9906-1864 Wilhelmi
Wilhelmi BJ, Blackwell SJ, Mancoll JS, Phillips LG.
Another indication for liposuction: small facial lipomas.
Plast Reconstr Surg. 1999 Jun;103(7):1864-7. PMID: 10359246
Comment in:
Plast Reconstr Surg. 2000 Feb;105(2):807.
Department of Surgery, University of Texas Medical Branch, Galveston 77555-0724,
USA.
The treatment of facial lipomas at times requires the use of incisions that are
less than satisfactory in either size or location. In an effort to minimize
scarring, the authors have been removing these lesions with liposuction. The
purpose of this study was to review the authors' experience in treating small
facial lipomas using liposuction. Over the last 10 years, the authors treated
five patients with forehead lipomas by removal with liposuction through
hair-bearing scalp incisions. All patients were evaluated after the procedure
for bleeding, paresthesias, recurrence, scarring, and overall satisfaction with
the procedure. All of these patients had lipomas that measured 4 cm or less at
the time of surgery. No patient experienced hematoma, nerve injury, or
recurrence. All patients were completely satisfied with their result and scar.
The literature describes an advantage to using liposuction for the treatment of
medium (4 to 10 cm) and large (>10 cm) lipomas. Because small lipomas (<4 cm)
can be extracted through small incisions, the literature reports no advantage to
removal with liposuction. However, favorable aesthetic results can be obtained
by removing small facial lipomas with liposuction through strategically placed
incisions.
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