9108-239 Dillerud
Dillerud E.
Suction lipoplasty: a report on complications, undesired results, and patient
satisfaction based on 3511 procedures.
Plast Reconstr Surg. 1991 Aug;88(2):239-46; discussion 247-9. PMID: 1852816 [PubMed - indexed for MEDLINE]
Comment in:
Plast Reconstr Surg. 1992 May;89(5):996-8.
Fornebu Clinic, Lysaker, Norway.
Suction lipoplasty comprising 3511 procedures in 2009 patients was followed up
prospectively for 6 to 12 months over a 5-year period. Eighty-eight percent of
the procedures led to patient satisfaction and 3.4 percent led to
dissatisfaction. Males were more dissatisfied than females. No mortality, deep
thrombosis, pulmonary embolism, hypotension, or respiratory distress (fat emboli
syndrome) was registered. Excessive bleeding and complications from anesthesia
were the most common general complications. No hematoma, skin slough, or damage
to adjacent organs occurred. Hypertrophic scarring and skin problems caused by
external factors were the most common local complications. Only one clinical
bacterial infection occurred. Three hundred and seventy-nine undesired results
were registered by the 6-month follow-up, and 213 revisions because of
asymmetry, underresection, or skin problems were performed. A total of 121
procedures unexpectedly required secondary suction, skin excision, or fat
grafting. Forty-five sequelae were not corrected by revisions. Medial thigh,
buttock, ankle, and facial suction emerged as the most difficult locations with
regard to the results and complication rate. The age group 20 to 49 years
emerged as the least troublesome.
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