Abstract:
BACKGROUND:The development of effective antiretroviral therapy for the treatment of human immunodeficiency virus (HIV) has allowed for prolonged and healthier lives for affected patients. However, significant side effects from the drugs have been well documented, including syndromes of abnormal fat distribution. Cervicodorsal lipodystrophy, or "buffalo hump" deformity, is a common presentation of lipodystrophy syndrome and can cause significant disfigurement to the patient. Surgical correction has been the mainstay of treatment. OBJECTIVE:The authors report on the use of excisional lipectomy to correct cervicodorsal lipodystrophy. METHODS:Six male patients and one female patient (mean age, 47.2 years) underwent excisional lipectomy for buffalo hump deformity caused by HIV protease inhibitor use. Common complaints on presentation included disfigurement, neck pain, and difficulty sleeping. Deformity had first been observed an average of 4.75 years before presentation (range 2 to 7 years). At the time of consultation all patients were on antiretroviral regimens that included protease inhibitors. RESULTS:Excisional lipectomy of the hypertrophied cervicodorsal fat pad was performed on all patients, with suction-assisted lipoplasty (SAL) additionally to optimally contour the nondystrophic fat at the periphery of the resection. One patient also underwent simultaneous abdominoplasty, another underwent rhytidectomy with autologous fat transfer, and one patient received malar autologous fat injections. The average operative time for all procedures was 2.7 hours (range 1.0 to 5.8 hours). Complications included seroma in three cases and wound dehiscence in one patient, none of which required reoperation. At an average of 26.6 months of follow-up, all patients report satisfaction with their results, and there have been no recurrences. CONCLUSIONS:Cervicodorsal lipodystrophy is a well-described complication of extended use of HIV protease inhibitor therapy. Patients may seek consultation with plastic and reconstructive surgeons for correction of the aesthetic and functional morbidity associated with the deformity. Because of the fibrous nature of the hypertrophied cervicodorsal fat and the high rate of recurrence after SAL alone, an approach with excisional lipectomy (with or without SAL) may provide improved results and superior long-term outcomes.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Warren AG,Borud LJdoi
10.1016/j.asj.2007.12.003subject
Has Abstractpub_date
2008-03-01 00:00:00pages
147-52issue
2eissn
1090-820Xissn
1527-330Xpii
S1090-820X(07)00372-Xjournal_volume
28pub_type
杂志文章abstract::The author presents guidelines and new instruments for transplanting autologous fat. He describes this procedure as effective, predictable, and reliable when performed with careful donor-zone preparation, atraumatic fat extraction, anaerobic sterility, and precise placement in a properly prepared receiving zone. (Aest...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2003.44
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Injectable hyaluronic acid fillers (HAFs) and laser/light procedures have become increasingly popular for noninvasive facial rejuvenation in many cosmetic practices. However, the effect of laser/light treatments on HAFs is unknown. OBJECTIVE:Our objective was to examine the effect of laser/light treatments ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.07.010
更新日期:2008-09-01 00:00:00
abstract::Posterior neck lift, which combines anterior platysmaplasty and anterior and lateral neck lift, is a good alternative to a full or lower face lift for patients with minimal or no jowl sagging. It may be combined with neck lipoplasty, serial platysma notching, expanded polytetrafluoroethylene neck sling, and chemical p...
journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:Transgender patients may seek nonsurgical methods for facial masculinization and feminization as an adjunct or alternative to undergoing surgical procedures. OBJECTIVES:The authors reviewed the existing literature regarding this topic and provided an overview of nonsurgical techniques for facial masculiniza...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjy253
更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:Comparative studies have shown little statistical difference in outcomes following rhinoplasty, demonstrating near equivalent results across all surgical techniques. Cross-study comparisons of these trials are difficult because variation in outcome reporting prevents statistical pooling and analysis. OBJECT...
journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:Injections are associated with a certain amount of pain, the tolerance of which can vary between individuals. With regard to noninvasive pain control techniques in subcutaneous injections, few studies with adequate levels of evidence and design quality exist to support any specific analgesic method. OBJECTI...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjz380
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Transaxillary subpectoral augmentation mammaplasty (TASPA) is not widely accepted due to perceived limitations in pocket access, visualization, control, and subsequent risk for postoperative complications. Current published data do little to substantiate or refute those claims. OBJECTIVE:A retrospective cha...
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doi:10.1177/1090820X11416936
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abstract:BACKGROUND:Women tend to develop more and deeper wrinkles in the perioral region than men. Although much is known about the complex mechanisms involved in skin aging, previous studies have described histologic differences between men and women with respect to skin aging only incidentally and have not investigated the p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2009.08.018
更新日期:2009-11-01 00:00:00
abstract::According to the authors, prophylactic antibiotics should not be used routinely in aesthetic surgery, but only when indicated by empirically-based criteria. Here they provide literature-based guidelines, advocate for new double-blinded studies, and advise aesthetic surgeons to decide on prophylactic antibiotic treatme...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.10.005
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Capsular contracture (CC) is the most common complication following primary breast augmentation and one of the most common causes of reoperation. Various studies have suggested certain risk factors, including incision choice. OBJECTIVES:The authors investigate a possible association between the three most c...
journal_title:Aesthetic surgery journal
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更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring. OBJECTIVES:The authors proposed a new classification system and treatment algorithm for bra...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv277
更新日期:2016-09-01 00:00:00
abstract::In this review, the authors provide a 20-year review and comparison of implant options and describe the evolution of breast implant surface textures; compare available implant surfaces; present long-term safety data from the 10-year US-based Core clinical studies; list the key benefits and risks associated with smooth...
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abstract:BACKGROUND:Safety and efficacy of botulinum toxin A for glabellar line (GL) treatment are well established. Currently approved formulations require reconstitution before injection. OBJECTIVES:The authors sought to assess 6-month efficacy, safety, and patient satisfaction of new ready-to-use abobotulinumtoxinA solution...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjz003
更新日期:2020-01-01 00:00:00
abstract::Gluteal augmentation with fat has become one of the most common cosmetic procedures worldwide. Gluteal augmentation is designed to increase the volume and contour of the gluteal region. Intramuscular lipoinjection has been linked to multiple reports of severe complications, including death due to macro fat embolism (M...
journal_title:Aesthetic surgery journal
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abstract::The increasing prevalence of laser use, particularly in plastic surgery, demands the need for education of both practitioners and trainees to ensure patient safety and efficacy. The purpose of this continuing medical education module is to provide the learner with a detailed outline for laser training education for pl...
journal_title:Aesthetic surgery journal
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abstract:Background:Although many patients who undergo reduction mammaplasty are obese, reports on whether obesity is a risk factor for postoperative complications have been conflicting. Objectives:This systematic literature review and meta-analysis aimed to evaluate the relationship between obesity and surgical complications ...
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pub_type: 杂志文章,meta分析,评审
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更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:A device to assist in the delivery of dermal filler may achieve reductions in patient discomfort and adverse events, as well physician fatigue. It may also increase the accuracy of material placement. OBJECTIVES:The authors assess the safety and performance of the Artiste Assisted Injection System (Nordson ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1177/1090820X13487372
更新日期:2013-07-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 历史文章,杂志文章,评审
doi:10.1093/asj/sjy186
更新日期:2018-11-12 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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abstract:BACKGROUND:The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women's psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking. OBJECTIVES:The aim of this study was to conduc...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
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journal_title:Aesthetic surgery journal
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更新日期:2011-07-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa428
更新日期:2021-01-06 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/S1090-820X(03)00205-X
更新日期:2003-09-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 信件
doi:10.1016/j.asj.2009.02.012
更新日期:2009-07-01 00:00:00
abstract::The hairline and frontal hair volume are frequently overlooked aspects of attractive facial proportion and overall facial aesthetics. The author contends that patient benefit from hair restoration surgery is significant, and these procedures should be routinely considered as part of a complete facial rejuvenation. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.08.007
更新日期:2004-11-01 00:00:00
abstract::The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of spec...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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更新日期:2019-03-14 00:00:00
abstract:BACKGROUND:Rhinoplasty in the elderly requires different surgical approaches due to the morphological and structural changes affecting the nose over time. OBJECTIVES:In this study, the authors aimed to evaluate the age-related cellular and architectural changes of nasal cartilages and soft tissue attachments. METHODS...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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更新日期:2019-08-22 00:00:00
abstract::Injectable synthetic hyaluronic acid is biodegradable and biocompatible with human hyaluronic acid. Soft tissue augmentation with this product does not require prior skin testing and provides robust augmentation. Its ability to attract and maintain significant amounts of water accounts for the volume and duration of c...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.04.009
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Large area local anesthesia (LALA) has been recommended for decreasing localized pain and shortening discharge time after breast augmentation surgery. However, quantifiable, objective outcome data for evaluation of the effectiveness of LALA in aesthetic plastic surgery procedures have not yet been reported. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.06.003
更新日期:2004-09-01 00:00:00