Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2016 Vol. 24 No 1

REVIEWS

DOI: http://dx.doi.org/10.18484/2305-0047.2016.1.77   |  

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, Madenungs disease (multiple symmetric lipomatosis), Dercums 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
References
  1. Masoumi Lari SJ, Roustaei N, Roshan SK, Chalian M, Chalian H, Honarbakhsh Y. Determinants of patient satisfaction with ultrasound-assisted liposuction. Aesthet Surg J. 2010 Sep;30(5):714-9. doi: 10.1177/1090820X10378086.
  2. Ahmad J, Eaves FF 3rd, Rohrich RJ, Kenkel JM. The American Society for Aesthetic Plastic Surgery (ASAPS) survey: current trends in liposuction. Aesthet Surg J. 2011 Feb;31(2):214-24. doi: 10.1177/1090820X10395508.
  3. Costagliola M, Atiyeh B, Rampillon F, Illouz YG, Dibo S. Aesthetic or functional indications for liposuction. Aesthet Surg J. 2013 Nov 1;33(8):1212-3. doi: 10.1177/1090820X13511454.
  4. Sidorenkov DA, Sulamanidze GM, Chausheva SI. Vybor metoda liposaktsii [The choice of liposuction method]. Annaly Plast Rekonstrukt i Estet Khirurgii. 2006;(4):138-39
  5. Tremp M, Wettstein R, Tchang LA, Schaefer DJ, Rieger UM, Kalbermatten DF. Power-assisted liposuction (PAL) of multiple symmetric lipomatosis (MSL)a longitudinal study. Surg Obes Relat Dis. 2015 Jan-Feb;11(1):155-60. doi: 10.1016/j.soard.2014.05.004.
  6. Brorson H. Liposuction in lymphedema treatment. J Reconstr Microsurg. 2015 Apr 20.
  7. Stashak AB, Brewer JD. Management of hyperhidrosis. Clin Cosmet Investig Dermatol. 2014 Oct 29;7:285-99. doi: 10.2147/CCID.S53119.
  8. Boriani F, Villani R, Morselli PG. Metabolic effects of large-volume liposuction for obese healthy women: a meta-analysis of fasting insulin levels. Aesthetic Plast Surg. 2014 Oct;38(5):1050-6. doi: 10.1007/s00266-014-0386-3.
  9. Mohammed BS, Cohen S, Reeds D, Young VL, Klein S. Long-term effects of large-volume liposuction on metabolic risk factors for coronary heart disease. Obesity (Silver Spring). 2008 Dec;16(12):2648-51. doi: 10.1038/oby.2008.418.
  10. Schmeller W, Hueppe M, Meier-Vollrath I. Tumescent liposuction in lipoedema yields good long-term results. Br J Dermatol. 2012 Jan;166(1):161-8. doi: 10.1111/j.1365-2133.2011.10566.x.
  11. Chia CT, Theodorou SJ. 1,000 consecutive cases of laser-assisted liposuction and suction-assisted lipectomy managed with local anesthesia. Aesthetic Plast Surg. 2012 Aug;36(4):795-802. doi: 10.1007/s00266-012-9885-2.
  12. Scuderi N, Paolini G, Grippaudo FR, Tenna S. Comparative evaluation of traditional, ultrasonic, and pneumatic assisted lipoplasty: analysis of local and systemic effects, efficacy, and costs of these methods. Aesthetic Plast Surg. 2000 Nov-Dec;24(6):395-400.
  13. Perekhodov SN, Berlev OV, Stoliarzh AB. Rukovodstvo po ul'trazvukovoi kombinirovannoi liposaktsii [Manual on combined ultrasonic liposuction]. Moscow, RF: Nauka; 2007. 101 p.
  14. Venkataram J, Venkataram M. Microcannular tumescent liposuction. Indian J Dermatol Venereol Leprol. 2007;(377):83.
  15. Khank SU, Zattler G, Vissarionov VA, red. Liposatsiia [Liposuction]: per. s angl. Moscow, RF: Rid Elsiver; 2009. 172 p.
  16. Karpiuk VB., Lavreshin PM, Mokrushin AA. Sravnitel'naia otsenka zhiznesposobnosti kletok aspirirovannoi zhirovoi tkani [Comparative evaluation of the viability of cells of aspirated adipose tissue. Methodological aspects of lipofilinga]. Metodologicheskie aspekty lipofilinga. Annaly Plast Rekonstrukt i Estet Khirurgii. 2011;(4):83-86.
  17. Hoyos AE, Millard JA. VASER-assisted high-definition liposculpture. Aesthet Surg J. 2007 Nov-Dec;27(6):594-604. doi: 10.1016/j.asj.2007.08.007.
  18. Plaksin SA, Khramtsova NI. Sravnitel'naia otsenka tekhnicheskikh aspektov i rezul'tatov mekhanicheskoi i vodostruinoi liposaktsii [Comparative evaluation of the technical aspects and the results of the mechanical and water-jet liposuction]. Annaly Plast Rekonstrukt Estet Khirurgii. 2014;(2):29-34.
  19. DiBernardo BE. Randomized, blinded split abdomen study evaluating skin shrinkage and skin tightening in laser-assisted liposuction versus liposuction control. Aesthet Surg J. 2010 Jul-Aug;30(4):593-602. doi: 10.1177/1090820X10380707.
  20. Diiulio R. Latest liposuction trend: radiofrequency-assisted device takes one-stage approach to body contouring, providing faster recoveries and noticeable results. Cosmetic Surgery Times. 2010. p. 36-38.
  21. Plaksin SA, Sharybina NI. Comparision of Water-Assisted and Traditional Liposuction. Can J Plast Surg. 2011;19:95A.
  22. Meyer J, Salamon A, Herzmann N, Adam S, Kleine HD, Matthiesen I, et al. Isolation and Differentiation Potential of Human Mesenchymal Stem Cells From Adipose Tissue Harvested by Water Jet-Assisted Liposuction. Aesthet Surg J. 2015 Nov;35(8):1030-9. doi: 10.1093/asj/sjv075.
  23. Triana L, Triana C, Barbato C, Zambrano M. Liposuction: 25 years of experience in 26,259 patients using different devices. Aesthtetic Surg J. 2009 Nov-Dec;29(6):509-12.
  24. Sharybina NI, Plaksin SA. Dinamika massy tela, vodnogo i zhirovogo balansa posle vodostruinoi liposaktsii [Dynamics of body weight, water and fat balance after water-jet liposuction]. Annaly Plast Rekonstrukt Estet khirurgii. 2013;(3):30-35.
  25. Przylipiak AF, Galicka E, Donejko M, Niczyporuk M, Przylipiak J. A comparative study of internal laser-assisted and conventional liposuction: a look at the influence of drugs and major surgery on laboratory postoperative values. Drug Des Devel Ther. 2013 Oct 11;7:1195-200. doi: 10.2147/DDDT.S50828.
  26. Valente DS. Venous thromboembolism following elective aesthetic plastic surgery: a longitudinal prospective study in 1254 patients. Plast Surg Int. 2014;(2014):565793. Article ID 565793, 4 pages 10.1155/2014/565793.
  27. Grazer FM, de Jong RH. Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast Reconstr Surg. 2000 Jan;105(1):436-46; discussion 447-48.
  28. Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU. Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plast Reconstr Surg. 2008 Jun;121(6):396e-403e. doi: 10.1097/PRS.0b013e318170817a.
  29. Platt MS, Kohler LJ, Ruiz R, Cohle SD, Ravichandran P. Deaths associated with liposuction: case reports and review of the literature. J Forensic Sci. 2002 Jan;47(1):205-7.
  30. Starling J 3rd, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Dermatol Surg. 2012 Feb;38(2):171-7. doi: 10.1111/j.1524-4725.2011.02206.x.
  31. Blum CA, Sasser CG, Kaplan JL. Complications from laser-assisted liposuction performed by noncore practitioners. Aesthetic Plast Surg. 2013 Oct;37(5):869-75. doi: 10.1007/s00266-013-0153-x.
  32. Theodorou SJ, Paresi RJ, Chia CT. Radiofrequency-assisted liposuction device for body contouring: 97 patients under local anesthesia. Aesthetic Plast Surg. 2012 Aug;36(4):767-79. doi: 10.1007/s00266-011-9846-1.
  33. Abdelaal MM, Aboelatta YA. Comparison of Blood Loss in Laser Lipolysis vs Traditional Liposuction. Aesthet Surg J. 2014 May 28;34(6):907-912.
  34. Peterson AF, Przylipiak J, Peterson M. Influence of laser-supported liposuction on hemoglobin, hematocrit, and erythrocyte values in patient's blood. Eur J Plast Surg. 2009;32(6):28386. doi: 10.1007/s00238-009-0359-y.
  35. Saariniemi KM, Salmi AM, Peltomiemi HH, Charpentier P, Kuokkanen HO. Does liposuction improve body image and symptoms of eating disorders? Plast Reconstr Surg Glob Open. 2015 Aug 10;3(7):1097. doi: 10.1097/GOX.0000000000000440.
  36. Kim BS, Choi JS, Kim JD, Yoon HI, Choi YC, Cho YW. Human collagen isolated from adipose tissue. Biotechnol Prog. 2012 Jul;28(4):973-80. doi: 10.1002/btpr.1555.
  37. Rajashekhar G. Mesenchymal stem cells: new players in retinopathy therapy. Front Endocrinol (Lausanne). 2014 Apr 24;5:59. doi: 10.3389/fendo.2014.00059.
  38. Young-Du Kim, Jun YJ, Kim J, Kim CK. Effects of human adipose-derived stem cells on the regeneration of damaged visceral pleural mesothelial cells: a morphological study in a rabbit model. Interact CardioVasc Thorac Surg. 2014; 19 (3): 363-367. doi: 10.1093/icvts/ivu124.
  39. Michalek J, Moster R, Lukac L, Proefrock K, Petrasovic M, Rybar J, et al. Autologous adipose tissue-derived stromal vascular fraction cells application in patients with osteoarthritis. Cell Transplant. 2015 Jan 20. doi: 10.3727/096368915X686760.
  40. Vickers ER, Karsten E, Flood J, Lilischkis R. A preliminary report on stem cell therapy for neuropathic pain in humans. J Pain Res. 2014 May 8;7:255-63. doi: 10.2147/JPR.S63361.
  41. Watanabe Y, Sasaki R, Matsumine H, Yamato M, Okano T. Undifferentiated and differentiated adipose-derived stem cells improve nerve regeneration in a rat model of facial nerve defect. J Tissue Eng Regen Med. 2014 Jun 1. doi: 10.1002/term.1919.
  42. Perin EC, Sanz-Ruiz R, Sánchez PL, Lasso J, Pérez-Cano R, Alonso-Farto JC, et al. Adipose-derived regenerative cells in patients with ischemic cardiomyopathy: the precise trial. Am Heart J. 2014 Jul;168(1):88-95.e2. doi: 10.1016/j.ahj.2014.03.022.
  43. Philips BJ, Marra KG, Rubin JP. Healing of grafted adipose tissue: current clinical applications of adipose-derived stem cells for breast and face reconstruction. Wound Repair Regen. 2014 May; 22(Suppl 1):11-3. doi: 10.1111/wrr.12164.
  44. Pallua N, Baroncini A, Alharbi Z, Stromps JP. Improvement of facial scar appearance and microcirculation by autologus lipofilling. J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1033-7. doi: 10.1016/j.bjps.2014.04.030.
  45. Afrooz PN, Pozner JN, DiBernardo BE. Noninvasive and minimally invasive techniques in body contouring. Clin Plast Surg. 2014 Oct;41(4):789-804. doi: 10.1016/j.cps.2014.07.006.
  46. Carruthers J, Stevens WG, Carruthers A, Humphrey S. Cryolipolysis and skin tightening. Dermatol Surg. 2014 Dec;40(Suppl 12):S184-9. doi: 10.1097/DSS.0000000000000229.
  47. Milanese C, Cavedon V, Piscitelli F, Zancanaro C. Effect of low-intensity, low-frequency ultrasound treatment on anthropometry, subcutaneous adipose tissue, and body composition of young normal weight females. J Cosmet Dermatol. 2014 Sep;13(3):202-7. doi: 10.1111/jocd.12101.
  48. Gadsden E, Aguilar MT, Smoller BR, Jewell ML. Evaluation of a novel high-intensity focused ultrasound device for ablating subcutaneous adipose tissue for noninvasive body contouring: safety studies in human volunteers. Aesthet Surg J. 2011 May;31(4):401-10. doi: 10.1177/1090820X11405027.
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".
Contacts | ©Vitebsk State Medical University, 2007