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Large-Volume Liposuction for Obesity

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Liposuction

Abstract

The authors discuss the evolution of liposculpture; development, structure, and biochemistry of fat; fat and adipose tissue metabolism; health implications of regional obesity; and impact of liposuction on general health risks. Their technique of large-volume liposuction for obesity is described. Large-volume liposculpture can be performed safely on healthy overweight patients, and it not only improves body contour and body image but also reduces cardiovascular risk factors such as obesity, systolic blood pressure, and plasma insulin.

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References

  1. Hernandez-Perez E, Lozano E. Volume liposculpture. Variations on a technique. Cosmet Dermatol. 1999;12:35–9.

    Google Scholar 

  2. Ayto J. Dictionary of word origins. New York: Arcade; 1990. p. 464.

    Google Scholar 

  3. Shiffman MA. Superficial liposculpture: can it be dangerous? Am J Cosmet Surg. 1997;14:463–5.

    Google Scholar 

  4. Fischer G. The evolution of liposculpture. Am J Cosmet Surg. 1997;14:231–9.

    Google Scholar 

  5. Coleman 3rd WP. The history of dermatologic liposuction. Dermatol Clin. 1990;8(3):381–3.

    PubMed  Google Scholar 

  6. Fields L. The dermatologists and liposuction- a history. J Dermatol Surg Oncol. 1987;13:1040–1.

    Article  Google Scholar 

  7. Newman J. Liposuction surgery: past, present, future. Am J Cosmet Surg. 1984;1:1–2.

    Google Scholar 

  8. Fournier P. Body sculpturing through syringe liposuction and autologous fat re-injection. Boulder: Rolf International; McLean, VA. 1987.

    Google Scholar 

  9. Asken S. Development, structure and metabolism of fat. In: Asken S, editor. Liposuction surgery and autologous fat transplantation. Norwalk: Appleton & Lange; 1988. p. 5–6.

    Google Scholar 

  10. Guyton AC. Lipid and protein metabolism. In: Guyton AC, editor. Human physiology and mechanisms of disease. Philadelphia: WB Saunders; 1992. p. 520–5.

    Google Scholar 

  11. Frayn KN. Adipose tissue metabolism. Clin Dermatol. 1989;7(4):48–61.

    Article  CAS  PubMed  Google Scholar 

  12. Lack EB. Fat metabolism and its relevance to liposuction. Am J Cosmet Surg. 1997;14:263–7.

    Google Scholar 

  13. Skouge JW. The biochemistry and development of adipose tissue and the pathophysiology of obesity as it relates to liposuction surgery. Dermatol Clin. 1990;8(3):385–94.

    CAS  PubMed  Google Scholar 

  14. Kissebah AH, Peiris AN, Evans DJ. Mechanisms associating body fat distribution to glucose intolerance and diabetes mellitus: window with a view. Acta Med Scand Suppl. 1988;723:79–89.

    CAS  PubMed  Google Scholar 

  15. Lonroth P. Potential role of adipose tissue for the development of insulin resistance in obesity. Acta Med Scand Suppl. 1988;723:91–4.

    Google Scholar 

  16. Bjönstorp P. The associations between obesity, adipose tissue distribution and disease. Acta Med Scand Suppl. 1988;723:121–34.

    Google Scholar 

  17. Lapidus L, Bengtsson C. Regional obesity as a health hazard in women. Prospective studies. Acta Med Scand Suppl. 1988;723:53–9.

    CAS  PubMed  Google Scholar 

  18. Larsson B. Regional obesity as a health hazard in men. Prospective studies. Acta Med Scand Suppl. 1988;723:45–51.

    CAS  PubMed  Google Scholar 

  19. Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L. Distribution of adipose tissue and risk of cardiovascular disease and death: 12 year follow-up of participants in the population study of women in Gothenburg, Sweden. Br Med J. 1984;289(6454):1257–61.

    Article  CAS  Google Scholar 

  20. Larsson B, Svardsudd K, Welin L. Abdominal adipose tissue distribution, obesity and risk of cardiovascular disease and death: 13 year follow-up of participants in the study of men born in 1913. Br Med J. 1984;288(6428):1401–4.

    Article  CAS  Google Scholar 

  21. Dixon AK. Abdominal fat assessed by computed tomography: sex difference in distribution. Clin Radiol. 1983;34(2):189–91.

    Article  CAS  PubMed  Google Scholar 

  22. De Jong RH. Body mass index: risk predictor for cosmetic day surgery. Plast Reconstr Surg. 2001;108(2):556–61.

    Article  PubMed  Google Scholar 

  23. Benzi L, Ciccarone AM, Cecchetti P, DiCianni G, Caricato F, Trincavelli L, Volpe L, Navalesi R. Intracellular hyperinsulinism: a metabolic characteristic of obesity with and without type 2 diabetes. Intracellular insulin in obesity and type 2 diabetes. Diabetes Res Clin Pract. 1999;46(3):231–7.

    Article  CAS  PubMed  Google Scholar 

  24. De Fronzo RA, Ferrannini E. Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care. 1991;14(3):173–94.

    Article  Google Scholar 

  25. Avena R, Mitchell M, Carmody B, Arora S, Neville RF, Sidaway AN. Insulin like growth factor-1 receptors mediate vascular smooth muscle cell proliferation in response to glucose and insulin. Am J Surg. 1999;178(2):156–61.

    Article  CAS  PubMed  Google Scholar 

  26. Arora S. Improvements in cardiovascular risk profile with large-volume liposuction: a pilot study (discussion). Plast Reconstr Surg. 2001;108(2):520–1.

    Article  Google Scholar 

  27. Kral JG. Surgical reduction of adipose tissue hypercellularity in man. Scand J Plast Reconstr Surg. 1975;9(2):140–3.

    Article  CAS  PubMed  Google Scholar 

  28. Hildreth B. Liposuction and serum lipids. Am J Cosmet Surg. 1997;14:345–6.

    Google Scholar 

  29. Giese SY, Bulan EJ, Commons GW, Spear SL, Yanovski JA. Improvements in cardiovascular risk profile with large-volume liposuction: a pilot study. Plast Reconstr Surg. 2001;108(2):510–9.

    Article  CAS  PubMed  Google Scholar 

  30. Klein JA. The tumescent technique for liposuction surgery. Am J Cosmet Surg. 1997;14:463–5.

    Google Scholar 

  31. Klein JA. Tumescent technique for local anesthesia improves safety in large volume liposuction. Plast Reconstr Surg. 1993;92(6):1085–198.

    Article  CAS  PubMed  Google Scholar 

  32. Klein JA. Tumescent technique chronicles. Local anesthesia, liposuction and beyond. Dermatol Surg. 1995;21(5):449–57.

    Article  CAS  PubMed  Google Scholar 

  33. Seijo-Cortes JA, Hernandez-Perez E. Anestesia tumescente de Klein: Una opción segura en cirugía dermatológica. Acta Ter Dermatol. 1997;20:451–9.

    Google Scholar 

  34. Lillis PJ. The tumescent technique for liposuction surgery. Dermatol Clin. 1990;8(3):439–50.

    CAS  PubMed  Google Scholar 

  35. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16(3):248–53.

    Article  CAS  PubMed  Google Scholar 

  36. Hernandez-Perez E, Henriquez A, Gutierrez J. Clarifying concepts in modern liposuction. Int J Aesthet Restor Surg. 1994;2:65–7.

    Google Scholar 

  37. Klein JA, Kassardjan N. Lidocaine toxicity with tumescent liposuction. A case report of probable drug interactions. Dermatol Surg. 1997;23(12):1169–74.

    Article  CAS  PubMed  Google Scholar 

  38. Klein JA. Tumescent liposuction with local anesthesia. In: Lask GP, Moy RL, editors. Principles and techniques of cutaneous surgery. New York: International Edition: Mc Graw Hill; 1996. p. 529–42.

    Google Scholar 

  39. Hernandez-Perez E, Meda Alvarez Y, Seijo-Cortés JA. External ultrasonic tumescent liposuction vs conventional tumescent liposuction: a gross and microscopic study. Int J Cosmet Dermatol Aesthet Dermatol. 2001;3:283–7.

    Google Scholar 

  40. Hanke CW, Bernstein G, Bullock S. Safety of tumescent liposuction in 15, 336 patients. National survey results. Dermatol Surg. 1995;21(5):459–62.

    Article  CAS  PubMed  Google Scholar 

  41. Coleman WP, Hanke CW, Glogau RG. Does the specialty of the physician affect fatality rates in liposuction? A comparison of specialty specific data. Dermatol Surg. 2000;26(7):611–5.

    Article  CAS  PubMed  Google Scholar 

  42. Hernandez-Perez E, Valencia-Ibiett E. Analysis of liposuction-related complications and mortality in the United States and Latin America. Cosmet Dermatol. 2000;15:23–8.

    Google Scholar 

  43. Grazer F, de Jong R. Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast Reconstr Surg. 2000;105(1):436–46.

    Article  CAS  PubMed  Google Scholar 

  44. Teimourian B, Rogers B. A national survey of complications associated with suction lipectomy: a comparative study. Plast Reconstr Surg. 1989;84(4):628–31.

    Article  CAS  PubMed  Google Scholar 

  45. Guidelines for liposuction surgery. The American Academy of Cosmetic Surgery. 2001.

    Google Scholar 

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Correspondence to Enrique Hernández-Pérez M.D. .

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Hernández-Pérez, E., Seijo-Cortes, J.A., Khawaja, H.A. (2016). Large-Volume Liposuction for Obesity. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_24

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  • DOI: https://doi.org/10.1007/978-3-662-48903-1_24

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  • Online ISBN: 978-3-662-48903-1

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