Troubling reports of adverse outcomes after liposuction prompted a census survey of aesthetic plastic surgeons. All 1200 actively practicing North American board-certified ASAPS members were polled by facsimile, then mail, regarding deaths after liposuction. Patient initials together with case summaries precluded data replication yet assured patient anonymity and preserved surgeon privacy. Inco...

BACKGROUND Lipedema is a condition consisting of painful bilateral increases in subcutaneous fat and interstitial fluid in the limbs with secondary lymphedema and fibrosis during later stages. Combined decongestive therapy (CDT) is the standard of care in most countries. Since the introduction of tumescent technique, liposuction has been used as a surgical treatment option. The aim of this stud...

BACKGROUND Lipoedema is a painful disease in women with circumscribed increased subcutaneous fatty tissue, oedema, pain and bruising. Whereas conservative methods with combined decongestive therapy (manual lymphatic drainage, compression garments) have been well established over the past 50years, surgical therapy with tumescent liposuction has only been used for about 10years and long-term resu...

This article discusses the complications of liposuction and is divided into two parts. The first part discusses surgical and systemic complications. Since liposuction is surgery, it has the same complications as any surgery, but because of the minimalization of the procedure done by the author since he invented it in 1977, the complications were and are still minimal in the traditional way. Oth...

Lymphedema is a dreaded complication of breast cancer treatment affecting 20% of women having axillary node dissection. We explored the feasibility of liposuction to reduce volume and thus arm lymphedema. A prospective trial of women with unilateral arm lymphedema from breast cancer treatment was conducted. Arm measurements, volumes (water displacement and geometric calculation), muscle strengt...

BACKGROUND Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic. METHODS AND RESULTS Patients underwent rout...

Throughout time, body contouring has been part of the feminine standard par excellence, with the breast and buttocks being the most relevant and important areas. Today, there is a constant evolution in surgical procedures that seek to improve the areas of sparse volume and harmonize areas that exhibit excess tissue. A considerable number of alternatives for improving gluteal contour have been p...

T umescent local anesthesia was first described by Klein in 1987 when he detailed the infiltration of large volumes of a diluted solution of lidocaine with epinephrine into fat before liposuction. The tumescent technique revolutionized liposuction by eliminating the necessity of general anesthesia or intravenous sedation and the copious bleeding that had been associated with liposuction procedu...