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Year 2016 Vol. 24 No 1

REVIEWS

S.A. PLAKSIN, N.I. KHRAMTSOVA

COMPARATIVE ASPECTS OF USAGE AND SIDE-EFFECTS OF DIFFERENT METHODS OF LIPOASPIRATION

SBEE HPE "Perm State University of Medicine named after Academician E.A.Wagner"
The Russian Federation

Liposuction is one of the most commonly performed aesthetic procedures. Indications for liposuction are divided into aesthetic and functional. Aesthetic indications include the improvement of body contour and weight reduction by the removal of adipose tissue surplus. Functional indications are: lipedema, Madenung’s disease (multiple symmetric lipomatosis), Dercum’s disease, lipomas, lymphedema, extraction of permanent intracorporal fillers, axillary hyperidrosis, gynecomastia, macromastia, gigantomastia. Liposuction is a low-traumatic procedure with some complications and side-effects. The advancement in liposuction techniques is aimed at improvement of the safety, efficiency and aesthetic results. Suction-assisted liposuction is safe, simple accessible and effective, but it is known as the most traumatic technique. Ultrasound-assisted liposuction is preferred in areas rich by blood vessels and connective tissues; however, it is characterized by an increased risk of infiltrate forming. Vibration technique reduces the physical load of the surgeon but it is characterized by a low percentage of viable adipocytes. Advantages of the laser and radiofrequency-assisted techniques are good contractility of skin, less edema and pain syndrome, but the high temperature can cause skin necrosis. Water-assisted lipoaspiration is less traumatic, it is preferable for mild volume of fat in patients with the moderate elasticity of the skin, and for lipofilling.
The long-term results of different methods of liposuction are practically the similar. The usage of stem cells, contained in lipoaspirate in high quantities, lipofilling, non-invasive methods of body contouring, such as cryolipolysis and non-invasive focused ultrasound should be noted as some of perspective directions.

Keywords: liposuction, lipoaspiration, lipectomy, fat removal, body contouring, plastic surgery, cryolipolysis, non-invasive focused ultrasound
p. 77-83 of the original issue
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Address for correspondence:
614000, Russian Federation, Perm,
ul. Kuybyisheva, d. 43,
GBOU VPO "Permskiy gosudarstvennyiy meditsinskiy universitet
im. akademika E.A. Vagnera", kafedra gospitalnoy khirurgii.
tel. office: 7 342 239-29-72,
e-mail: splaksin@mail.ru,
Plaksin Sergey Aleksandrovich
Information about the authors:
Plaksin S.A. MD, professor of the surgery chair of the advanced professional education faculty of SBEE HPE "Perm State Medical University named after Academician E.A.Vagner".
Khramtsova S.A. PhD, an assistant of the hospital surgery chair of SBEE HPE "Perm State Medical University named after Academician E.A.Vagner".
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