9911-1877 Lee
Lee Y, Hong JJ, Bang C.
Dual-plane lipoplasty for the superficial and deep layers.
Plast Reconstr Surg. 1999 Nov;104(6):1877-84; discussion 1885-6. PMID: 10541194
Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul
National University, Korea. prs1@netsgo.com
Two embryologically and histologically distinct layers of the subcutaneous
adipose tissue were treated individually by different modalities. The authors
performed ultrasound-assisted lipoplasty at the superficial layer and
traditional suction-assisted lipectomy in the deep subcutaneous tissue. The
ultrasound procedure allowed tissue-specific destruction of the superficial
layer supported by dense fibrous networks without disrupting them. Skin
retractions caused by this procedure could diminish the necessity of surgical
dermolipectomy such as an abdominoplasty in moderately deformed cases. On the
other hand, the traditional liposuction was performed to remove the excessive
deep fat contained in the loose fibrous network in a limited area. Although the
advancement of ultrasound devices and regimens has now reduced their operating
times significantly, the ultrasonic lipoplasty was slower than traditional
liposuction at the beginning of our procedure. In the abdominal wall, the
procedure was performed only in a confined area, because the skin retractions
made over the locally managed areas created a circumferential tightness around
the trunk, using the nontreated area as a bridge. Confinement on the managed
area prevented unnecessary blood loss and tissue destruction. It was less a
matter of fat volume to remove in the superficial layer; rather, a precise
application to the exact target area was required to get a more natural result.
Dual-plane lipoplasty was performed for 2 years in 35 patients, mostly for the
abdomen. No serious complication such as seromas or skin loss was observed in
our series of patients.
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