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Metabolic Effects of Liposuction

  • Eric Swanson
Chapter

Abstract

The metabolic effect of liposuction has been poorly understood. In the absence of reliable data, some investigators speculate that liposuction may cause a metabolic imbalance, causing the body to gain weight to compensate for lost fat cells. The possibility that removing subcutaneous fat may cause a deleterious increase in the relative proportion of the “bad” visceral fat volume has been considered.

In order to investigate the metabolic effect of liposuction and liposuction combined with abdominoplasty, the author undertook a laboratory study of 322 predominantly nonobese patients, with sequential measurements of lipid levels, fasting blood glucose, and leukocyte counts. Patient weights were also recorded to ensure caloric neutrality during the study.

There were no significant differences in cholesterol levels after surgery. Fasting blood sugars were unchanged. However, there was a highly significant mean 43% reduction in triglyceride levels 3 months after liposuction in patients with elevated preoperative triglyceride levels (p < 0.001). Surprisingly, mean white blood cell counts decreased 11% after liposuction, also a highly significant change (p < 0.001).

Adipocytes do not manufacture cholesterol but do synthesize triglycerides. The reduction in triglycerides in patients with elevated preoperative levels (≥150 mg/dL) is likely caused a postsurgical reduction in subcutaneous fat cell volume. Subcutaneous fat may be no less metabolically relevant than visceral fat, challenging the concept of a metabolic syndrome.

Excessive triglyceride levels are associated with serious health problems such as diabetes, coronary artery disease, and stroke. Elevated white blood cell counts have also been linked to health problems. Adipocytes induce production of inflammatory cytokines, which may contribute to coronary artery disease and type II diabetes. Although the long-term health benefits of these changes, if any, are unknown, patients may be reassured that any metabolic effect of removing extra subcutaneous fat seems to be favorable.

Keywords

Metabolic Liposuction Triglyceride Leukocyte Count Cholesterol Adipocytes Levels Reduction 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Eric Swanson
    • 1
  1. 1.Swanson CenterLeawoodUSA

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