9810-1698 Cardenas-Camarena
Cardenas-Camarena L, Gonzalez LE.
Large-volume liposuction and extensive abdominoplasty: a feasible alternative for improving body shape.
Plast Reconstr Surg. 1998 Oct;102(5):1698-707. PMID: 9774033
Reconstructive Surgery Institute of Jalisco, Mexico.
Forty-two female patients underwent liposuction of large volumes and extensive
abdominoplasty during an 18-month period, with an average follow-up period of 9
months. Fifty-two percent of the patients underwent a third surgical procedure,
which was basically aesthetic. The average age was 40 years; weight varied
between 51 kg and 113 kg, with only 11 percent of the patients at their ideal
weight. The tumescent technique was used for performing liposuction, which was
done on the loins, trochanters, lumbar, upper scapular, and upper lateral
abdominal regions, avoiding liposuction of the abdominal flap in all cases
except for one. The abdominoplasty was extensive with detachment to the xiphoid
process without detaching liposuctioned areas. Volumes of 1600 ml to 11,200 ml
were obtained through liposuction, with an average of 4230 cc, and minimal blood
loss. Fatty dermal tissue was removed through abdominoplasty and it varied
between 400 g and 5000 g with an average of 1300 g. Only the two heaviest
patients required an autologous blood unit, because they underwent breast
reduction at the same time. All the other patients were managed exclusively with
intravenous crystalloids solutions. No major complications arose, and only five
patients had minor complications. Based on these results, we consider it to be
feasible to combine the liposuctioning of large volumes with abdominoplasty to
improve body shape, even with the addition of a third surgical procedure.
Nevertheless, it is essential to use the tumescent technique for liposuction to
reduce bleeding to a minimum and to allow us to perform other procedures.
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