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Nonaesthetic or Functional Indications of Liposuction

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Liposuction

Abstract

Nonaesthetic therapeutic and functional liposuction has been described for the management of several conditions and diseases characterized by excess or abnormal deposition of fatty tissue; nevertheless, liposuction as such continues to be considered an aesthetic procedure precluding reimbursement by national health services and other third-party payers. The present review summarizes our clinical experience in the treatment of several conditions affecting various body areas. The authors have applied liposuction as a real but “blunt lipectomy” instead of the more aggressive surgical excision thus reducing morbidity, length of hospitalization, and above all scar burden. For certain conditions, liposuction does not define a specific procedure but rather a surgical technique or tool same as minimally invasive endoscopic surgery. At present, there seems to be an enormous potential for the application of liposuction in ablative and reconstructive surgery outside the realm of purely aesthetic procedures. Implications of this new definition should seriously induce reconsideration of remuneration and reimbursement policies.

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References

  1. Stephan PJ, Kenkel JM. Updates and advances in liposuction. Aesthet Surg J. 2010;30(1):83–97.

    Article  PubMed  Google Scholar 

  2. Matarasso A. Liposuction as an adjunct to a full abdominoplasty revisited. Plast Reconstr Surg. 2000;106(5):1197–202.

    Article  CAS  PubMed  Google Scholar 

  3. Pelosi 3rd MA, Pelosi 2nd MA. Liposuction. Obstet Gynecol Clin North Am. 2010;37(4):507–19.

    Article  PubMed  Google Scholar 

  4. Berry MG, Davies D. Liposuction: a review of principles and techniques. J Plast Reconstr Aesthet Surg. 2011;64(8):985–92.

    Article  CAS  PubMed  Google Scholar 

  5. Apesos J, Chami R. Functional applications of suction-assisted lipectomy: a new treatment for old disorders. Aesthetic Plast Surg. 1991;15(1):73–9.

    Article  CAS  PubMed  Google Scholar 

  6. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases. Plast Reconstr Surg. 1983;72(5):591–7.

    Article  CAS  PubMed  Google Scholar 

  7. Sterodimas A, Boriani F, Magarakis E, Nicaretta B, Pereira LH, Illouz YG. Thirty-four years of liposuction: past, present and future. Eur Rev Med Pharmacol Sci. 2012;16(3):393–406.

    CAS  PubMed  Google Scholar 

  8. Fischer A, Fischer GM. Revised technique for cellulitis fat reduction in riding breeches deformity. Bull Int Acad Cosmet Surg. 1977;2(4):40–3.

    Google Scholar 

  9. Kesselring UK, Meyer R. A suction curette for removal of excessive local deposits of subcutaneous fat. Plast Reconstr Surg. 1978;56(2):305–6.

    Article  Google Scholar 

  10. Schrudde J. Lipexeresis as a means of eliminating local adiposity. Aesthetic Plast Surg. 1980;4(1):215–26.

    Article  CAS  PubMed  Google Scholar 

  11. Turer AT, Hill JA, Elmquist JK, Scherer PE. Adipose tissue biology and cardiomyopathy. Translational implications. Circ Res. 2012;111(2):1565–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Sabharwal S, Root MZ. Impact of obesity on orthopedics. J Bone Joint Surg Am. 2012;94(11):1045–52.

    Article  PubMed  Google Scholar 

  13. Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheum Dis Clin North Am. 2013;39(1):1–19.

    Article  PubMed  Google Scholar 

  14. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355–69.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Wluka AE, Lombard CB, Cicuttini FM. Tackling obesity in knee osteoarthritis. Nat Rev Rheumatol. 2013;9(4):225–35.

    Article  PubMed  Google Scholar 

  16. Freedman Silvernail J, Milner CE, Thompson D, Zhang S, Zhao X. The influence of body mass index and velocity on knee biomechanics during walking. Gait Posture. 2012;37(4):575–9.

    Article  PubMed  Google Scholar 

  17. Berenbaum F, Eymard F, Houard X. Osteoarthritis, inflammation and obesity. Curr Opin Rheumatol. 2013;25(1):114–8.

    Article  CAS  PubMed  Google Scholar 

  18. Narsete T, Narsete M, Buckspan R, Ersek R. Large-volume liposuction and prevention of type 2 diabetes: a preliminary report. Aesthetic Plast Surg. 2012;36(2):438–42.

    Article  PubMed  Google Scholar 

  19. Perez RA. Liposuction and diabetes type 2 development risk reduction in the obese patient. Med Hypotheses. 2007;68(2):393–6.

    Article  CAS  PubMed  Google Scholar 

  20. Todd M. Lipoedema: presentation and management. Br J Community Nurs. 2010;15(4):S10–6.

    Article  PubMed  Google Scholar 

  21. Schmeller W, Hueppe M, Meier-Vollrath I. Tumescent liposuction in lipoedema yields good long-term results. Br J Dermatol. 2012;166(1):161–8.

    Article  CAS  PubMed  Google Scholar 

  22. Peled AW, Slavin SA, Brorson H. Long-term outcome after surgical treatment of lipedema. Ann Plast Surg. 2012;68(3):303–7.

    Article  PubMed  Google Scholar 

  23. Hansson E, Svensson H, Brorson H. Review of Dercum’s disease and proposal of diagnostic criteria, diagnostic methods, classification and management. Orphanet J Rare Dis. 2012;7:23.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Vantyghem MC, Balavoine AS, Douillard C, Defrance F, Dieudonne L, Mouton F, Lemaire C, Bertrand-Escouflaire N, Bourdelle-Hego MF, Devemy F, Evrard A, Gheerbrand D, Girardot C, Gumuche S, Hober C, Topolinski H, Lamblin B, Mycinski B, Ryndak A, Karrouz W, Duvivier E, Merlen E, Cortet C, Weill J, Lacroix D, Wémeau JL. How to diagnose a lipodystrophy syndrome. Ann Endocrinol (Paris). 2012;73(3):170–89.

    Article  CAS  Google Scholar 

  25. Capeau J, Magré J, Caron-Debarle M, Lagathu C, Antoine B, Béréziat V, Lascols O, Bastard JP, Vigouroux C. Human lipodystrophy: genetic and acquired diseases of adipose tissue. Endocr Dev. 2010;19:1–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Fardet L, Vigouroux C, Capeau J. Syndromes lipodystrophiques. Lipodystrophies. Rev Med Interne. 2012;S0248-8663(12)01149-6.

    Google Scholar 

  27. Garg A. Lipodystrophies: genetic and acquired body fat disorders. J Clin Endocrinol Metab. 2011;96(11):3313–25.

    Article  CAS  PubMed  Google Scholar 

  28. Guallar JP, Rojas-Garcia R, Garcia-Arumi E, Domingo JC, Gallardo E, Andreu AL, Domingo P, Illa I, Giralt M, Villarroya F. Impaired expression of mitochondrial and adipogenic genes in adipose tissue from a patient with acquired partial lipodystrophy (Barraquer-Simons syndrome): a case report. J Med Case Rep. 2008;2:284.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Pascal JF, Le Louarn C. Brachioplasty. Aesthetic Plast Surg. 2005;29:423–9.

    Article  PubMed  Google Scholar 

  30. Matthew E, Doscher MD, Sean Herman BA, Evan S, Garfein MD. Surgical management of inoperable lymphedema: the re-emergence of abandoned techniques. J Am Coll Surg. 2012;215(2):278–83.

    Article  Google Scholar 

  31. Brorson H. From lymph to fat: liposuction as a treatment for complete reduction of lymphedema. Int J Lower Extrem Wounds. 2012;11(1):10–9.

    Article  Google Scholar 

  32. Brorson H, Svensson H. Complete reduction of lymphoedema of the arm by liposuction after breast cancer. Scand J Plast Reconstr Surg Hand Surg. 1997;31(2):137–43.

    Article  CAS  PubMed  Google Scholar 

  33. Brorson H, Ohlin K, Svensson B. The facts about liposuction as a treatment for lymphoedema. J Lymphoedema. 2008;3(1):38–47.

    Google Scholar 

  34. Brorson H, Ohlin K, Olsson G, Karlsson MK. Breast cancer-related chronic arm lymphedema is associated with excess adipose and muscle tissue. Lymphat Res Biol. 2009;7(1):3–10.

    Article  PubMed  Google Scholar 

  35. Jensen MR, Simonsen L, Karlsmark T, Bulow J. Lymphoedema of the lower extremities–background, pathophysiology and di- agnostic considerations. Clin Physiol Funct Imaging. 2010;30(6):389–98.

    Article  PubMed  Google Scholar 

  36. Damstra RJ, Voesten HG, Klinkert P, Brorson H. Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer. Br J Surg. 2009;96(8):859–64.

    Article  CAS  PubMed  Google Scholar 

  37. Schaverien MV, Munro KJ, Baker PA, Munnoch DA. Liposuction for chronic lymphoedema of the upper limb: 5 years of experience. J Plast Reconstr Aesthet Surg. 2012;65(7):935–42.

    Article  PubMed  Google Scholar 

  38. Brorson H. From lymph to fat: complete reduction of lymphoedema. Phlebology. 2010;25 Suppl 1:52–63.

    Article  PubMed  Google Scholar 

  39. Brorson H. Liposuction in arm lymphedema treatment. Scand J Surg. 2003;92(4):287–95.

    CAS  PubMed  Google Scholar 

  40. Greene AK, Slavin SA, Borud L. Treatment of lower extremity lymphedema with suction-assisted lipectomy. Plast Reconstr Surg. 2006;118(5):118e–21.

    Article  PubMed  Google Scholar 

  41. Shiffman MA, Di Giuseppe A. Liposuction: principles and practice. Berlin: Verlag; 2006.

    Book  Google Scholar 

  42. Atiyeh BS, Rubeiz MT, Hayek SN. Refinements of vertical scar mammaplasty: circumvertical skin excision design with limited inferior pole subdermal undermining and liposculpture of inframammary crease. Aesthetic Plast Surg. 2005;29(6):519–31.

    Article  PubMed  Google Scholar 

  43. Mellul SD, Dryden RM, Remigio DJ, Wulc AE. Breast reduction performed by liposuction. Dermatol Surg. 2006;32(9):1124–33.

    CAS  PubMed  Google Scholar 

  44. Habbema L. Breast reduction using liposuction with tumescent local anesthesia and powered cannulas. Dermatol Surg. 2009;35(1):41–50.

    CAS  PubMed  Google Scholar 

  45. Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg. 1994;94(1):100–14.

    Article  CAS  PubMed  Google Scholar 

  46. Sadove R. New observations in liposuction-only breast reduction. Aesthetic Plast Surg. 2005;29(1):28–31.

    Article  PubMed  Google Scholar 

  47. Jakubietz RG, Jakubietz DF, Gruenert JG, Schmidt K, Meffert RH, Jakubietz MG. Breast reduction by liposuction in females. Aesthetic Plast Surg. 2011;35(3):402–7.

    Article  PubMed  Google Scholar 

  48. Lee JH, Kim IK, Kim RG, Kim YH. Surgical correction of gynecomastia with minimal scarring. Aesthetic Plast Surg. 2012;36(6):1302–6.

    Article  PubMed  Google Scholar 

  49. Cigna E, Tarallo M, Fino P, De Santo L, Scuderi N. Surgical correction of gynecomastia in thin patients. Aesthetic Plast Surg. 2011;35(4):439–45.

    Article  PubMed  Google Scholar 

  50. Graf R, de Araujo LR, Rippel R, Neto LG, Pace DT, Cruz GA. Lipoabdominoplasty: liposuction with reduced undermining and traditional abdominal skin flap resection. Aesthetic Plast Surg. 2006;30(1):1–8.

    Article  PubMed  Google Scholar 

  51. CCAM (Classification Commune des Actes Médicaux) Version 25 9/01/12.

    Google Scholar 

  52. Hadjiev B, Stefanova P, Shipkov C, Uchikov A, Mojallal A. Madelung disease on the morphologic criteria for diagnosis and treatment. Ann Plast Surg. 2010;64(6):807–8.

    Article  CAS  PubMed  Google Scholar 

  53. Zhang WJ, Jiang H, Zhang JL, Zhang YF, Yi JY, Liao JC, Zhao YZ. Surgical treatment of multiple symmetric lipomatosis (Madelung’s disease): a single-center experience. J Oral Maxillofac Surg. 2011;69(9):2448–51.

    Article  PubMed  Google Scholar 

  54. Verna G, Kefalas N, Boriani F, Carlucci S, Choc I, Bocchiotti MA. Launois-Bensaude syndrome: an unusual localization of obesity disease. Obes Surg. 2008;18(10):1313–7.

    Article  PubMed  Google Scholar 

  55. Choi CW, Kim BJ, Moon SE, Youn SW, Park KC, Huh CH. Treatment of lipomas assisted with tumescent liposuction. J Eur Acad Dermatol Venereol. 2007;21(2):243–6.

    Article  CAS  PubMed  Google Scholar 

  56. Stebbins WG, Hanke CW, Petersen J. Novel method of minimally invasive removal of large lipoma after laser lipolysis with 980 nm diode laser. Dermatol Ther. 2011;24(1):125–30.

    Article  PubMed  Google Scholar 

  57. Medina CR, Schneider S, Mitra A, Spears J, Mitra A. Giant submental lipoma: case report and review of the literature. Can J Plast Surg. 2007;15(4):219–22.

    PubMed  PubMed Central  Google Scholar 

  58. Al-Basti HA, El-Khatib HA. The use of suction-assisted surgical extraction of moderate and large lipomas: long-term follow-up. Aesthetic Plast Surg. 2002;26(2):114–7.

    Article  PubMed  Google Scholar 

  59. Gold DR M.D., Annino Jr DJ M.D. HIV-associated cervicodorsal lipodystrophy: etiology and management. Laryngoscope. 2005;115(5):791–5.

    Article  PubMed  Google Scholar 

  60. Whitfield RM, Urbaniak R, Rinard J, Jones SR, Shifrin D. Ultrasound-assisted lipoplasty in addition to suction-assisted lipoplasty for perforator free flap thinning. J Reconstr Microsurg. 2011;27(4):239–42.

    Article  PubMed  Google Scholar 

  61. Telisselis P, Heers G, Plock B, Baier C, Neugebauer R, Füchtmeier B. Emergency open surgical treatment of extravasations of cytostatic agents in the upper extremity. Handchir Mikrochir Plast Chir. 2010;42(4):247–50.

    CAS  PubMed  Google Scholar 

  62. Kumar RJ, Pegg SP, Kimble RM. Management of extravasation injuries. ANZ J Surg. 2001;71(5):285–9.

    Article  CAS  PubMed  Google Scholar 

  63. Ersek RA, Salisbury M, Girling VR. Metabolic modulation by lipoplasty: a case report and invitation for investigators. Aesthetic Plast Surg. 2004;28(2):120–2.

    Article  PubMed  Google Scholar 

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Correspondence to Michel Costagliola M.D. .

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Costagliola, M., Atiyeh, B., Rampillon, F., Dibo, S. (2016). Nonaesthetic or Functional Indications of Liposuction. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_16

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  • DOI: https://doi.org/10.1007/978-3-662-48903-1_16

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