High-Definition Liposculpture: What are the Complications and How to Manage Them?

Abstract

Background

High-definition liposculpture is a novel surgical technique widely accepted among plastic surgeons. The aim of this article is to describe surgical outcomes with a special emphasis on complications in high-definition liposculpture patients.

Methods

An historical cohort of patients who underwent high-definition liposculpture from two senior surgeons was reviewed. Technique, patient selection criteria, preoperative marks and surgical outcomes are described. Postoperative complications are discussed.

Results

A total of 417 patients underwent high-definition liposculpture between 2015 and 2018. Primary liposuction and secondary liposuction were performed in 308 (74%) and 109 (26%), respectively. Combined surgeries were performed in 121 cases (29%). There were no systemic complications. Local complications included hyperpigmentation (n = 276), seroma (n = 125), nodular fibrosis (n = 83), unsatisfactory definition in superficial liposuction areas (n = 16), unnatural appearance of body contour (n = 17), VASER-related burns (n = 3) and Mondor’s syndrome (n = 2). Most patients (94%) were satisfied with the results.

Conclusion

High-definition liposculpture is a body contouring technique that has shown excellent results. Despite non-serious complications were frequent, most complications were local and safely treated without affecting surgical outcome. To know these complications will help to recognize them earlier and to adjust patient expectation about the postoperative period.

Level of Evidence IV

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References

  1. 1.

    ISAPS (2016) Global statistics [Internet]. www.isaps.org. Accessed Mar 2019

  2. 2.

    Kim YH, Cha SM, Naidu S (2011) Analysis of postoperative complications for superficial liposuction: a review of 2398 cases. Plast Reconstr Surg 127(2):863–871

    CAS  Article  Google Scholar 

  3. 3.

    Avelar J (1989) Regional distribution and behavior of the subcutaneous tissue concerning selection and indication for liposuction. Aesthet Plast Surg 13(3):155–165

    CAS  Article  Google Scholar 

  4. 4.

    Illouz Y-G (1989) Surgical implications of “fixed points”: a new concept in plastic surgery. Aesthet Plast Surg 13(3):137–144

    CAS  Article  Google Scholar 

  5. 5.

    Gasperoni C, Salgarello M, Emiliozzi P, Gargani G (1990) Subdermal liposuction. Aesthet Plast Surg 14(2):137–142

    CAS  Article  Google Scholar 

  6. 6.

    Mentz HA, Gilliland MD, Patronella CK (1993) Abdominal etching: differential liposuction to detail abdominal musculature. Aesthet Plast Surg 17(4):287–290

    Article  Google Scholar 

  7. 7.

    Hoyos AE, Prendergast PM (2014) High definition body sculpting: art and advanced lipoplasty techniques. Springer, Berlin

    Google Scholar 

  8. 8.

    Hoyos AE, Millard JA (2007) VASER-assisted high-definition liposculpture. Aesthet Surg J 27(6):594–604

    CAS  Article  Google Scholar 

  9. 9.

    Hoyos A, Perez M (2012) Arm dynamic definition by liposculpture and fat grafting. Aesthet Surg J 32:974–987

    Article  Google Scholar 

  10. 10.

    Hoyos A, Perez M (2012) Dynamic-definition male pectoral reshaping and enhancement in slim, athletic, obese, and gynecomastic patients through selective fat removal and grafting. Aesthet Plast Surg 36(5):1066–1077

    Article  Google Scholar 

  11. 11.

    Chia CT, Theodorou SJ, Hoyos AE, Pitman GH (2015) Radiofrequency-Assisted Liposuction Compared with Aggressive Superficial, Subdermal Liposuction of the Arms: A Bilateral Quantitative Comparison. Plast Reconstr Surg Glob Open 3(7):e459

    Article  Google Scholar 

  12. 12.

    Hoyos AE, Perez ME, Castillo L (2013) Dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and muscular plication. Aesthet Surg J 33(4):545–560

    Article  Google Scholar 

  13. 13.

    Hoyos A, Perez ME, Guarin DE, Montenegro A (2018) A report of 736 high-definition lipoabdominoplasties performed in conjunction with circumferential VASER liposuction. Plast Reconstr Surg 142(3):662–675

    CAS  Article  Google Scholar 

  14. 14.

    Danilla S (2017) Rectus abdominis fat transfer (RAFT) in lipoabdominoplasty: a new technique to achieve fitness body contour in patients that require tummy tuck. Aesthet Plast Surg 41(6):1389–1399

    Article  Google Scholar 

  15. 15.

    Danilla S, Dominguez C, Cuneo N, Lopez L, Leon E, Cisternas JP, Erazo C, Andrades P, Sepulveda S (2018) Variation in the number of metamers of rectus abdominis muscle. A high definition lipoesculture guide. Cir Plast Iberolatinoam 44:5

    Google Scholar 

  16. 16.

    Cansancao AL, Condé-Green A, David JA, Cansancao B, Vidigal RA (2018) Use of tranexamic acid to reduce blood loss in liposuction. Plast Reconstr Surg 141(5):1132–1135

    CAS  Article  Google Scholar 

  17. 17.

    Jewell ML, Fodor PB, de Souza Pinto EB, Al Shammari MA (2002) Clinical application of VASER-assisted lipoplasty: a pilot clinical study. Aesthet Surg J 22(2):131–146

    Article  Google Scholar 

  18. 18.

    Mendieta C (2007) Gluteal reshaping. Aesthet Surg J 27(6):641–655

    CAS  Article  Google Scholar 

  19. 19.

    Mateu LP, Hernandez JJC (1997) Cutaneous hyperpigmentation caused by liposuction. Aesthet Plast Surg 21(4):230–232

    CAS  Article  Google Scholar 

  20. 20.

    Dixit V, Wagh M (2013) Unfavourable outcomes of liposuction and their management. Indian J Plast Surg 46(2):377

    Article  Google Scholar 

  21. 21.

    Shiffman MA, Di Giuseppe A (2016) Prevention and treatment of liposuction complications, 2nd illustrated edn. Springer, Berlin, p 948

    Google Scholar 

  22. 22.

    Baxter R (1999) Histologic effects of ultrasound-assisted lipoplasty. Aesthet Surg J 19(2):109–114

    Article  Google Scholar 

  23. 23.

    Triana L, Triana C, Barbato C, Zambrano M (2009) Liposuction: 25 years of experience in 26,259 patients using different devices. Aesthet Surg J 29(6):509–12. https://doi.org/10.1016/j.asj.2009.09.008

    Article  PubMed  Google Scholar 

  24. 24.

    Firooz A, Tehranchi-Nia Z, Ahmed AR (1995) Benefits and risks of intralesional corticosteroid injection in the treatment of dermatological diseases. Clin Exp Dermatol 20(5):363–370

    CAS  Article  Google Scholar 

  25. 25.

    Danilla S, Cuevas P, Aedo S, Dominguez C, Jara R, Calderón ME et al (2016) Introducing the body-QoL®: a new patient-reported outcome instrument for measuring body satisfaction-related quality of life in aesthetic and post-bariatric body contouring patients. Aesthet Plast Surg 40(1):19–29

    Article  Google Scholar 

  26. 26.

    Suijker J, Troncoso E, Pizarro F, Montecinos S, Villarroel G, Erazo C et al (2018) Long-term quality-of-life outcomes after body contouring surgery: phase IV results for the body-QoL® cohort. Aesthet Surg J 38(3):279–288

    Article  Google Scholar 

  27. 27.

    Danilla S, Dominguez C, Cuevas P, Calderón ME, Rios MA, Andrades P et al (2014) The body-QoL®: measuring patient reported outcomes in body contouring surgery patients. Aesth Plast Surg 38(3):575–583

    Article  Google Scholar 

  28. 28.

    Klassen AF, Cano SJ, Alderman A, Soldin M, Thoma A, Robson S et al (2016) The BODY-Q: a patient-reported outcome instrument for weight loss and body contouring treatments. Plast Reconstr Surg Glob Open 4(4):e679

    Article  Google Scholar 

Download references

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Correspondence to Stefan Danilla.

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Danilla, S., Babaitis, R.A., Jara, R.P. et al. High-Definition Liposculpture: What are the Complications and How to Manage Them?. Aesth Plast Surg 44, 411–418 (2020). https://doi.org/10.1007/s00266-019-01475-6

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Keywords

  • Body contouring
  • Liposculpture
  • Aesthetic surgery
  • High-definition liposculpture
  • Liposuction