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Aesthetic Plast Surg 2021 May 13. 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 Mar 17. Epub 2021 Mar 17.

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

Lymphat Res Biol 2021 Mar 2. 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 Feb 27. Epub 2021 Feb 27.

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 Feb;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 Feb 2. 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 2020 Dec 18. Epub 2020 Dec 18.

plastic surgeon in private practice in Houston, TX.

Background: As power-assisted liposuction (PAL) gains popular use, plastic surgeons operating these devices experience occupational exposure to hand-transmitted vibration, which can result in Hand-Arm Vibration Syndrome (HAVS), a debilitating neurovasculopathy.

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

Methods: Vibration emission of a commonly used PAL system (MicroAire-650: Surgical Instruments) was examined using 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

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

Contrib Nephrol 2019 16;198:1-11. Epub 2019 Apr 16.

Department of Internal Medicine, Division of Kidney and Dialysis, Hyogo College of Medicine, Nishinomiya, Japan.

Background: An arteriovenous fistula (AVF) is considered the gold standard modality of vascular access (VA) for maintenance hemodialysis (HD) because of its superior patency, few complications, provision of high quality of life, and low risk of patient mortality. The rapid growth of the aging population and the high prevalence of comorbidities, particularly diabetes mellitus and peripheral vascular disease, in patients requiring HD inevitably deteriorate the ability to construct and maintain a conventional AVF because of these patients' insufficient vascular adaptability. Furthermore, a substantial proportion of patients undergoing HD encounter non-maturation AVF failure and mis-cannulation-related complications, resulting in the need for a temporary VA procedure. Read More

J Cutan Aesthet Surg 2018 Oct-Dec;11(4):222-228

Department of Plastic Surgery, The Cosmetic Surgery Institute, Mumbai, Maharashtra, India.

Background: Phosphatidylcholine and deoxycholate (PC-DC) injections have been used as nonsurgical alternatives to liposuction. DC as a constituent for lipolysis has recently been approved by the US Food and Drug Administration.

Aim: PC and DC have independently been used in lipolysis. Read More

Dermatol Ther 2019 03 30;32(2):e12820. Epub 2019 Jan 30.

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 2019 Jul 28;20(4):374-379. 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 2019 06 6;17(3):340-346. Epub 2018 Oct 6.

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

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