Trunk Liposuction Workup

  • Author: Allen Gabriel, MD; Chief Editor: Deepak Narayan, MD, FRCS   more...
 
Updated: Aug 22, 2011
 

Laboratory Studies

  • A CBC is especially important when performing large volume liposuctions, in which a large blood volume may be lost.
  • Some providers recommend clotting studies, electrolytes, urinalysis, and radiographs.
  • If smoking is suspected, a urine COTININE test can be obtained.
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Imaging Studies

  • Obtain a chest radiograph as indicated by patient age and medical history.
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Other Tests

  • During the history and physical examination, pay specific attention to the possibility of hernias, scars, and masses.
  • Perform relevant preoperative studies (eg, ECG) as indicated by patient age and medical history.
  • Obtain a set of standard photographs. These serve as an intraoperative surgical guide and enable comparison of preoperative and postoperative results.
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Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Allen Gabriel, MD  Assistant Professor, Department of Plastic Surgery, Loma Linda University School of Medicine

Allen Gabriel, MD is a member of the following medical societies: Alpha Omega Alpha, American Medical Association, and California Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

Peter A Kreymerman, MD  Staff Consultant, Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona

Disclosure: Nothing to disclose.

Farzad R Nahai, MD  Assistant Clinical Professor, Division of Plastic and Reconstructive Surgery, Emory University School of Medicine; Consulting Surgeon, Paces Plastic Surgery

Farzad R Nahai, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery and American Society of Plastic Surgeons

Disclosure: Ethicon Endo Surgery Consulting fee Consulting; Merz Consulting fee Consulting; Mentor Consulting fee Consulting

Mary Katherine Gingrass, MD, FACS  Assistant Clinical Professor, Department of Plastic Surgery, Vanderbilt University; Consulting Surgeon, The Plastic Surgery Center of Nashville

Mary Katherine Gingrass, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Tennessee Medical Association

Disclosure: Nothing to disclose.

Martha Matthews, MD  Head, Department of Surgery, Division of Plastic Surgery, Cooper Hospital University Medical Center; Associate Professor, Department of Surgery, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School

Martha Matthews, MD is a member of the following medical societies: American Cleft Palate/Craniofacial Association, American College of Surgeons, and American Society of Maxillofacial Surgeons

Disclosure: Nothing to disclose.

Julian B Gordon, MD  Plastic Surgeon, Plastikos Plastic and Reconstructive Surgery

Julian B Gordon, MD, is a member of the following medical societies: American Society for Reconstructive Microsurgery, American Society of Plastic Surgeons, and Sigma Xi

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Alan Matarasso, MD, FACS, PC  Clinical Professor of Plastic Surgery, Albert Einstein College of Medicine; Immed Past President of New York Regional Society of Plastic and Reconstructive Surgery

Alan Matarasso, MD, FACS, PC is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons US Section, New York Academy of Medicine, New York County Medical Society, Pan American Medical Association, and Pan-Pacific Surgical Association

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS  Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center

Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England

Disclosure: Nothing to disclose.

References

  1. American Society for Aesthetic Plastic Surgery (ASAPS). Quick Facts: Highlights of the ASAPS 2007 Statistics on Cosmetic Surgery. ASAPS Web site. Available at http://www.surgery.org/download/2007QFacts.pdf. Accessed March 5, 2009.

  2. Pitanguy I. Evaluation of body contouring surgery today: a 30-year perspective. Plast Reconstr Surg. Apr 2000;105(4):1499-514; discussion 1515-6. [Medline].

  3. Kesselring UK, Meyer R. A suction curette for removal of excessive local deposits of subcutaneous fat. Plast Reconstr Surg. Aug 1978;62(2):305-6. [Medline].

  4. Fournier PF, Otteni FM. Lipodissection in body sculpturing: the dry procedure. Plast Reconstr Surg. Nov 1983;72(5):598-609. [Medline].

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

  6. Mann MW, Palm MD, Sengelmann RD. New advances in liposuction technology. Semin Cutan Med Surg. Mar 2008;27(1):72-82. [Medline].

  7. Roustaei N, Masoumi Lari SJ, Chalian M, Chalian H, Bakhshandeh H. Safety of Ultrasound-Assisted Liposuction: A Survey of 660 Operations. Aesthetic Plast Surg. Dec 18 2008;[Medline].

  8. Matarasso A. Superficial suction lipectomy: something old, something new, something borrowed.... Ann Plast Surg. Mar 1995;34(3):268-72; discussion 272-3. [Medline].

  9. Pitman GH, Aker JS, Tripp ZD. Tumescent liposuction. A surgeon's perspective. Clin Plast Surg. Oct 1996;23(4):633-41; discussion 642-5. [Medline].

  10. Gilliland MD, Coates N. Tumescent liposuction complicated by pulmonary edema. Plast Reconstr Surg. Jan 1997;99(1):215-9. [Medline].

  11. Klein JA. The tumescent technique. Anesthesia and modified liposuction technique. Dermatol Clin. Jul 1990;8(3):425-37. [Medline].

  12. Dr. Vodder School International. Available at http://www.vodderschool.com/. Accessed March 5, 2009.

  13. Grazer FM, de Jong RH. Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plastic and Reconstructive Surgery. 2000;105(1):447-448. [Medline].

  14. Illouz YG. Illouz's technique of body contouring by lipolysis. Clin Plast Surg. Jul 1984;11(3):409-17. [Medline].

  15. Pitman GH, Teimourian B. Suction lipectomy: complications and results by survey. Plast Reconstr Surg. Jul 1985;76(1):65-72. [Medline].

  16. Teimourian B, Adham MN. A national survey of complications associated with suction lipectomy: what we did then and what we do now. Plast Reconstr Surg. Apr 2000;105(5):1881-4. [Medline].

 
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Liposuction, trunk. Posterior view of patient before tumescent suctioning. Note the excess fat on the hips, inner thighs, and outer thighs.
Liposuction, trunk. Frontal view of patient before tumescent suctioning. Note the excess fat on the hips, inner thighs, and outer thighs.
Liposuction, trunk. Posterior view 3 months after 3 L of tumescent liposuction without ultrasound assistance. A reduction in the total fat on the hips and thighs is readily seen. A smooth "hourglass" contour has been obtained.
Liposuction, trunk. Frontal view 3 months after 3 L of tumescent liposuction without ultrasound assistance. A reduction in the total fat on the hips and thighs is readily seen. A smooth "hourglass" contour has been obtained.
Preoperative rear view of a 38-year-old woman with history of 1 prior pregnancy.
Preoperative front view of 38-year-old woman with history of 1 prior pregnancy.
Postoperative rear view of patient in media files 5-6, 1 year after UAL and SAL of the abdomen, hips, flanks, and circumferential thighs.
Postoperative front view of patient in media files 5-6, 1 year after UAL and SAL of the abdomen, hips, flanks, and circumferential thighs.
Preoperative front view of 42-year-old woman with a history of weight fluctuations.
Preoperative rear view of 42-year-old woman with a history of weight fluctuations.
Postoperative front view of same patient in media files 9-10, 1 year following UAL and SAL of the abdomen, hips, flanks, and circumferential thighs.
Postoperative rear view of same patient in media files 9-10, 1 year following UAL and SAL of the abdomen, hips, flanks, and circumferential thighs.
 
 
 
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