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Trunk Liposuction Workup

  • Author: Allen Gabriel, MD, FACS; Chief Editor: Deepak Narayan, MD, FRCS  more...
 
Updated: Aug 02, 2013
 

Laboratory Studies

See the list below:

  • 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

See the list below:

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

See the list below:

  • 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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Contributor Information and Disclosures
Author

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

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

Disclosure: Nothing to disclose.

Coauthor(s)

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 of Plastic Surgeons, American Society for Reconstructive Microsurgery, Sigma Xi

Disclosure: Nothing to disclose.

Martha Matthews, MD Associate Professor of Surgery, Cooper Medical School of Rowan University

Martha Matthews, MD is a member of the following medical societies: American Cleft Palate-Craniofacial Association, American Society of Plastic Surgeons, New Jersey Society of Plastic Surgeons, American College of Surgeons, American Society of Maxillofacial Surgeons

Disclosure: Nothing to disclose.

Peter A Kreymerman, MD Plastic and Reconstructive Surgeon, Carolinas Center for Surgery, Carteret General Hospital

Disclosure: Nothing to disclose.

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

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

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, American Society of Plastic Surgeons

Disclosure: Received grant/research funds from Pfizer for none; Received consulting fee from DSM for consulting.

Specialty Editor Board

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

Disclosure: Received salary from Medscape for employment. for: Medscape.

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 is a member of the following medical societies: American Society 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 America Medical Association of Central Florida, Pan-Pacific Surgical Association

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, Plastic Surgery Research Council, Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Indian Medical Association

Disclosure: Nothing to disclose.

Additional Contributors

Gregory Gary Caputy, MD, PhD, FICS Chief Surgeon, Aesthetica

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

Disclosure: Receive salary from Advantage Wound Care for employment. for: On the speaker's bureau for Smith and Nephew for Santyl Ointment.

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. 2000 Apr. 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. 1978 Aug. 62(2):305-6. [Medline].

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

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

  6. Mann MW, Palm MD, Sengelmann RD. New advances in liposuction technology. Semin Cutan Med Surg. 2008 Mar. 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. 2008 Dec 18. [Medline].

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

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

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

  11. Klein JA. The tumescent technique. Anesthesia and modified liposuction technique. Dermatol Clin. 1990 Jul. 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. Swanson E. Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdominoplasty. Plast Reconstr Surg. 2012 Apr. 129(4):965-78. [Medline].

  15. Weiler J, Taggart P, Khoobehi K. A case for the safety and efficacy of lipoabdominoplasty: a single surgeon retrospective review of 173 consecutive cases. Aesthet Surg J. 2010 Sep. 30(5):702-13. [Medline].

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

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

  18. 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. 2000 Apr. 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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