Abstract:
BACKGROUND:Advances in suction-assisted lipectomy (SAL) include improved instrumentation, better understanding of fluid dynamics, and an improved concept of appropriate indications. The tumescent technique uses subcutaneous injection of isotonic fluid containing vasoconstrictive and analgesic agents and is proved to be safe, with low morbidity and mortality rates. Laser-assisted liposuction (LAL) using local infiltration of an anesthetic and no general anesthesia or sedation has been developed, with claims of fat destruction and skin tightening. This study aimed to review 1,000 consecutive cases of LAL and SAL performed with the patient under local anesthesia and to determine whether this represents a safe technique with few complications. METHODS:During a period of 22 months, 581 consecutive patients (486 females and 95 males) underwent 1,000 LAL/SAL operations, 545 of whom had multiple procedures performed. None of the patients had a body mass index (BMI) higher than 30 kg/m2. The patients ranged in age from 18 to 62 years. The fat aspirate ranged from 50 to 1,400 ml. Patients were given an oral sedative, an antibiotic, and an analgesic. Ringer's lactate solution containing lidocaine and epinephrine was injected into the subcutaneous space. The 1,064-nm and/or 1,320-nm neodymium:yttrium-aluminum-garnet (Nd:YAG) laser was used for laser lipolysis followed by SAL using standard and/or power-assisted liposuction (PAL) cannulas. The treated areas included the neck, triceps, male breast, midback, flanks, axilla, abdomen, mons pubis, thighs, presacrum, and knees. No patient was administered intravenous sedation or general anesthesia. RESULTS:The average number of areas treated was 1.8, and no major complications or mortalities were observed. There were three burns, two infections, one hematoma, and one seroma. A total of 73 secondary procedures were performed (7.3%). No tertiary procedures were required. CONCLUSION:For appropriately selected patients, comparable results can be obtained with an excellent safety profile and short recovery period using LAL and SAL with the patient under local anesthesia. The awake patient is able to participate in body positioning and to provide physiologic monitoring. No major complications occurred in this series. The burn and hematoma complications occurred in the first 25 cases and may have been related to a learning curve. One case of cellulitis occurred in the triceps region, and a second infection occurred in the abdomen. Both responded to antibiotics. Altogether, 73 touch-up procedures (7.3%) were performed. The amounts of fat removal were comparable with the volumes obtained using traditional liposuction. In conclusion, this series demonstrated that LAL/SAL using local anesthesia is a safe procedure for selected patients, with acceptably low morbidity and revision rates. LEVEL OF EVIDENCE IV:This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Chia CT,Theodorou SJdoi
10.1007/s00266-012-9885-2subject
Has Abstractpub_date
2012-08-01 00:00:00pages
795-802issue
4eissn
0364-216Xissn
1432-5241journal_volume
36pub_type
杂志文章abstract::A technique is described that aesthetically corrects brow ptosis and upper eyelid hooding in selected patients. This procedure is performed through a standard upper eyelid blepharoplasty incision and addresses the common findings of soft tissue fullness below the brow due to excessive suborbicularis fat and hypertroph...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570216
更新日期:1989-07-01 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::Severely inverted nipples are invaginated deeply and present many aesthetic, functional, and psychological problems. Many methods have been proposed for correction of this deformity. The authors describe a new simple method using two broad triangular areolar dermofibrous flaps. This method affords sufficient tissue to...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9116-z
更新日期:2008-07-01 00:00:00
abstract::Cardiac arrhythmias are a potential complication in phenol face peeling. A comprehensive review of the literature is presented here demonstrating its reported incidence, as well as the actions of phenol both locally and systemically. In addition to the conventional measures that are presently followed in chemical face...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01576925
更新日期:1988-05-01 00:00:00
abstract::In this invited discussion, we applaud the authors of "Awareness of Facial Asymmetry and Its Impact on Postoperative Satisfaction of Rhinoplasty Patient" for their efforts to reinforce the importance of recognizing facial asymmetry preoperatively in the rhinoplasty patient. They can be applauded for translating this k...
journal_title:Aesthetic plastic surgery
pub_type: 信件
doi:10.1007/s00266-020-02003-7
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:Although reduction malarplasty is a well-accepted procedure for Asians with prominent cheek bones, some patients are not fully satisfied with the outcomes and request further surgery. This is because much attention on the contouring procedure has focused on the position of the zygomatic body and arch. As a r...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01342-4
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Resection of the cephalic or middle portion of lateral crura of alar cartilages is a method for correcting bulbous nose in which the resected cartilages usually are discarded, resulting in a waste of autologous tissues. A silastic implant usually is used to correct saddle nose in Asian countries, but implant...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-005-0183-0
更新日期:2006-09-01 00:00:00
abstract::Dermatofibrosarcoma protuberans is a rare soft tissue cancer of the skin with the potential for intermediate malignity, characterized by local invasion and recurrence. Presenting with local atrophic and sometimes erythematous plaques, these lesions are best treated with surgery in which large excisions are necessary t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-003-0107-9
更新日期:2003-03-01 00:00:00
abstract::Rejuvenation is a subject that has captured the imagination of the public as well as the interest of physicians. Long before plastic surgeons began performing operations, patients sought the help of reputable practitioners and charlatans alike to alleviate the outward manifestations of aging. This paper presents some ...
journal_title:Aesthetic plastic surgery
pub_type: 历史文章,杂志文章
doi:10.1007/BF01570668
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Scars are inevitable results of surgical procedures, and prevention of them is still a major problem in the field of cosmetic surgery. Although various studies have been performed on botulinum toxin-A (BoNT-A) injection for the prevention of hypertrophic scars, the exact mechanism remains unclear. METHODS:T...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-020-01916-7
更新日期:2020-12-01 00:00:00
abstract:UNLABELLED:Autologous fat grafting is commonly performed in reconstructive breast surgery as well as in aesthetic breast augmentation surgery. Nevertheless, little is known about the interaction between fat grafts and cancer. A 36-year-old patient had undergone bilateral breast augmentation with autologous fat grafting...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0605-6
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Dermatix is a Food and Drug Administration (FDA)-registered substantial equivalent to silicone gel sheeting for the prevention and management of hypertrophic scars and keloids. METHODS:A 90-day prospective study evaluated the efficacy of Dermatix, silicone gel sheeting, and a combination of these treatments...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0218-1
更新日期:2007-09-01 00:00:00
abstract::There is a renewed interest in the anatomy of the subcutaneous fat. These studies have been stimulated by the recent clinical popularity of liposuction. Attention has been drawn to the superficial fascia system and to its role in wound healing and in skin contraction. What is the origin of this SFS? This article propo...
journal_title:Aesthetic plastic surgery
pub_type: 社论
doi:10.1007/BF00636259
更新日期:1993-07-01 00:00:00
abstract:INTRODUCTION:The current study compares two hyaluronic acid fillers, Ial System Duo and Belotero Basic/Balance, for the treatment of wrinkles. MATERIALS AND METHODS:This is a single-center, double-blind randomized controlled study. Inclusion criteria consisted of subjects with bilateral nasolabial wrinkles. Each subje...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-018-1284-x
更新日期:2019-04-01 00:00:00
abstract::The author describes the 45-year-old successful survival of a series of ivory implants, used by his father, Dr. Rafael Vilar-Sancho, to repair and reconstruct a severe nasal deformity. ...
journal_title:Aesthetic plastic surgery
pub_type: 传,历史文章,杂志文章
doi:10.1007/BF01575503
更新日期:1987-01-01 00:00:00
abstract::Use of Reston foam along with a pressure garment after liposuction results in three salutary effects: less waviness in the skin surface, a more comfortable recovery, and less blood loss and ecchymoses. Free fat cells are thought to be redistributed evenly by the pressure of the foam plus the pressure garment. The resu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00455049
更新日期:1993-01-01 00:00:00
abstract:UNLABELLED:We present an unusual insatiable aesthetic/plastic surgery patient with borderline personality disorder (BPD) who removed her upper eyelids by herself after we rejected her request for revision blepharoplasty. This impulsive self-injury was attributed to anxiety from what the patient considered to be abandon...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0332-4
更新日期:2014-08-01 00:00:00
abstract::Reduction mammaplasty is one of the most common procedures performed by plastic surgeons all around the world. This procedure is performed for aesthetic or reconstructive purposes, but also offers the opportunity to examine all resected breast tissue histopathologically. The purpose of this study was to evaluate the h...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1486-z
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Capsular contracture is one of the most distressing complications after cosmetic breast augmentation. Evidence suggests that matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) may play a key role in the onset or progression of several fibrotic disorders. In this study we use...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9335-y
更新日期:2009-07-01 00:00:00
abstract::Pectus excavatum, the most common congenital chest wall malformation, has a higher incidence among men. Since 1987, when Donald Nuss performed his technique for the first time, the minimally invasive approach has become the most widely used technique for treating pectus excavatum. Few reported studies have focused on ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9438-5
更新日期:2010-06-01 00:00:00
abstract:PURPOSE:Advances in medical technology coupled with rapid growth of web-based mass media and social networking services have considerably increased public access to cosmetic surgery. In South Korea, in particular, the number of people undergoing cosmetic surgery has been rapidly increasing, and studies related to cosme...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析
doi:10.1007/s00266-019-01515-1
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:The recent rise in popularity of minimally invasive facial aesthetic procedures has resulted in the overall heightened patient interest in lip rejuvenation. There is a variety of techniques and modifications for surgical upper lip enhancement described in the literature but no single method is considered opt...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01871-3
更新日期:2020-07-16 00:00:00
abstract::Platysma muscular bands are present during the aging period, generally starting in the second half of the fourth decade of life in both sexes. One or two bands along the anterior segment of the neck are the most frequent, with varied extensions and appearances. The literature records different techniques for solving t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9782-0
更新日期:2011-10-01 00:00:00
abstract::A modification of the standard periareolar incision is described. It provides better access for augmentation mammoplasty and gynecomastia, as well as allowing for correction of asymmetry in the size and siting of the nipple-areola complex. Finally, it achieves a very slight tightening of the skin envelope in cases of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01571118
更新日期:1983-01-01 00:00:00
abstract:INTRODUCTION:The severe postpregnancy diastasis of recti muscles causes a biomechanical alteration of the statics of the trunk and an unaesthetic bulging of the abdominal wall. This is always combined with cutaneous and subcutaneous excess, which is different on a case-by-case basis. There is not a consensus on the bes...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01991-w
更新日期:2020-10-27 00:00:00
abstract:BACKGROUND:The hammock technique combines inferior pedicle mammaplasty with retropectoral and inferior suspensions to prevent displacement of breast tissue toward the inferior mammarian pole. This study aimed to assess the long-lasting internal suspension with the author's mammary reduction technique. METHODS:From 198...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0188-3
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Postoperative pain has always been underestimated by the majority of plastic surgeons. A prospective randomized trial compared power water-assisted liposuction with the traditional tumescent technique. METHODS:All patients with a body mass index (BMI) of 25 to 30 and excessive localized pathologic fat were ...
journal_title:Aesthetic plastic surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00266-006-0186-5
更新日期:2007-05-01 00:00:00
abstract::Liposuction or its modifications have become accepted therapy for hyperhidrosis. During the nearly 20 years since its introduction, the actual anatomic removal of sweat glands has not been investigated. In this study, three patients underwent axillary liposuction and histologic examination of the aspirates. Apocrine s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0192-7
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Chest reconstruction ('top surgery') is an important component of transition in the transmasculine population that can substantially improve gender incongruence. The aim of this study was to evaluate the demographic characteristics, surgical technique, and postoperative outcomes following transmasculine ches...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01479-2
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Nasal valve collapse is relatively common with a lifetime prevalence of up to 13%. Etiologies include prior rhinoplasty, other surgical procedures, facial paralysis, congenital defects, trauma, and aging. Internal nasal valve collapse leads to impairment of nasal breathing, which significantly disturbs quali...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-020-02075-5
更新日期:2021-01-05 00:00:00