OBJECTIVETo explore the application of liposuction in scar repair.

METHODSLiposuction using tumescent technique was performed at the scar region. While the local skin was relaxed and tension decreased, scar resection and wound closure followed. The indications and key points of this operation are discussed in the article.

RESULTSThis method has been used in 27 patients for scar repair since 2000. The biggest area of excised scar was 40 x 9.5 cm. The width of the excised scar reached 11 cm. All the patients got satisfactory results.

CONCLUSIONThe operation was simple and safe with little blood loss. After liposuction, a larger area of scar at a fatty region could be excised, and meanwhile, body sculpture was achieved.

Cicatrix ; surgery ; therapy ; Humans ; Lipectomy ; methods

OBJECTIVETo observe the effect of the preoperative analgesia with Oxycodone/Acetaminophen for liposuction.

METHODSIn the double-blind, placebo-controlled clinical trial, 40 patients undergoing the liposuction were randomly assigned into two groups which were received a single oral dose of Oxycodone/Acetaminophen or calcium gluconate respectively before the operation. The degrees of pain were evaluated by visual analogue scale (VAS) at the beginning and the end of the operation. Adverse effects and the overall satisfaction on analgesic therapy were assessed when operation finished.

RESULTSThe VAS scores of the experimental group were significantly lower than the control group at the beginning and the end of operation (P < 0.05). There were no significant differences between the two groups in side effects (P > 0.05).

CONCLUSIONSOxycodone/Acetaminophen could produce preemptive effect. Preoperative oral administration of Oxycodone/ Acetaminophen may provide patients with good analgesia in plastic and cosmetic operation.

Adult ; Analgesia ; methods ; Double-Blind Method ; Female ; Humans ; Lipectomy ; methods ; Middle Aged ; Young Adult

OBJECTIVETo introduce different surgical treatment for gyncomastia at different grades.

METHODS37 cases with gynecomastia were divided into three grades as: grade I with fat as main tissue, grade II with proliferated fibro-gland as main tissue, grade III with big and ptosis breasts and sagging skin. Different surgical methods were chosen according to the different grades of gyncomastia. These include liposuction, subareolar fibroglandular tissue removing, combined technique of the two methods, and breasts resection with free transplantation of nipple-areola complex.

RESULTSAll patients were satisfied for the appearance of post-operative flat male chest. Complications, such as scar, numbness of nipple and areola were acceptable for them.

CONCLUSIONSDifferent surgical methods should be chosen for the gynecomastia at different grades. It can improve both the physical and psychological problems for patients.

Adolescent ; Gynecomastia ; classification ; surgery ; Humans ; Lipectomy ; Male ; Mammaplasty ; methods ; Nipples ; transplantation ; Retrospective Studies

OBJECTIVETo evaluate the effect of tumescent infiltration solution temperature on core body temperature after liposuction.

METHODS15 healthy female subjects were randomly divided into 2 groups to receive tumescent infiltration solution at 25 degrees C as group A, or at 37 degrees C as group B. All subjects were under epidural anesthesia. Vital signs, including core temperature, heart rate, respiratory rate and blood pressure, were monitored immediately, 1 hour, 2 hours, 3 hours, 4 hours and 8 hours after operation.

RESULTSThe core body temperature immediately, 1 hour, 2 hours and 3 hours after operation were (35.8 +/- 0.5) degrees C, (35.8 +/- 0.5) degrees C, (36.0 +/- 0.5) degrees C, (36.1 +/- 0.5) degrees C in group A, and (36.5 +/- 0.4) degrees C, (36.5 +/- 0.3) degrees C, (36.5 +/- 0.3) degrees C, (36.6 +/- 0.4) degrees C in group B, showing a significant difference between the two groups (P = 0.008, P = 0.008, P = 0.03, P = 0.033, respectively). There was no difference in body temperature 4 hours and 8 hours after operation and in heart rate, respiratory rate and blood pressure between the two groups (P > 0. 05).

CONCLUSIONSThe tumescent infiltration solutions at room temperature (25 degrees C) can decrease the core body temperature and increase surgical risk. It might not be good for rehabilitation. It is recommended to use tumescent infiltration solution at body temperature (37 degrees C) in liposuction.

Adult ; Body Temperature ; Female ; Humans ; Lipectomy ; methods ; Middle Aged ; Postoperative Period ; Solutions ; Temperature ; Young Adult

OBJECTIVETo evaluate the effect of vacuum suction on facial shaping and cervicofacial rejuvenating.

METHODSBased on injection of swelling solution, vacuum suction was used in totally 327 cases, including local fat deposit in face or neck.

RESULTSSince 1993, we have carried out 327 case, satisfactory rate was up to 98%.

CONCLUSIONSThis is an adaptable method for facial shaping and cervicofacial Rejuvenating, very good results can be achieved.

Adolescent ; Adult ; Aged ; Face ; surgery ; Female ; Humans ; Lipectomy ; Male ; Middle Aged ; Rejuvenation ; Rhytidoplasty ; methods ; Young Adult

OBJECTIVETo compare the effects of the external ultrasonic, the internal ultrasonic and simple negative pressure liposuction operations under tumescent anesthesia.

METHODSThe fat volume, operative time, complications and other indexes of liposuction in 276 cases were collected and compared.

RESULTSExternal ultrasonic liposuction rapidly emulsified the fat with the least complication. The effects of the internal ultrasonic liposuction was next to the external ultrasonic method while the simple negative pressure liposuction had the poorest effects.

CONCLUSIONThe external ultrasonic liposuction operation is a safe and effective method for local overweight reduction.

Adolescent ; Adult ; Female ; Humans ; Lipectomy ; adverse effects ; methods ; Male ; Middle Aged

OBJECTIVETo evaluate the advantage and disadvantage of laser-assisted liposuction compared with conventional liposuction.

METHODSTen swines were devided into three groups, the laser liposuction group, conventional liposuction group and control group. We compared the two surgical groups with the following aspects: ecchymosi, edema, lipocrit study, hemoglobin studies and blood biochemical changes, etc.

RESULTSThere is a benefit of laser-assisted liposuction in the following aspects such as ecchymosi, edema, lipocrit and postoperative complications. The two aspects, that is, ecchymosi and lipocrit study was statistically significant. Hemoglobin change was not statistically significant between the two groups. Laser-assisted liposuction did not lead to dysfunction of organs such as liver and kidney.

CONCLUSIONSLaser-assisted liposuction can significantly decrease the blood lose, ecchymosis and edema compared with conventional liposuction, and it did not give rise to dysfunction of organs.

Adipose Tissue ; surgery ; Animals ; Female ; Lasers ; Lipectomy ; instrumentation ; methods ; Male ; Models, Animal ; Swine ; Treatment Outcome

OBJECTIVETo improve a better method to achieve the upper arm's circumferential harmony by using adjacent aesthetic unit combined upper arm liposuction.

METHODSLiposuction of upper arm, axilla and part of the scapula area was performed on 88 cases at one stage from January 2007 to March 2013.

RESULTSAll the cases achieve satisfactory results. The circumferential curve is smooth and elegant. No severe complication happened.

CONCLUSIONSThis method proved to be safe and effective and can be accomplished in one stage.

Adult ; Arm ; anatomy & histology ; surgery ; Axilla ; Esthetics ; Female ; Humans ; Lipectomy ; methods

Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate secondary debulking to improve the functional and aesthetic outcomes. Direct excision, liposuction, tissue shaving with an arthroscopic cartilage shaver, and skin grafting are the four major methods used for secondary debulking. Direct excision is primarily applied in flaps where the skin is redundant, even though the volume is not excessive. However, due to the limited range of excision, performing a staged excision is recommended. Liposuction can reduce the amount of subcutaneous tissue of the flap and protect the vascular pedicles. However, the main drawback of this method is its limited ability to remove fibrotic tissues, for which the use of a shaver may be more convenient. The main drawback of using a shaver is that it is difficult to simultaneously remove excess skin. Skin grafting enables the removal of sufficient excess tissue to recover the contour of the normal limb and to improve the color match, facilitating excellent aesthetic results.
Cartilage ; Extremities ; Lipectomy ; Methods ; Perforator Flap ; Reoperation ; Skin ; Skin Transplantation ; Subcutaneous Tissue ; Surgical Flaps

OBJECTIVE: To evaluate the safety and efficacy of suprapubic liposuction combined with modified Devine surgery in adult patients with concealed penis caused by obesity. METHODS: The clinical data of 26 adult patients with buried penis admitted to the Department of Urology of Peking University People' s Hospital and the Department of Surgery of Beijing Eden Hospital from September 2017 to June 2020 were analyzed retrospectively. The average age of the patients was (33.0 ± 5.7) years, the average body mass index (BMI) was (29.0±5.4) kg/m², and the penis length in the supine position was (2.9±1.3) cm. All the patients were treated with suprapubic liposuction combined with modified Devine operation. The improvement of penis length and complications were statistically analyzed after operation, and the satisfaction of the patients was followed up, 1 = dissatisfied; 2 = basically satisfied; 3 = satisfied; 4 = very satisfied. The measurement data were expressed in (mean±SD), nonparametric Friedman tests and multiplex analysis methods were used for data comparison. RESULTS: The average liposuction volume of the 26 patients was (450.0±90.2) mL. Immediately after operation: the penis length was (7.4±2.1) cm, increased by (4.5±1.6) cm compared with that before operation; three months after operation: the penis length was (5.3±1.8) cm, increased by (2.4±0.7) cm compared with that before operation. There was significant difference in penis length before operation, immediately after operation and three months after operation (P < 0.01). All the patients had no sexual intercourse disorder or dysuria. Postoperative edema occurred in 11 cases (42.3%), ecchymosis in 7 cases (26.9%), poor healing of prepuce wound in 2 cases (7.8%), hematoma in 1 case (3.8%), 5 cases (19.2%) without postoperative complications, and no patient had wound infection. Seventeen patients (65.4%) were very satisfied with the appearance and function of the penis, 6 patients (23.1%) were satisfied, 3 patients (11.5%) were basically satisfied, and no patients were dissatisfied. The average score of all the patients' satisfaction with postoperative penis appearance and function was (3.5±0.7). CONCLUSION Suprapubic liposuction combined with modified Devine operation is safe and effective in the treatment of adult-acquired buried penis.
Adult ; Humans ; Lipectomy/methods* ; Male ; Patient Satisfaction/statistics & numerical data* ; Penis/surgery* ; Plastic Surgery Procedures/methods* ; Retrospective Studies ; Treatment Outcome