Abstract:
:Liposuction has been traditionally performed under general anesthesia. Standard instrumentation for the procedure has included blunt-tipped suction cannulae connected to an electric vacuum pump by noncollapsible tubing. A subcutaneous injection of Lidocaine with Epinephrine is routinely employed to minimize blood loss during the procedure. This infiltration has been described as the "wet technique," but it is not a method to supplant general anesthesia. The tumescent technique, a method of infusing very large volumes of dilute lidocaine with epinephrine solutions, has been advocated as a satisfactory means for providing conscious anesthesia for liposuction procedures, avoiding the need for general anesthesia. The syringe technique employs blunt-tipped suction cannulae connected to a syringe. Drawing back the syringe plunger generates the negative pressures needed to remove fat during liposuction and replaces the electric vacuum pump and connecting tubing traditionally used for this procedure. This study evaluates the combined tumescent and syringe techniques for liposuction. One hundred consecutive patients were treated with the tumescent technique as the sole means of anesthesia and the syringe technique as the sole means of performing liposuction. A modified tumescent formula is presented. A comparison of liposuction aspirates using this modified tumescent technique is compared and contrasted to liposuction aspirates obtained using the "dry technique" and the "wet technique." A historical review of the syringe technique and its perceived attributes is also presented. Technical descriptions of the tumescent infusion method, tumescent fluid formulation, and suggested patient sedation and monitoring is presented. Photographic documentation of patients who underwent the combined tumescent and syringe liposculpture treating various body areas is shown. A critical analysis of the limitations of this combined technique is also described noting added time requirements, difficulties with under-correction of deformities, and need for reoperation, methods for determining the "end-point" for the procedure, as well as addressing large-volume liposuction problems. The conclusion reached by this study is that combining the tumescent technique and the syringe technique is a logical partnership. Each method complements the other, allowing liposuction to be performed with considerable advantage over traditional methods. These advantages include eliminating the need for general anesthesia, lessening blood loss and postoperative bruising, greater accuracy, precision, and overall high patient satisfaction.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Hunstad JPdoi
10.1007/BF00451658subject
Has Abstractpub_date
1995-07-01 00:00:00pages
321-33issue
4eissn
0364-216Xissn
1432-5241journal_volume
19pub_type
杂志文章abstract::Anne K. Groth's name was wrongly tagged in the original publication of this article. It has been corrected here. ...
journal_title:Aesthetic plastic surgery
pub_type: 已发布勘误
doi:10.1007/s00266-020-01739-6
更新日期:2020-10-01 00:00:00
abstract::Tissue expansion is indicated in the reconstruction of various scalp defects when there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It is the most important armamentarium for aesthetic hair-bearing scalp reconstruction in cases of congenital or required defe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-4008-3
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis. METHODS:Grades 2 and 3 ptosis were corrected for selected patients using a combination of augment...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9440-y
更新日期:2010-02-01 00:00:00
abstract::Tissue expansion is one of the most important armamentaria for aesthetic scalp reconstruction after burn; however, the proper way to employ this technique for the scalp reconstruction usually presents a challenge to the plastic surgeon, especially in the case of a "sideburn" scenario or a large lesion, as with, for ex...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900154
更新日期:1997-11-01 00:00:00
abstract::Level of Evidence V 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 www.springer.com/00266 . ...
journal_title:Aesthetic plastic surgery
pub_type: 信件
doi:10.1007/s00266-020-01754-7
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Rhinoplasty and rhinoseptoplasty are very important and complex surgical procedures because the nose plays a pivotal aesthetic role in the face and an important functional role in breathing. Mild bulbous, plunging, undefined tips are very common, and tip refining and repositioning often are required surgical...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9839-0
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Irradiation therapy limits the utilization of silicone implants for breast reconstruction due to a significant risk for capsular contracture. The injection of the collagenase of the bacterium Clostridium histolyticum (CCH) might trivialize this risk by providing a minimal-invasive treatment option by capsula...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01970-1
更新日期:2020-09-23 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:Abdominal wall deformity secondary to pregnancy is multidirectional. Plication of the anterior rectus sheath is the most widely used technique for correction of this condition. However, it would be desirable to simultaneously perform the transverse and longitudinal repair of this deformity. The aim of this s...
journal_title:Aesthetic plastic surgery
pub_type: 临床试验,杂志文章
doi:10.1007/s00266-014-0272-z
更新日期:2014-04-01 00:00:00
abstract::Ectropion is the most common serious complication following blepharoplasty for the correction of baggy eyelid deformity. Although blepharoplasty may be considered one of the most gratifying plastic operations, if an ectropion results it then becomes one of the most distressing to patient and surgeon alike.Ectropion co...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577946
更新日期:1978-12-01 00:00:00
abstract::In this retrospective study, a brief description of the folds located lateral to the lips' commissurae and their anatomy is followed by a method to improve or eliminate them with local procedures. These folds, referred to as paralabial folds, can be treated by either limited resection or liposuction. The method descri...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-003-3003-4
更新日期:2004-03-01 00:00:00
abstract::Acute hematoma remains one of the most frequently encountered complications after face-lift surgery. Several risk factors inherent to the patient and omission of certain intraoperative regimens are considered to cause hematoma. Significant risk factors include high blood pressure and male gender. Possible intraoperati...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9488-8
更新日期:2010-08-01 00:00:00
abstract::A one-stage surgical correction of tuberous and tubular breast deformities is described. An intraareolar donut of pigmented skin is deepithelialized to correct the associated mega areola, allowing, at the same time, a port of entry for insertion of a retroglandular breast implant. The exposed areolar dermis is then te...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900204
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Although it is seldom reported in the Western literature, the buried-suture operation to create a double eyelid is very popular in Asia. However, the buried-suture methods are traditionally associated with a high recurrence rate. Corneal damage and exposed conjunctiva suture are also possible. METHODS:The t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9344-x
更新日期:2009-05-01 00:00:00
abstract::Dermabrasion of the periorbital region has been traditionally contraindicated due to the fear of complications. A method for safe dermabrasion of the lateral canthal region is described. Lateral canthal dermabrasion has the demonstrated advantages of being economical and relatively free of pigmentary problems. The res...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0189-2
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Radiofrequency-assisted liposuction involves the delivery of a controlled amount of energy to treated tissue resulting in fat liquefaction, accompanying hemostasis, and skin tightening. The purpose of this study is to report experience with a larger sample size using the BodyTite™ radiofrequency-assisted lip...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9846-1
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:This study aimed to explore the treatment of capsular contracture after augmentation mammaplasty by insertion of a breast prosthesis anterior to the original capsule. METHODS:Through transaxillary or submammary incisions and small capsular incisions, 14 patients (18 breasts) with Baker grades 3 and 4 capsul...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9733-9
更新日期:2011-12-01 00:00:00
abstract::Although posterior closure of male pattern baldness is usually accomplished in two procedures when using extensive scalp-lifting, there is the occasional patient who will require three operations because of very poor scalp laxity. A newly developed horseshoe-shaped tissue expander was designed for these patients so th...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02273884
更新日期:1991-10-01 00:00:00
abstract::The current tendency to perform corrective rhinoplasty with the help of computerized images or cephalometric evaluations is justified by the need to adapt the amount of correction to all of the cephalometric relationships and draw on indications on the exact quantity of tissue to add or remove. We propose a very simpl...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900088
更新日期:1997-03-01 00:00:00
abstract::The authors report on a 25-year retrospective study of 488 cases of prominent (protruding) ears corrected by the island technique of Pitanguy. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575492
更新日期:1987-01-01 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:PURPOSE:Puerperal breast abscess after polyacrylamide hydrogel (PAAG) augmentation mammoplasty can induce breast auto-inflation resulting in serious consequences. Mammography, ultrasound, and conventional MRI are poor at detecting related PAAG abnormality histologically. We evaluated the value of diffusion-weighted ima...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0442-z
更新日期:2015-02-01 00:00:00
abstract::Soft tissue filler injections are the second most common non-surgical procedure performed by the plastic surgeon. Embolization of intravascular material after facial injection is a rare but terrifying outcome due to the high likelihood of long-term sequela such as blindness and cerebrovascular accident. The literature...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-016-0728-4
更新日期:2017-02-01 00:00:00
abstract::The case of a patient who experienced a late, spontaneous breast hematoma 9 years after augmentation mammaplasty in the absence of trauma or anticoagulation is reported. Although hematoma is not an uncommon complication in the immediate postoperative period, it is very rare as a late complication of breast implantatio...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-3120-8
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:In the surgical treatment of breast ptosis, the plastic surgeon's main challenge is to mobilize the nipple-areola complex (NAC) over long distances, preserving its sensitivity. Herein, we aimed to evaluate the NAC sensitivity following a periareolar dermis release in patients undergoing surgical correction o...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-020-01835-7
更新日期:2020-10-01 00:00:00
abstract::The operation for the forehead lift is reviewed considering the experience acquired in recent years in order to facilitate its safe execution. Particular attention is given to the removal of factors limiting the free upward movement of the frontal flap, such as preparation of the meso temporalis. The treatment of the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570258
更新日期:1976-12-01 00:00:00
abstract::The aging female with excess arm fat and poor skin tone frequently refuses a brachioplasty scar due to permanent detectability. Traditional deep liposuction localized to the posterolateral aspect of the arm frequently leaves sagging, wrinkled skin. Circumferential para-Axillary Superficial Tumescent (CAST) liposuction...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900144
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:Van der Woude syndrome (VWS; OMIM 119300) is an autosomal dominant developmental malformation presenting with bilateral lower lip pits related to cleft lip, cleft palate, and other malformations in about half the patients. These congenital lip pits appear clinically as a defect in the vermilion border of the...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9027-4
更新日期:2008-01-01 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: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