| PRS 0410-1292- Chang
Chang KN
The use of intraoperative grid pattern markings in lipoplasty.
Plast Reconstr Surg. 2004 Oct;114(5):1292-7. PMID: 15457052
California Pacific Medical Center and the Division of Plastic and Reconstructive
Surgery, University of California, San Francisco, USA. kningchang@hotail.com
Intraoperative grid pattern markings have been used in the performance of
liposuction. Grid pattern markings include series of longitudinal and transverse
lines to delineate various anatomical boundaries and landmarks, including the
midline, lateral line, and medial line. The markings are superimposed on the
customary preoperative markings and divide broad or circumferential body
surfaces into smaller subunits for liposuction. Grid pattern markings are
applied to areas such as the anterior thighs, medial thighs, entire abdomen,
flanks, back, arms, buttocks, calves, and ankles; they are not applied to
smaller, less curved areas. Eighty-two consecutive patients underwent lipoplasty
in 562 areas of the body. The revision rate for postliposuction contour
irregularities was 4.0 percent (nine of 224 areas) where grid pattern markings
were used; one area had an indentation type of contour irregularity and required
autologous fat grafting. The revision rate was 1.5 percent (five of 328 areas)
where grid pattern markings were not used; two areas in one patient had
indentation-type contour irregularities and required autologous fat grafting.
All remaining areas requiring revision had protuberant-type contour
irregularities and responded to additional liposuction only. The use of grid
pattern markings is associated with a low incidence of serious contour-related
complications.
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