Aesthetic Plastic Surgery

, Volume 30, Issue 3, pp 327–332 | Cite as

Impact of Large-Volume Liposuction on Serum Lipids in Orientals: A Pilot Study

  • Yoon Gi Hong
  • Hyung Taek Kim
  • Sang Won Seo
  • Choong Hyun Chang
  • Eun Jung Rhee
  • Won Young Lee
Article
First Online:
Received:
Accepted:

Abstract

Recent advances in liposuction techniques now make it possible to remove considerable amounts of subcutaneous adipose tissue. However, the metabolic consequences of this procedure are not well documented. The aim of this study was to identify the effects from the surgical removal of subcutaneous fat on the body weights and serum lipids of patients who have undergone large-volume liposuction. In this study, eleven consecutive patients with a minimum aspirate volume of 5,000 ml were evaluated, and their serum lipids were measured at a postoperative 2-month follow-up assessment. Tumescent fluid was infiltrated using the superwet technique. The liposuction device used was a Liposlim® power-assisted liposuction system. The amount of solution infiltrated and the volume of aspirate were measured. Pre- and postoperative serum lipids, body weights, and body mass indices were compared. Statistical analysis was performed on lipid profile changes and aspirate volumes using Spearman’s correlations. The average volumes of infiltrate and aspirate were 7,241 and 6,790 ml, respectively. Mean body weight decreased from 64.5 ± 18.8 to 59.9 s ± 17.8 kg (p < 0.01). The change in body weight per 1 l of aspirate volume was 0.67 ± 0.10 kg/l. The mean body mass index dropped from 23.8 ± 4.4 to 22.0 ± 4.2 kg/m2 (p < 0.01), and the mean total serum cholesterol levels from 168.2 ± 23.6 to 162.9 ± 26.5 mg/dl, an average of 3.2%. The mean low-density lipoprotein (LDL) decreased from 94.3 ± 20.5 to 89.5 ± 19.0 mg/dl, a 5.1% drop, and the mean high-density lipoprotein (HDL) decreased from 55.8 ± 9.5 to 53.7 ± 10.7 mg/dl, a 3,8% drop. The mean HDL/LDL proportion increased from 62.6 ± 20.9% to 63.5 ± 22.4%, averaging 1.4%. However, no significant correlation was found between the aspirated volume of fat and lipid profile change. In conclusion, over a 2-month period, large-volume liposuction reduced weight and total cholesterol level and increased the HDL/LDL ratio. The authors hope to discover whether the therapeutic impact of liposuction is long-lasting, and to determine whether it reduces the morbidity and mortality associated with obesity.

Keywords

Large-volume liposuction Liposlim® power-assisted liposuction Superwet technique 
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Notes

Acknowledgements

This study was financially supported by research and development fund of Professor Choong Hyun Chang, a chairman of the Department of Plastic and Reconstructive Surgery, Kangbuk Sansung Hospital, Sungkyunkwan University School of Medicine.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Yoon Gi Hong
    • 1
    • 3
  • Hyung Taek Kim
    • 1
  • Sang Won Seo
    • 1
  • Choong Hyun Chang
    • 1
  • Eun Jung Rhee
    • 2
  • Won Young Lee
    • 2
  1. 1.Department of Plastic and Reconstructive SurgeryKangbuk Samsung Hospital, Sungkyunkwan University School of MedicineKorea
  2. 2.Department of Endocrinology and MetabolismKangbuk Samsung Hospital, Sungkyunkwan University School of MedicineKorea
  3. 3.Department of Plastic and Reconstructive SurgeryKangbuk Samsung Hospital, School of Medicine, University of SungkyunkwanJongro-GuKorea

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