct use of liposuction, have allowed for safe and reproducible results. This article helps to understand the evolution of upper arm contouring and provides an update on the limited-incision medial brachioplasty. Read More

JAMA Otolaryngol Head Neck Surg 2020 04;146(4):355-363

Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Assistance Publique-Hôpitaux de Marseille, La Conception University Hospital, Marseille, France.

Importance: Patients with scarred vocal folds, whether congenitally or after phonosurgery, often exhibit dysphonia that negatively affects daily life and is difficult to treat. The autologous adipose tissue-derived stromal vascular fraction (ADSVF) is a readily accessible source of cells with angiogenic, anti-inflammatory, immunomodulatory, and regenerative properties.

Objective: To evaluate the feasibility and tolerability of local injections of autologous ADSVF in patients with scarred vocal folds. Read More

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

Eur J Vasc Endovasc Surg 2019 Nov 17;58(5):756-760. Epub 2019 Sep 17.

Department of Vascular and Endovascular Surgery, University Hospital Basel, Basel Switzerland. Electronic address:

Objective: The aim was to evaluate the safety and feasibility of endoscopic superficialisation (ES) in patients with deeply located cephalic veins in well matured arteriovenous fistulae (AVF) and to present functional outcomes.

Methods: All patients with cannulation difficulties due to a deep lying cephalic vein of more than 6 mm but with an otherwise matured AVF with a straight needle access segment of at least 6 cm were included in this retrospective study. Procedure related safety, defined as completion of ES with no need for conversion to open surgery, and feasibility in terms of cephalic vein depth reduction were assessed. Read More

Aesthet Surg J 2020 02;40(3):299-307

Background: High-definition liposculpture (HDL) consists of techniques developed to emulate an athletic and attractive surface anatomy.

Objectives: The aim of this study was to describe our experience, including techniques and postoperative outcomes, when performing HDL with power-assisted liposuction (PAL) technology in male patients.

Methods: In this prospective study PAL was used for fat extraction and to perform HDL. Read More

J Drugs Dermatol 2019 Apr;18(4):342-348

Background: Non-surgical fat reduction through cold application, cryolipolysis, is an extremely popular procedure. Apoptosis of the fat cell content may take around 3 months to resolve. Objective: A topical test product was compared to a bland emollient as an adjunct to the cryolipolysis procedure of the upper arms to determine if the product could hasten outcomes in these patients. Read More

Ann Plast Surg 2019 09;83(3):308-317

From the Departments of Plastic and General Surgery.

Background: Upper limb lymphedema is a common problem after axillary lymph node dissection. Lymphatic drainage can be improved by microvascular lymph node transfer, whereas liposuction can be used to reduce arm volume and excess of adipose tissue. We present the results of chronic lymphedema patients who have undergone lymph node transfer and liposuction simultaneously in 1 operation and compare the results with patients who have undergone lymph node transfer without liposuction. Read More