OBJECTIVETo investigate the feasibility of one-staged treatment of large skin lesions by excision combined with liposuction.

METHODS40 skin lesions in 35 cases, which were located at upper arm, thigh, abdomen, lumbus or buttocks, were excised after liposuction at the anatomic sites around the lesion. The wounds were closed by advancing the sliding flaps resulted from liposuction. The operative location was dressed with pressure. The patients were visited on the 7th-14th day, 3rd month and 6th month.

RESULTSAll the 40 skin lesions were excised completely and covered with sliding flaps with primary healing. All the flaps survived with no infection, necrosis or wound dehiscence. The skin after liposuction was smooth with improvement of body shape.

CONCLUSIONSThe sliding flaps have good mobility after liposuction. The wound after excision of skin lesion can be easily closed by advancing the sliding flaps with good cosmetic and functional results. The lesion should be located at sites with fat accumulation and should not be too large in size.