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    1 OF 8

    Life Threatening Complications Post-Liposuction.
    Aesthetic Plast Surg 2018 Jan 31. Epub 2018 Jan 31.
    Department of General Surgery, Liver Transplantation and Hepatopancreaticobiliary Unit, American University of Beirut Medical center, Beirut, Lebanon.
    Background: Liposuction is one of the most commonly performed aesthetic procedures. It is performed worldwide as an outpatient procedure. However, the complications are underestimated and underreported by caregivers. Read More

    Evidence-Based Practice in Liposuction.
    Ann Plast Surg 2018 Jan 24. Epub 2018 Jan 24.
    Background: The goal of this study is to examine the existing peer reviewed literature comparing modern adjunctive techniques in liposuction including laser-assisted liposuction (LAL) and ultrasound-assisted liposuction (UAL) to standard suction-assisted liposuction (SAL). We intend to interpret these findings into a literature-based clinical application to influence practice patterns.

    Methods: A literature review was conducted using a keyword search in PubMed. Read More

    [Liposuction].
    Hautarzt 2018 Feb;69(2):165-176
    Hautklinik, Universitätsklinikum Münster, Von Esmarchstr. 58, 48149, Münster, Deutschland.
    Liposuction began in the 1920s when the Parisian surgeon Charles Dujarier became interested in body shaping and fat removal. Today, it is estimated that 1,453,000 liposuctions are annually performed worldwide. In Germany, 45,000 liposuctions are performed annually. Read More

    Liposuction of the Neck: Low Incidence of Nerve Injury and Other Complications in 987 Patients.
    J Drugs Dermatol 2018 Jan;17(1):30-34

    The neck is one of the most common areas treated by liposuction. Neck liposuction decreases fat volume, causes skin contraction, and restores a more youthful appearance. We present a large case series (n=987) performed by three dermatologic surgeons. Read More


    Liposuction Considerations in Men.
    Dermatol Clin 2018 Jan;36(1):75-80
    Department of Dermatology, Weill Cornell Medicine, New York, NY, USA; Sadick Dermatology, 911 Park Avenue, New York, NY 10128, USA. Electronic address:
    Liposuction is the most popular cosmetic surgical procedure performed in men. Aside from traditional liposuction using the tumescent technique, several energy-assisted liposuction technologies have emerged and been proven safe and particularly beneficial for the male patient demographic. The differences in fat distribution and unique goals and emotional perspective in men need to be taken into account when performing liposuction, to ensure meeting the patient's needs and expectations for satisfactory results. Read More

    Liposuction Assisted Lipoma Removal - Option or Alternative?
    Open Access Maced J Med Sci 2017 Oct 14;5(6):766-770. Epub 2017 Oct 14.
    University Clinic for Plastic and Reconstructive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
    Background: Lipomas are the most frequent soft -tissue tumors arising from adipose tissue. Traditionally, open surgery is a mainstay of their treatment. Recently, new treatment modalities emerge in order to decrease morbidity, to increase satisfaction rate in patents, but not to raise recurrence risk at the same time. Read More

    Correlation between the time elapsed after liposuction and the risk of fat embolism: An animal model.
    Arch Plast Surg 2018 Jan 27;45(1):14-22. Epub 2017 Oct 27.
    Department of Pathology, Dong-A University School of Medicine, Busan, Korea.
    Background: Liposuction has become one of the most frequently performed procedures in the field of aesthetic surgery. Fat embolism syndrome after liposuction can easily be overlooked or underestimated; however, occasionally, fulminating fat embolism syndrome can develop and lead to a critical situation within 2-3 days after lipoplasty. Changes over time in the amount of circulating fat particles and the histology of major organs have not yet been studied. Read More

    Autogenous fat grafting for mild-to-moderate postoperative temporal hollowing after decompressive craniectomy: One-year follow-up.
    Arch Plast Surg 2018 Jan 27;45(1):69-73. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, Konkuk University Choongju Hospital, Konkuk University School of Medicine, Choongju, Korea.
    Background: Temporal hollowing is inevitable after decompressive craniectomy. This complication affects self-perception and quality of life, and various techniques and materials have therefore been used to restore patients' confidence. Autologous fat grafting in postoperative scar tissue has been considered challenging because of the hostile tissue environment. Read More

    Safety Analysis of Autologous Stem Cell Therapy in a Variety of Degenerative Diseases and Injuries Using the Stromal Vascular Fraction.
    J Clin Med Res 2017 Nov 2;9(11):935-942. Epub 2017 Oct 2.
    Panama College of Cell Science, 3rd Floor, C&H Towers Corner of Great Marlboro and Great George Streets Roseau, 00152, Commonwealth of Dominica.
    Background: Stem cells from adipose tissue offer a novel therapy for patients with damaged tissue. Stromal vascular fraction (SVF) injected into patients may reduce inflammation, promote healing, and repair damaged/scarred tissue. SVF can be isolated from fat (adipose) tissue in an outpatient procedure. Read More

    The use of high tumescent power assisted liposuction in the treatment of Madelung's collar.
    Postepy Dermatol Alergol 2017 Aug 2;34(4):366-371. Epub 2017 Aug 2.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Medical College in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

    1000 Consecutive Cases of Laser-Assisted Liposuction Utilizing the 1440 nm Wavelength Nd:YAG Laser: Assessing the Safety and Efficacy.
    Aesthetic Plast Surg 2018 Feb 15;42(1):9-12. Epub 2017 Sep 15.
    Department of Plastic Surgery, Aesthetic Plastic Surgery Fellowship, Manhattan Eye, Ear and Throat Hospital, 128 Central Park South, New York, NY, 10019, USA.
    Background: Liposuction remains one of the most popular aesthetic surgery procedures performed today, and it has undergone continuous refinements over the past four decades. Advancements in anesthesia, improvements in instrumentation, better understanding of fluid dynamics and the addition of energy to liposuction have led to better outcomes with improved safety and efficacy.

    Objectives: The purpose of this study is to review 1000 consecutive laser-assisted liposuction (LAL) cases utilizing the 1440 nm wavelength. Read More

    Madelung's Disease - Case Series and Treatment by Tumescent Liposuction or Lipectomy.
    Open Access Maced J Med Sci 2017 Jul 19;5(4):427-431. Epub 2017 Jul 19.
    Center for Physical and Rehabilitative Medicine, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital, Friedrichstrasse 41, 01067, Dresden, Germany.
    Madelung disease is a disfiguring disorder belonging to the heterogeneous group of lipomatosis. The aetiology is not well understood, but alcohol consumption has been regarded as of importance. The reported incidence is about 1 in 25,000 inhabitants. Read More

    Liposuction in the Treatment of Lipedema: A Longitudinal Study.
    Arch Plast Surg 2017 Jul 15;44(4):324-331. Epub 2017 Jul 15.
    Department of Plastic Surgery, Klinikum Ernst von Bergmann, Potsdam, Germany.
    Background: Lipedema is a condition consisting of painful bilateral increases in subcutaneous fat and interstitial fluid in the limbs with secondary lymphedema and fibrosis during later stages. Combined decongestive therapy (CDT) is the standard of care in most countries. Since the introduction of tumescent technique, liposuction has been used as a surgical treatment option. Read More

    Intra-articular injection in the knee of adipose derived stromal cells (stromal vascular fraction) and platelet rich plasma for osteoarthritis.
    J Transl Med 2017 Jun 19;15(1):141. Epub 2017 Jun 19.
    Regenerative Medicine Institute, Tijuana, Mexico.
    Background: Stromal vascular fraction (SVF) can easily be obtained from a mini-lipoaspirate procedure of fat tissue and platelet rich plasma (PRP) can be obtained from peripheral blood. We evaluated the safety and preliminary efficacy of administering SVF and PRP intra-articularly into patients with osteoarthritis grade 1 and 2.

    Methods: A total of ten patients underwent a local tumescent liposuction procedure to remove approximately 100 ml of fat tissue from the abdomen. Read More

    Tumescent anaesthesia: its applications and well tolerated use in the out-of-operating room setting.
    Curr Opin Anaesthesiol 2017 Aug;30(4):518-524
    Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USA.
    Purpose Of Review: Tumescent anaesthesia is a method of administering dilute local anaesthetic into the subcutaneous tissue. Many anaesthesiologists are unfamiliar with the technique, its applications and potential risks.

    Recent Findings: The maximum safe dose of lidocaine with epinephrine in tumescent anaesthesia for liposuction is probably between 35 and 55 mg/kg. Read More

    [Lipedema: up-to-date of a long forgotten disease].
    Wien Med Wochenschr 2017 Oct 10;167(13-14):343-348. Epub 2017 May 10.
    Klinik für Dermatologie und Allergologie, Städtisches Klinikum Dresden, Akademisches Lehrkrankenhaus der TU Dresden, Friedrichstrasse 41, 01067, Dresden, Deutschland.
    Lipedema is a chronic disorder of subcutaneous adipose tissue of unknown etiology not uncommon among post-puberty women. The disease has a negative impact on self-esteem, mobility, and quality of life. Lipedema is characterized by symmetrical, disfiguring hyperplastic adipose tissue combined with bruising and pain. Read More

    A review of the safety of cosmetic procedures during pregnancy and lactation.
    Int J Womens Dermatol 2017 Mar 27;3(1):6-10. Epub 2017 Feb 27.
    Department of Dermatology, University of California San Francisco, San Francisco, California.
    The safety of cosmetic procedures in patients who are pregnant and/or lactating is a complex clinical question surrounded by uncertainty. Our objective is to consolidate data on the safety of commonly requested cosmetic procedures during pregnancy and lactation after a systematic review of the current literature to guide evidence-based care in the future. A systematic search of the PubMed database was conducted for articles on cosmetic procedures during pregnancy and lactation. Read More

    Assessment of Tissue Perfusion Following Conventional Liposuction of Perforator-Based Abdominal Flaps.
    Arch Plast Surg 2017 Mar 15;44(2):109-116. Epub 2017 Mar 15.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University School of Medicine, Istanbul, Turkey.
    Background: The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on the perfusion of perforator-based abdominal flaps using a combined laser-Doppler spectrophotometer (O2C, Oxygen to See, LEA Medizintechnik). Read More

    Low osmolality and shear stress during liposuction impair cell viability in autologous fat grafting.
    J Plast Reconstr Aesthet Surg 2017 May 17;70(5):596-605. Epub 2017 Feb 17.
    Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, Basel, BS, Switzerland.
    Background: Liposuction and subsequent autologous fat grafting have become essential techniques for fat augmentation in plastic surgery. However, standard harvesting techniques that ensure the survival of adipocytes and stromal vascular fraction (SVF) cells and thus preserve the transplanted fat volume are lacking. In particular, the effect of different parameters of the tumescent solution has not been studied in this context. Read More

    Immediate liposuction could shorten the time for endoscopic axillary lymphadenectomy in breast cancer patients.
    World J Surg Oncol 2017 Jan 31;15(1):35. Epub 2017 Jan 31.
    Department of General Surgery, Zhujiang Hospital of Southern Medical University, 253, Gongye Dadao Zhong, Haizhu District, Guangzhou, China.
    Background: Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.

    Methods: Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). Read More

    Effects of the intradiscal implantation of stromal vascular fraction plus platelet rich plasma in patients with degenerative disc disease.
    J Transl Med 2017 Jan 13;15(1):12. Epub 2017 Jan 13.
    US Stem Cell Inc, 13794 NW 4th Street, Suite 212, Sunrise, FL, 33325, USA.
    Background: Stromal vascular fraction (SVF) can easily be obtained from a mini-lipoaspirate procedure of fat tissue and platelet rich plasma (PRP) can be obtained from peripheral blood. The SVF contains a mixture of cells including ADSCs and growth factors and has been depleted of the adipocyte (fat cell) population. We evaluated the safety and efficacy of administering SVF and PRP intra-discally into patients with degenerative disc disease. Read More

    Tumescent Liposuction without Lidocaine.
    Plast Reconstr Surg Glob Open 2016 Aug 9;4(8):e829. Epub 2016 Aug 9.
    Division of Plastic Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nev.
    Background: Our previous study demonstrated that lidocaine has a negative impact on adipose-derived stem cell (ASC) survival. Currently for large-volume liposuction, patients often undergo general anesthesia; therefore, lidocaine subcutaneous anesthesia is nonessential. We hypothesized that removing lidocaine from tumescent might improve stromal vascular fraction (SVF) and ASC survival from the standard tumescent with lidocaine. Read More

    Fat Grafting for Gluteal Augmentation: A Systematic Review of the Literature and Meta-Analysis.
    Plast Reconstr Surg 2016 Sep;138(3):437e-46e
    Newark and New Brunswick, N.J. From the Division of Plastic Surgery, Department of General Surgery, Rutgers New Jersey Medical School; and Plastic Surgery Arts of New Jersey.
    Background: With the increasing demand for gluteal fat augmentation, reports of fatal complications have surfaced. Therefore, the authors proposed to analyze the published techniques and compare different protocols, to identify those of potential concern.

    Methods: A systematic review of the literature was performed with a search of 21 terms on the PubMed, MEDLINE, Cochrane, and Scientific Electronic Library Online databases. Read More

    Non-invasive tumescent cryolipolysis using a new 4D handpiece: a comparative study with a porcine model.
    Skin Res Technol 2017 Feb 20;23(1):79-87. Epub 2016 Jul 20.
    Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea.
    Background/purpose: The growing demand for a youthful appearance, including a favorable body shape, has motivated recent developments in noninvasive body contouring techniques. Our aim was to investigate the efficacy and safety of a new version of a 4D handpiece-mounted cooling device for cryolipolysis with or without tumescent injections.

    Methods: We conducted a side-by-side comparative study using two female porcine models. Read More

    Effects of the intramyocardial implantation of stromal vascular fraction in patients with chronic ischemic cardiomyopathy.
    J Transl Med 2016 06 2;14(1):158. Epub 2016 Jun 2.
    Regenerative Medicine Institute, Tijuana, Mexico.
    Background: Stromal vascular fraction (SVF) can easily be obtained from a mini-lipoaspirate procedure of fat tissue. The SVF contains a mixture of cells including ADSCs and growth factors and has been depleted of the adipocyte (fat cell) population. We evaluated the safety and efficacy of administering SVF intra-myocardially into patients with chronic ischemic cardiomyopathy. Read More

    Adipocytes Viability After Suction-Assisted Lipoplasty: Does the Technique Matter?
    Aesthetic Plast Surg 2016 Aug 18;40(4):578-83. Epub 2016 May 18.
    The Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Ramat-Gan, Israel.
    Background: Suction-assisted lipoplasty (SAL; liposuction) is an established aesthetic procedure in plastic surgery. The main parameters differentiating one method of lipoplasty from another are safety, consistency of results, and other more technical parameters. Due to the recent popularity of lipotransfer, the quality of extracted fat has become a relevant parameter. Read More

    First Dutch guidelines on lipedema using the international classification of functioning, disability and health.
    Phlebology 2017 Apr 9;32(3):152-159. Epub 2016 Jul 9.
    2 Dutch Expertise Centre of Lympho-vascular Medicine, Hospital Nij Smellinghe, Drachten, The Netherlands.
    Introduction Lipedema is a chronic, progressive condition that can result in considerable disability. In 2011, the Dutch Society of Dermatology and Venereology organized a task force to create guidelines on lipedema, using the International Classification of Functioning, Disability and Health of the World Health Organization. Guideline development Clinical questions on significant issues in lipedema care were proposed, involving (1) making the diagnosis of lipedema; (2) clinimetric measurements for early detection and adequate follow-up; and (3) treatment. Read More

    Lipedema – lack of evidence for the involvement of tyrosine kinases.
    J Biol Regul Homeost Agents 2016 Jan-Mar;30(1):161-3
    Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
    Lipedema is a chronic disorder characterized by abnormal distribution of subcutaneous adipose tissue on the proximal extremities, pain and capillary fragility. Its etiology is unknown but in analogy to central obesity, chronic low-level inflammation in adipose tissue has been suggested. There seems to be an increased propagation of pre-adipocytes into mature adipocytes contributing to the massive enlargement of subcutaneous adipose tissue. Read More

    Specialist approaches to managing lipoedema.
    Br J Community Nurs 2016 Apr;Suppl:S30-5
    Freelance journalist and consultant specialising in health and sustainability.
    While there is no proven cure for lipoedema, early detection is key as specialist treatments, complemented by self-management techniques, can improve symptoms and prevent progression. There is no universal approach as the correct treatment or treatments will depend on each patient's particular circumstances; however, when chosen early and appropriately, interventions can provide huge benefits. The most common treatments in the management of lipoedema include compression, manual lymphatic drainage (MLD), tumescent liposuction, intermittent pneumatic compression therapy (IPC), kinesio taping, deep oscillation therapy, and cognitive behavioural therapy (CBT). Read More

    Estimated Maximal Safe Dosages of Tumescent Lidocaine.
    Anesth Analg 2016 May;122(5):1350-9
    From the *Department of Dermatology, University of California, Irvine, Medical Sciences, Irvine, California; and †Department of Statistics, University of California, Riverside, Riverside, California.
    Background: Tumescent lidocaine anesthesia consists of subcutaneous injection of relatively large volumes (up to 4 L or more) of dilute lidocaine (≤1 g/L) and epinephrine (≤1 mg/L). Although tumescent lidocaine anesthesia is used for an increasing variety of surgical procedures, the maximum safe dosage is unknown. Our primary aim in this study was to measure serum lidocaine concentrations after subcutaneous administration of tumescent lidocaine with and without liposuction. Read More

    On Beyond Lidocaine: Reconsidering Local Anesthetics in Tumescent Liposuction-A Critical Review.
    Ann Plast Surg 2016 Feb;77 Suppl 1:S66-9
    From the Section of Plastic Surgery, Yale School of Medicine, New Haven, CT.
    The use of tumescent solution in liposuction is now considered standard of care; however, much debate still exists regarding its ideal components, especially surrounding the inclusion of local anesthetics. This article reviews the discussion regarding the use of local anesthetics in tumescent liposuction and how it may evolve in the future. The need for local anesthetic additives in tumescent liposuction has been questioned, and the use of longer-acting agents discouraged; however, increasing number of reports in recent years have described the increasingly widespread use of tumescent anesthesia where a wetting solution is infiltrated to achieve anesthesia in an operative field for procedures other than liposuction. Read More

    Buttock Lifting with Polypropylene Strips.
    Aesthetic Plast Surg 2016 Apr 22;40(2):215-22. Epub 2016 Jan 22.
    Program of Plastic Surgery Under Carlos Chagas Institute at Hospital Casa de Portugal, Av. Nossa Senhora de Copacabana 1175, Rio de Janeiro, 1201, Brazil.
    Background: The purpose of this study was to evaluate the results of gluteal suspension with polypropylene strips.

    Patients And Methods: Ninety healthy female patients between the ages of 20 and 50 years (mean, 26 years), who wished to remodel their buttocks from December 2004 to February 2013 were studied retrospectively. All 90 patients were treated with 2 strips of polypropylene on each buttock using the following procedures: 27 (30 %) patients were suspended with polypropylene strips; 63 (70 %) patients were treated with tumescent liposuction in the sacral "V", lower back, supragluteal regions, and flanks to improve buttocks contour (aspirated volume of fat from 350 to 800 cc); 16 (18 %) patients underwent fat grafting in the subcutaneous and intramuscular layers (up to 300 cc in each buttock to increase volume); 5 (6 %) patients received implants to increase volume; and 4 (4. Read More

    [Recognising and treating lipidema OMIM 614103].
    Ann Dermatol Venereol 2015 Aug-Sep;142(8-9):523-9. Epub 2015 Aug 6.
    Service de dermatologie, centre hospitalier régional de Metz-Thionville, 1-3, rue du Friscaty, BP 60327, 57126 Thionville cedex 1, France.
    Lipedema is a poorly understood clinical entity that is frequently under-diagnosed and neglected or else confused with lymphoedema. However, in most cases, diagnosis is simple and does not usually necessitate laboratory examinations. There is an extremely high demand for therapy since the condition causes major morbidity and affects quality of life. Read More

    Laser-Assisted Liposuction Using the Novel 1,444-nm Nd:YAG Laser for the Treatment of Gynecomastia: A Pilot Study.
    Dermatology 2015 15;231(3):224-30. Epub 2015 Jul 15.
    Department of Dermatology, College of Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, South Korea.
    Background: Laser-assisted liposuction (LAL) is currently widely used to reduce localized fat. A novel Nd:YAG laser that uses a wavelength of 1,444 nm, which is better absorbed by fat, has recently been introduced. In this study, we investigated the efficacy of 1,444-nm Nd:YAG LAL for the treatment of gynecomastia. Read More

    The Current State of Fat Grafting: A Review of Harvesting, Processing, and Injection Techniques.
    Plast Reconstr Surg 2015 Oct;136(4):897-912
    New Orleans, La.; Ann Arbor, Mich.; Pittsburgh, Pa.; and New York, N.Y. From the Center for Stem Cell Research and Regenerative Medicine, Tulane University School of Medicine; the Department of Surgery, Division of Plastic Surgery, and the Burn Wound and Regenerative Medicine Laboratory, University of Michigan; the Department of Plastic Surgery, University of Pittsburgh Medical Center; and the Department of Plastic Surgery, New York University Langone Medical Center.
    Background: Interest in and acceptance of autologous fat grafting for use in contour abnormalities, breast reconstruction, and cosmetic procedures have increased. However, there are many procedural variations that alter the effectiveness of the procedure and may account for the unpredictable resorption rates observed.

    Methods: The authors highlighted studies investigating the effects of harvesting procedures, processing techniques, and reinjection methods on the survival of fat grafts. Read More

    Gluteoplasty with autologous fat tissue: experience with 106 consecutive cases.
    Plast Reconstr Surg 2015 May;135(5):1381-9
    Goiás and São Paulo, Brazil; and New York, N.Y. From the Department of Plastic Surgery, Federal University of Goiás, Brazil; the Department of Plastic Surgery, at University of São Paulo, Ribeirão Preto School of Medicine; and the Department of Ophthalmology and Clinical Trials Unit, Edward S. Harness Eye Institute, Columbia University Medical Center.
    Background: The female waist-hip ratio of around 0.7 is reachable through liposuction and gluteal fat grafting. The authors evaluated the reliability of this technique. Read More

    Acute pulmonary edema following liposuction due to heart failure and atypical pneumonia.
    Wien Med Wochenschr 2015 May 21;165(9-10):189-94. Epub 2015 Jan 21.
    Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Friedrichstrasse 41, 01067, Dresden, Germany,
    Microcannular liposuction in tumescent anesthesia is the most effective treatment for painful lipedema. Tumescent anesthesia is an established and safe procedure in local analgesia when performed according to guidelines. Major adverse effects are rare. Read More

    Adipose Tissue-Derived Regenerative Cell-Enhanced Lipofilling for Treatment of Cryptoglandular Fistulae-in-Ano: The ALFA Technique.
    Surg Innov 2015 Dec 20;22(6):593-600. Epub 2015 Feb 20.
    North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, Stockton-on-Tees, UK.
    Background: The treatment of complex fistulae-in-ano is challenging and often includes a number of operations due to high rates of recurrence. Recently, techniques using in vitro expanded adipose tissue-derived stem cells have been described. We describe a novel treatment for cryptoglandular fistulae used in 7 patients, using a combination of surgical closure of the internal opening and real-time autologous adipose tissue-derived regenerative cells (ADRC)-enhanced lipofilling, without need for in vitro expansion. Read More

    Electrolyte and Haemogram changes post large volume liposuction comparing two different tumescent solutions.
    Indian J Plast Surg 2014 Sep-Dec;47(3):386-93
    Department of Plastic Surgery, Sir Ganga Ram Hospital, New Delhi, India.
    Background: The most common definitions of large volume liposuction refer to total 5 l volume aspiration during a single procedure (fat plus wetting solution). Profound haemodynamic and metabolic alterations can accompany large volume liposuction. Due to paucity of literature on the effect of different tumescent solutions on the electrolyte balance and haematological changes during large volume liposuction, we carried out this study using two different wetting solutions to study the same. Read More

    Local anesthetic use in tumescent liposuction: an American Society of Plastic Surgeons survey.
    Ann Plast Surg 2015 Feb;74(2):145-51
    From the *Department of Plastic and Reconstructive Surgery, Brown University Alpert Medical School, Providence, RI; †Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark; and ‡Division of Plastic Surgery, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
    Background: Current guidelines favor the use of lidocaine in liposuction wetting solutions. The use of bupivacaine as an alternative remains controversial despite reports of its use with safe and favorable outcomes suggesting faster postoperative recovery time secondary to improved pain control. The goals of this study were to determine the prevalence of bupivacaine use, examine liposuction practices of bupivacaine users, and elucidate opinions regarding bupivacaine use. Read More

    A review of the aesthetic treatment of abdominal subcutaneous adipose tissue: background, implications, and therapeutic options.
    Dermatol Surg 2015 Jan;41(1):18-34
    Westlake Dermatology Clinical Research Center, Westlake Dermatology & Cosmetic Surgery, Austin, Texas.
    Background: The demand for aesthetic body sculpting procedures has expanded precipitously in recent years. Subcutaneous adipose tissue (SAT) deposits of the central abdomen are especially common areas of concern for both males and females.

    Objective: To review the available literature regarding the underlying pathophysiology of subcutaneous fat accumulation in the abdominal area and available treatment options. Read More

    Tumescent analgesia in plastic surgery.
    Plast Reconstr Surg 2014 Oct;134(4 Suppl 2):50S-7S
    Columbus, Ohio From the Department of Plastic Surgery, The Ohio State University.
    Background: Tumescent analgesia (TA) is commonly used for liposuction without needing sedation or general anesthesia.

    Methods: A literature review of current use of TA in plastic surgery was done to determine other procedures where TA can be useful and present a standard protocol for use.

    Results: TA is used for breast, body, face, and extremity procedures, both with and without supplemental anesthesia. Read More

    Role of Combined Circumareolar Skin Excision and Liposuction in Management of High grade Gynaecomastia.
    J Cutan Aesthet Surg 2014 Apr;7(2):112-6
    Department Preventive and Social Medicine, PGIMSR & ESIC Medical College, Kolkata, West Bengal, India.
    Introduction: High-grade gynaecomastia (Simon IIb and III) has tissue excess (skin excess, enlarged areola, and displaced nipple), which is best managed surgically; however, results of conventional breast reduction surgeries and liposuction is not very good. Aim of our study was to describe a combined technique to manage these problems to produce a good result.

    Material And Method: This was a 2-year study among 12 patients of high grade gynaecomastia. Read More

    Lidocaine-induced ASC apoptosis (tumescent vs. local anesthesia).
    Aesthetic Plast Surg 2014 Oct 7;38(5):1017-23. Epub 2014 Aug 7.
    Division of Plastic Surgery, Department of Surgery, University of Nevada School of Medicine, 2040 W. Charleston Blvd., Suite 301, Las Vegas, NV, 89102, USA,
    Background: The purpose for the present study was to determine which anesthetic method, local anesthesia versus tumescent, is superior for liposuction in terms of adipose-derived stem cell (ASC) survival in lipoaspirate; which component, lidocaine versus lidocaine with epinephrine, in anesthetic solutions could affect ASC survival; and which mechanism, necrosis versus apoptosis, is involved in lidocaine-induced ASC death.

    Methods: Human lipoaspirates were harvested using standard liposuction technique. Individuals scheduled for liposuction on bilateral body areas gave consent and were included in the study. Read More

    Autologous fat graft and bone marrow-derived mesenchymal stem cells assisted fat graft for treatment of Parry-Romberg syndrome.
    Ann Plast Surg 2014 Sep;73 Suppl 1:S99-103
    *Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi; and †Department of Plastic Surgery, Chinese PLA General Hospital, Beijing, China.
    Background: Progressive facial hemiatrophy, also called Parry-Romberg syndrome (PRS), is characterized by slowly progressive atrophy of one side of the face and primarily involves the subcutaneous tissue and fat. The restoration of facial contour and symmetry in patients affected by PRS still remains a challenge clinically. Fat graft is a promising treatment but has some shortcomings, such as unpredictability and low rate of graft survival due to partial necrosis. Read More

    A simple and cheap system to speed up and to control the tumescent technique procedure: the Tedde's system.
    Eur Rev Med Pharmacol Sci 2014 Jun;18(11):1647-8
    Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
    We have devised a low cost system to quickly infiltrate tumescent solution: we call it the "Tedde's system". This low-cost system offers an improvement in quality and quantity of the infiltration because all the procedure depends on the operators, reducing also the time of the infiltration and consequently of the whole surgical procedure. Moreover, this system can be applied to other surgical procedure that requires large infiltration volumes. Read More

    Invasive group A Streptococcus infections associated with liposuction surgery at outpatient facilities not subject to state or federal regulation.
    JAMA Intern Med 2014 Jul;174(7):1136-42
    Division of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
    Importance: Liposuction is one of the most common cosmetic surgery procedures in the United States. Tumescent liposuction, in which crystalloid fluids, lidocaine, and epinephrine are infused subcutaneously before cannula-assisted aspiration of fat, can be performed without intravenous or general anesthesia, often at outpatient facilities. However, some of these facilities are not subject to state or federal regulation and may not adhere to appropriate infection control practices. Read More

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