Surgical method for volume reduction of fatty tissue
Liposuction
DefinitionThis section has been translated automatically.
IndicationThis section has been translated automatically.
- 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
ImplementationThis section has been translated automatically.
Currently performed mainly under tumescent local anesthesia (TLA) and using vibrating, blunt suction cannulas or water jet assisted liposuction.
Undesirable effectsThis section has been translated automatically.
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
ContraindicationThis section has been translated automatically.
- 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
LiteratureThis section has been translated automatically.
- 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.