Abstract：
BACKGROUND:Massive weight loss after bariatric surgery is associated with significant skin excess, laxity, and ptosis over the abdomen. Good results have been achieved with abdominoplasty and circumferential lipectomy. However, blood transfusions are sometimes needed, and patients may require long hospital stays. Furthermore, morbidity rates are high. Total abdominal liposuction performed with abdominoplasty allows for the preservation of lymphatic vessels below Scarpa's fascia and eliminates the need for upper flap undermining. This study aimed to evaluate this technique in patients with anterior abdominal redundancy attributable to massive weight loss after bariatric surgery. METHODS:The charts of 60 patients treated between December 2001 and October 2004 were retrospectively reviewed. All the patients had undergone previous bariatric surgery as well as subsequent total abdominal liposuction and abdominoplasty. RESULTS:The average amount of wetting solution used was 3.1 l, and the average total aspirate was 2.5 l. The mean pannus weight was 3,649 g, and the average dimension was 48 x 25 x 6 cm. No patient required a blood transfusion. The median in-hospital stay was 1 day, with 42% of the patients treated as outpatients. The median follow-up period was 3 months. Morbidity was 22%. Factors associated with the development of complications were weight of the pannus, transverse dimension of the pannus, and body mass index. All the patients were satisfied with the results. CONCLUSIONS:Total abdominal liposuction followed by abdominoplasty is adequate treatment for anterior abdominal redundancy for patients with massive weight loss.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Espinosa-de-los-Monteros A,de la Torre JI,Rosenberg LZ,Ahumada LA,Stoff A,Williams EH,Vásconez LOdoi
10.1007/s00266-005-0126-9keywords:
subject
Has Abstractpub_date
2006-01-01 00:00:00pages
42-6issue
1eissn
0364-216Xissn
1432-5241journal_volume
30pub_type
杂志文章abstract：:This article describes procedures for correcting some of the most common deformities after rhinoplasty. Double or triple osteotomies, partial removal of the nasal bones, autogenous cartilage transplantations, and the value of the transplantation of auricular composite grafts are discussed. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01577966
更新日期：1978-12-01 00:00:00
abstract：:The practice of injecting phosphatidylcholine/sodium deoxycholate compounds into subcutaneous fat is growing rapidly. As with any new procedure, a standard of practice should be developed so that practitioners maintain patient safety as the primary goal. Efficacy and predictability of outcome are another priority. As ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-008-9188-9
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:The zygomatic bone, which is located on both sides of the midface, significantly contributes to the overall facial form. Asian people usually have a wide midface and prominent zygoma. Reduction malarplasty is one of the most frequently performed facial contouring surgeries in Asian countries. This study aime...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0239-5
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of the stromal vascular fraction (SVF) on changes in melanin formation and tyrosinase activity in B16 cells treated by 3-isobutyl-1 methylxanthine (IBMX) and to explore the mechanism of SVF-mediated inhibition of pigmentation. METHODS:We co-cultured extracted SVFs and B16 cells trea...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01439-w
更新日期：2019-10-01 00:00:00
abstract：:An innovative bury-and-knot suturing method for firm fixation of a graft through a small skin incision is described and two clinical cases presented. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00455146
更新日期：1992-01-01 00:00:00
abstract：:We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum augmentation at the s...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900251
更新日期：1999-03-01 00:00:00
abstract：:The author uses Zyplast to help increase the volume of the upper or lower lip. It is emphasized that there is a clear bilobulation of the lower lip which creates the appearance of a beautiful mouth. His injection of Zyplast demonstrates a technique that helps to emphasize this bilobulation. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00190069
更新日期：1992-07-01 00:00:00
abstract：:The carbon dioxide laser, when used in the treatment of rhinophyma, allows accurate removal of the diseased tissue to the desired level without risk of exposure of any underlying osteocartilaginous structures. This ensures rapid reepithelialization that minimizes the untoward scarring that may occur from delayed heali...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570928
更新日期：1988-08-01 00:00:00
abstract：:While blindness after hyaluronic acid gel filler injection occurs only very rarely, it represents a devastating complication for the patient and the surgeon. Retrobulbar injection with hyaluronidase is the only known potential means of reversing this adverse event. However, positive outcomes remain anecdotal. We have ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-019-01388-4
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:The aim of this study was to compare long-term clinical and patient-reported outcomes in terms of satisfaction and health-related quality of life (HRQoL) following postmastectomy breast reconstruction using BREAST-Q in patients undergoing implant-based reconstruction, abdominal-based autologous reconstructio...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01926-5
更新日期：2020-12-01 00:00:00
abstract：:Reports on rhinoplastic sequelae are infrequent. Reported incidence rates vary from 5% to 12%. The authors have an overall rate of 8%, with 6.5% of cases involving slight sequelae and 1.5% moderate ones. Various techniques for correction are used, depending on the sequel. Silastic implants have been unsatisfactory ove...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570667
更新日期：1983-01-01 00:00:00
abstract：:A total of 165 patients with varying indications have been treated with Zyderm Collagen Implant. Among these patients, only 4 allergic reactions were found: 3 local and 1 general. Results obtained depend on the type of lesion treated; it is suggested that the treatment of rhytids provides the best indication for colla...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570348
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:In order to correct upper lid laxity, upper blepharoplasty, subbrow excision, and forehead lift have been utilized. Our newly developed subbrow excision attaches the orbicularis oculi muscle to the frontalis muscle. This improves the longevity of the result without inhibiting the gliding plane of the periorb...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01879-9
更新日期：2020-12-01 00:00:00
abstract：UNLABELLED:The roots of science and art of plastic surgery are very antique. Anatomy, drawing, painting, and sculpting have been very important to the surgery and medicine development over the centuries. Artistic skills besides shape, volume, and lines perception can be a practical aid to the plastic surgeons' daily wo...
journal_title：Aesthetic plastic surgery
pub_type： 信件
doi：10.1007/s00266-016-0616-y
更新日期：2016-04-01 00:00:00
abstract：:Until now, aesthetic goals in parotid surgery have seldom been addressed because oncologic concerns have largely overshadowed aesthetic issues for patients with parotid masses. Fortunately, the majority of parotid masses are benign pleomorphic adenomas that rarely recur, leaving a large group of patients healthy after...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0153-6
更新日期：2006-01-01 00:00:00
abstract：:The case of a patient who experienced temporary myopic change after transconjunctival blepharoplasty using the carbon dioxide (CO(2)) laser is reported. Transconjunctival lower lid blepharoplasty using the CO(2) laser, one of the most frequent laser procedures performed in aesthetic surgery, is considered to be a safe...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-004-0131-4
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:The treatment of a tuberous breast deformity has changed over the years, with a large variety of procedures described. However, maintaining a long-lasting breast contour is an ongoing challenge. The aim of this study was to evaluate the long-term results of tuberous breast corrections, focusing on the incide...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-017-0902-3
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Adequate coverage of the knee region is often challenging for plastic and orthopedic surgeons. In the last decade, among several reconstructive techniques, local perforator flaps have become useful reconstructive units. After a wide resection for soft-tissue sarcoma, the knee vascular web may be reasonably d...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-015-0536-2
更新日期：2015-10-01 00:00:00
abstract：:The author emphasizes the close cooperation between U.S. plastic surgeons and the first international journal entirely devoted to plastic surgery, the Revue de Chirurgie Plastique (1931-1934) later to become the Revue de Chirurgie Structive (1935-1938) published under the editorship of Maurice Coelst, M.D. from Brusse...
journal_title：Aesthetic plastic surgery
pub_type： 历史文章,杂志文章
doi：10.1007/s002669900244
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:Operative volume is a critical component of surgical resident education. This study compares reported breast surgery case volume between resident training pathways in plastic surgery. METHODS:This retrospective cohort study reviewed case logs of plastic surgery residents in the independent/combined and inte...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01424-3
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Numerous methodologies and algorithms have been suggested to enhance fat graft survival, including the usage of stromal vascular fraction (SVF) and platelet-rich plasma (PRP), but no long-term studies are available. OBJECTIVES:This single-center prospective, case-controlled study investigated the safety and...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-015-0533-5
更新日期：2015-12-01 00:00:00
abstract：:Three-dimensional (3D) stereophotography area measurements are essential for describing morphology in the periocular region. However, its reliability has not yet been sufficiently validated. The objective of this study was to evaluate the reliability of 3D stereophotogrammetric area measurements in the periocular regi...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-02091-5
更新日期：2021-01-15 00:00:00
abstract：:The surgical management of patients desiring removal of silicone mammary prostheses can be controversial. Patients fearful of implants may choose not to undergo implant exchange with saline implants. This fear is well documented and has been influenced by the media. Anecdotal reports attempting to link silicone mammar...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00228462
更新日期：1996-07-01 00:00:00
abstract：:Y-scar vertical mammaplasty is a technical modification of vertical scar breast reduction, which avoids superior areolar scarring. It has been previously shown to be particularly useful in young patients with mild macromastia and minimal or no ptosis. This case report presents a new indication for which to apply this ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-010-9484-z
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:Levator resection surgery is commonly performed to correct ptosis, and a large number of postoperative complications are well known. This report presents a previously unreported complication of marginal ectropion after levator resection surgery for congenital ptosis. METHODS:The three patients with upper ey...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-014-0360-0
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Hematoma is the most common postoperative complication of rhytidoplasty, resulting in higher morbidity and longer recovery. Quilting suture for closure of the undermined area in abdominoplasty avoids the occurrence of seroma. Based on this principle and with the objective of reducing the number of patients w...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0202-5
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Curved osteotomy of a prominent mandibular angle is widely used in narrowing the width of the lower face, but its influence on occlusal force has not been evaluated. METHODS:The maximum occlusal forces of five different teeth areas in 20 consecution patients with an average age of 26.5 years were studied. T...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-009-9439-4
更新日期：2010-06-01 00:00:00
abstract：:In the Orient, faces are usually wide and short. This physical characteristic is often undesirable in many Asian cultures. Consequently, reduction malarplasty is one of the most common aesthetic procedures performed in the Orient. Previously described techniques for malar reduction such as intraoral chiseling or the b...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900298
更新日期：1999-09-01 00:00:00
abstract：BACKGROUND:Post-operative oedema and ecchymosis represent early post-operative complications, impacting negatively on the final aesthetic outcome of each surgical procedure. In particular, such complications are very frustrating for patients and-sometimes-are difficult to be managed by surgeons. Several strategies are ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00266-018-1108-z
更新日期：2018-06-01 00:00:00
abstract：:In many instances, successful cosmetic surgery may be followed by dissatisfaction by the patient. This results from many factors, broadly classified into three categories: those attributable to the patient; those attributable to the surgeon; and those resulting from interaction between the surgeon and the patient. Car...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01981679
更新日期：1981-01-01 00:00:00
