Liposuction

Surgical method for volume reduction of fatty tissue

• Lipohypertrophy
• Lipomasty
• Lipedema
• Adiposis dolorosa (Dercum disease)
• benign symmetrical lipomatosis (Launois-Bensaude syndrome)
• Lipomas
• secondary lymphedema with increased formation of fatty tissue
• Fat extraction for own fat extraction for augmentation and scar correction
• axillary hyperhidrosis

Currently performed mainly under tumescent local anesthesia (TLA) and using vibrating, blunt suction cannulas or water jet assisted liposuction.

Side effects and complications:

• skin irregularities, dent formation, asymmetry
• Haematomas
• Serome
• Wound infection, erysipelas, sepsis, septic shock
• Cardiovascular reactions
• allergic reactions and intolerances to the medicines or patches used
• Toxic reactions
• Postop. persistent edema
• Insensitivity or insensitivity - passag or permanent
• Thrombosis
• Hypertrophic scars at the incision sites
• Malpigmentation at the incision sites

• Dysmorphophobia
• Heart Failure
• Cardiac arrhythmia (e.g. AV block, paroxysmal tachycardia)
• Allergic reactions and intolerances to local anesthesia or other components of TLA
• Perioperative risk ASA > 2

• Baumgartner et al (2016) Liposuction and lipoedema. Phlebology 45: 47-53.
• Rapprich S et al (2011) Liposuction is an effective treatment for lipedema-results of a study. J Dtsch Dermatol Ges 2011; 9:33-40.
• Schmeller W et al (2014) Operative aspects of liposuction of lipedema: Twelve questions - twelve answers. LymphResearch 18: 6-12.
• Schmeller W et al (2013) Baumgartner A. Liposuction in benign symmetrical lipomatosis. LymphResearch 17: 83-87.