9101-66 Goddio
Goddio AS.
Skin retraction following suction lipectomy by treatment site: a study of 500
procedures in 458 selected subjects.
Plast Reconstr Surg. 1991 Jan;87(1):66-75. PMID: 1984283 [PubMed - indexed for MEDLINE]
I identified 500 suction lipectomy procedures involving sites on the body and in
the cervicofacial region in 458 selected patients and studied the influence of
treatment site on postoperative skin retraction by comparing preoperative and
postoperative skin condition. Postoperative skin condition was evaluated first
in the immediate postoperative period (second or third day); then at a more
remote date (after at least 2 months of follow-up). On the body, restoration of
the preoperative condition of the skin was obtained in 94.6 percent of treatment
sites in the immediate postoperative period; after a longer follow-up, this
proportion was 87.9 percent because of delayed development of modifications. The
time interval needed to obtain a stable result increased with increasing age,
regardless of the nature of this result, as well as with the total amount of fat
removed. On the neck, liposuction improved or even eliminated preexisting skin
looseness, and this improvement was even more noticeable as follow-up increased.
The neck thus appears as the site of choice for suction lipectomy. On the face,
in contrast, favorable results deteriorated over time, a finding that leads me
to advocate combination with a face-lift whenever ptosis is present. Thus
treatment site obviously has a substantial impact on the potential of the skin
for retracting postoperatively.
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