Liposuction (eBook)

Introduction 6
Preface 8
Contents 9
List of Contributors 17
Part I General Information 26
The History of Liposuction 27
Pathologic Disorders of Subcutaneous Fat 31
Lipedema and Lymphatic Edema 34
Biochemical Effects of Liposuction in Lipidosis 39
The Anatomy and Physiology Metabolism/ Nutrition of Subcutaneous Fat 41
Liposuction Technique and Lymphatics in Liposuction 50
Proposed Safety Guidelines for the Maximum Volume Fat Removal by Tumescent Liposuction 54
Part II Anesthesia 59
Anesthesia for Liposuction 60
Pharmacokinetics of Tumescent Anesthesia 77
Liposuction with Local Tumescent Anesthesia and Microcannula Technique 84
Tumescent Technique 95
Safety of Lidocaine During Tumescent Anesthesia for Liposuction 98
Tumescent Local Anesthesia with Articaine 103
Part III Cannulas 106
Cannula Designs 107
Inadequate Sterilization of Liposuction Cannulas: Problems and Prevention 113
Part IV Preoperative 117
Preoperative Consultation 118
Drugs to Limit Use of or Avoid when Performing Liposuction 121
Part V Techniques 129
Facial Recontouring with Liposuction 130
Liposuction of the Upper Extremitiest 139
Refinements in Liposculpture of the Buttocks and Thighs 143
Liposculpture of the Lower Extremities Using a Tourniquet 152
Liposculpture of the Trunk 160
Liposuction and Dermolipectomy 165
The Modern Lipoabdominoplasty 173
Abdominal Liposuction in Colostomy Patients 180
Liposuction and Lipotransfer for Facial Rejuvenation in the Asian Patient 184
Microcannula Liposuction 190
Superficial Liposculpture: Rationale and Technique 204
Three-Dimensional Superficial Liposculpture for Aged and Relaxed Skin 217
Reduction Syringe Liposculpturing 225
Orthostatic Liposculpture 236
Part VI Ultrasound 241
Ultrasound- Assisted Liposuction: Past, Present, and Future 242
Ultrasound- Assisted Liposuction: Physical and Technical Principles 246
VASER- Assisted Lipoplasty: Technology and Technique 256
Ultrasound-Assisted Lipoplasty for Face Contouring with VASER 262
Mastopexy ( Breast Lift) with Ultrasound- Assisted Liposuction 271
Histologic Changes with Breast Ultrasound- Assisted Liposuction 275
Excessive Free Radicals Are Not Produced During Ultrasound- Assisted Liposuction 279
External Ultrasound and Superficial Subdermal Liposuction 282
External Ultrasound Before and After Tumescent Liposculpture 293
Part VII Power- Assisted 297
Powered Liposuction Equipment 298
Power- Assisted Lipoplasty 301
Safety Protocols for Power- Assisted External Ultrasonic Liposculpture 305
Part VIII Newer Techniques 313
Reduced Negative Pressure Liposuction 314
Tissue Stabilization in Liposuction Surgery 318
External Percussion Massage- Assisted Liposuction 322
Low-Level Laser- Assisted Liposuction 325
Laserlipolysis 334
Water- Jet- Assisted Liposuction 339
Part IX Complications 344
Prevention and Treatment of Liposuction Complications 345
Disharmonious Obesity Following Liposuction 354
Blood Loss in Liposuction Surgery 359
Fat Shifting for the Treatment of Skin Indentations 365
Liposuction Mortality 369
Part X Principles and Standards 372
Psychology and Quality of Life of Patients Undergoing Liposuction Surgery 373
Liposuction Practitioner Profile and Current Practice Standards and Patient Safety 376
Principles of Liposuction 389
Part XI Medical Legal 391
Medical Liability Claims for Liposuction – Improving the Odds 392
Medical Legal Problems in Liposuction 402
Part XII Commentary 412
Editor’s Commentary 413
Non- Cosmetic Applications of Liposuction 416
Ultrasound- Assisted Liposuction for Breast Reduction 423
Large- Volume Liposuction for Obesity 433
Metabolic and Clinical Studies of Liposuction in Obesity 443
Large- Volume Liposuction for the Treatment of the Metabolic Problems of Obesity 447
Megaliposuction: over 10 Liters 451
Cardiovascular Risk Profile Improvement with Large- Volume Liposuction 459
Liposuction for Gynecomastia 468
Axillary Approach in Suction- Assisted Lipectomy of Gynecomastia 473
Ultrasound- Assisted Liposuction for Gynecomastia 482
Lipomas Treated with Liposuction 489
Treatment of Multiple Symmetrical Lipomatosis with Liposuction 493
Treatment of Madelung’s Disease with Ultrasound- Assisted Liposuction 497
Treatment of Lipomas or Angiolipomas by Liposuction Surgery 500
Treatment of Excessive Axillary Sweat Syndromes ( Hyperhidrosis, Osmidrosis, Bromhidrosis) with Liposuction 504
Treatment of Fox–Fordyce Disease with Liposuction- Assisted Curettage 510
Laser- Assisted Suction of Axillary Sweat Glands and Axillary Epilation 513
Liposuction in Dercum’s Disease 524
Treatment of Hematomas with Liposuction 527
Syringe Liposuction for Residual Fat in Involuted Hemangioma 531
Aspiration of Breast Cysts with Liposuction 535
Blunt Liposuction Cannula Dissection in Reconstructive Surgery 540
Cellulite Syndromes 544
Liposuction Treatment of Cellulite 547
Vibro- Assisted Liposuction and Endermologie for Lipolymphedema 550
Liposuction of Lipedema 555
Liposuction in Treatment of Plexiform Neurofibromas 558
HIV Lipodystrophy Treatment ( Buffalo Hump) with VASER Ultrasound- Assisted Lipoplasty 562
Subject Index 571