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Ultrasound assisted liposuction

Mustafa Keskin, Mustafa Sutcu, Mustafa Hanci, Bulent Cigsar
BACKGROUND: One of the clinical aspects characterizing gynecomastia is the enlargement of the nipple-areolar complex (NAC) due to hypertrophic breast glands, and the excessive fatty tissue underneath. OBJECTIVE: The purpose of this study was to quantify the reduction of the areolar diameter after ultrasound-assisted liposuction (UAL) of the male breast. METHODS: The horizontal diameters of the NACs of 30 men who underwent UAL were measured before surgery, 1 month after surgery and 6 months after surgery in a standard fashion...
March 1, 2017: Annals of Plastic Surgery
Yoong Hoon Shim, Ru Hong Zhang
OBJECTIVE: Investigation and evaluation of the current methods and steps of autologous fat transplantation to optimize the viability of fat grafts and procedure outcome in quest of a more standardized protocol. METHODS: A thorough literature search was performed across the CNKI, Wan Fang, PubMed, Ovid and EMBASE databases from the year 1970 to December 2014, collecting and classifying all of the autologous fat transplantation-related reports and articles, and after screening, a critical retrospective analysis was performed on the included data...
February 7, 2017: Aesthetic Plastic Surgery
Xin Tang
INTRODUCTION: Due to its minimally invasive and highly precise nature, the mammotome, a vacuum-assisted breast biopsy device, has proven effective for the treatment of benign breast lesions. Taking advantage of both liposuction and the mammotome, we utilized the mammotome device for the excision of accessory breasts. METHODS: Between July 2010 and June 2014, 16 patients with accessory breasts received mammotome-assisted liposuction. After adipose was removed using this procedure, the mammotome system was used to excise the fibro-glandular tissue in accessory breasts under ultrasound monitoring...
January 7, 2017: Aesthetic Plastic Surgery
Cristina Isabel Calvo Pinto, Pedro João Marques Cardoso Carvalho, Manuel Maia Oliveira Correia
BACKGROUND: Madelung's disease (MD) is a rare disease, more common in Mediterranean countries and associated with alcohol abuse. However, MD etiology remains not completely understood. OBJECTIVE: The aim of this study was to investigate clinical features, treatment options and outcomes in patients with MD treated in our plastic surgery department. METHODS: We retrospectively reviewed 59 cases of MD operated on between 2004 and 2013. Demographic information, location of the deposits, associated pathology and habits, number and type of surgeries performed, surgical complications and disease evolution were analyzed...
December 28, 2016: Aesthetic Plastic Surgery
Magdalena Gibas-Dorna, Monika Szulińska, Piotr Turkowski, Justyna Kupsz, Anna Sowińska, Kinga Mikrut, Małgorzata Bernatek, Jacek Piatek
The aim of the current study was to examine the liposuction-induced metabolic changes with regard to release of major adipokines and insulin sensitivity in overweight male patients. Seventeen overweight male patients aged 37.15 ± 9.60 years (6 with diabetes type 2, 11 without comorbidities) and 10 age-matched healthy lean controls were enrolled in the study. Using Vibration Amplification of Sound Energy at Resonance System, ultrasound assisted liposuction was applied onto the deep layers of abdominal subcutaneous adipose tissue...
October 18, 2016: American Journal of Men's Health
Dominik Duscher, David Atashroo, Zeshaan N Maan, Anna Luan, Elizabeth A Brett, Janos Barrera, Sacha M Khong, Elizabeth R Zielins, Alexander J Whittam, Michael S Hu, Graham G Walmsley, Michael S Pollhammer, Manfred Schmidt, Arndt F Schilling, Hans-Günther Machens, Georg M Huemer, Derrick C Wan, Michael T Longaker, Geoffrey C Gurtner
Human mesenchymal stem cells (MSCs) have recently become a focus of regenerative medicine, both for their multilineage differentiation capacity and their excretion of proregenerative cytokines. Adipose-derived mesenchymal stem cells (ASCs) are of particular interest because of their abundance in fat tissue and the ease of harvest via liposuction. However, little is known about the impact of different liposuction methods on the functionality of ASCs. Here we evaluate the regenerative abilities of ASCs harvested via a third-generation ultrasound-assisted liposuction (UAL) device versus ASCs obtained via standard suction-assisted lipoaspiration (SAL)...
February 2016: Stem Cells Translational Medicine
Rodger H Brown, Daniel K Chang, Richard Siy, Jeffrey Friedman
Gynecomastia refers to the enlargement of the male breast due to a proliferation of ductal, stromal, and/or fatty tissue. Although it is a common condition affecting up to 65% of men, not all cases require surgical intervention. Contemporary surgical techniques in the treatment of gynecomastia have become increasingly less invasive with the advent of liposuction and its variants, including power-assisted and ultrasound-assisted liposuction. These techniques, however, have been largely limited in their inability to address significant skin excess and ptosis...
May 2015: Seminars in Plastic Surgery
Anna Bajek, Natalia Gurtowska, Lidia Gackowska, Izabela Kubiszewska, Magdalena Bodnar, Andrzej Marszałek, Rafał Januszewski, Jacek Michalkiewicz, Tomasz Drewa
Adipose-derived stem cells (ASCs) possess a high differentiation and proliferation potential. However, the phenotypic characterization of ASCs is still difficult. Until now, there is no extensive analysis of ASCs markers depending on different liposuction methods. Therefore, the aim of the present study was to analyse 242 surface markers and determine the differences in the phenotypic pattern between ASCs obtained during mechanical and ultrasound-assisted liposuction. ASCs were isolated from healthy donors, due to mechanical and ultrasound-assisted liposuction and cultured in standard medium to the second passage...
May 14, 2015: Bioscience Reports
Anna Bajek, Natalia Gurtowska, Lidia Gackowska, Izabela Kubiszewska, Magdalena Bodnar, Andrzej Marszalek, Rafał Januszewski, Jacek Michalkiewicz, Tomasz Drewa
ASCs possess a high differentiation and proliferation potential. However, the phenotypic characterization of ASCs is still difficult. Until now, there is no extensive analysis of ASCs markers depending on different liposuction methods. Therefore, the aim of this study was to analysis of 242 surface markers and determine the difference in the phenotypic pattern between ASCs obtained during mechanically and ultrasound-assisted liposuction. ASCs were isolated from healthy donors, due to mechanically and ultrasound-assisted liposuction and cultured in standard medium to the second passage...
May 14, 2015: Bioscience Reports
Edison Tsui, Ronald Bogdasarian, Eric Blomain
Lipodystrophy is a common complication of highly active antiretroviral therapy and is associated with significant comorbidities. Altered fat distribution, particularly lipohypertrophy of the dorsal cervical fat pad is associated with reduced quality of life as well as medical complications. We report the rare case of a patient with airway obstruction secondary to HIV-associated lipodystrophy. Ultrasound-assisted liposuction was successfully performed to relieve her airway obstruction and to facilitate a tracheostomy...
February 18, 2015: BMJ Case Reports
Bryan S Armijo, Carey F Campbell, Rod J Rohrich
BACKGROUND: The medial thigh remains a troublesome region for body contouring in both the aging patient and in the massive weight loss patient. Liposuction-assisted medial thighplasty is the next step in the series of medial thigh contouring refinements to improve complications and outcomes. METHODS: Forty-five patients are presented who underwent medial thigh contouring with liposuction-assisted medial thighplasty. After anatomical analysis of the medial thigh, noting skin and fat redundancy, patients were selected for either an upper/inner medial thighplasty or an extended medial thighplasty...
November 2014: Plastic and Reconstructive Surgery
Sachin M Shridharani, Justin M Broyles, Alan Matarasso
Since its introduction by Illouz and others over 30 years ago, suction-assisted lipectomy/liposuction/lipoplasty has evolved tremendously and has developed into one of the most popular procedures in aesthetic plastic surgery. Liposuction is an effective procedure employed to treat localized adipose deposits in patients not suffering from generalized obesity. These accumulations of subcutaneous fat often occur in predictable distributions in both men and women. A cannula connected to a suction-generating source allows for small incisions to be strategically placed and large volumes of fat to be removed...
2014: Medical Devices: Evidence and Research
Saad Mohamed Saad Ibrahiem
UNLABELLED: : Gynecomastia is defined as benign proliferation of glandular breast tissue in men. Gynecomastia causes considerable emotional discomfort because of limitation of everyday activity especially in young men. Surgical treatment of gynecomastia significantly contributes to an increase in social activity and an improvement of social acceptance and emotional comfort, and thus significantly improves satisfaction from personal life in men who underwent this intervention. Various surgical techniques were suggested to treat gynecomastia, but most of them end with visible scars especially in severe degree gynecomastia...
June 2016: Annals of Plastic Surgery
John K Fraser, Kevin C Hicok, Rob Shanahan, Min Zhu, Scott Miller, Douglas M Arm
Objective: To develop a closed, automated system that standardizes the processing of human adipose tissue to obtain and concentrate regenerative cells suitable for clinical treatment of thermal and radioactive burn wounds. Approach: A medical device was designed to automate processing of adipose tissue to obtain a clinical-grade cell output of stromal vascular cells that may be used immediately as a therapy for a number of conditions, including nonhealing wounds resulting from radiation damage. Results: The Celution(®) System reliably and reproducibly generated adipose-derived regenerative cells (ADRCs) from tissue collected manually and from three commercial power-assisted liposuction devices...
January 1, 2014: Advances in Wound Care
Kai Yuen Wong, Charles M Malata
BACKGROUND: Numerous surgical techniques exist for gynaecomastia treatment. Although ultrasound-assisted liposuction (UAL) is thought to be more effective than conventional liposuction, to date there remains no objective and direct comparison of the two modalities. Hence, a comparative study was performed of a single surgeon's experience over 13 years using two definitive parameters, namely intraoperative conversion to open excision and postoperative revisional surgery rates. METHODS: All gynaecomastia patients treated with UAL or conventional liposuction (1999-2012) were retrospectively studied...
July 2014: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Michael T Chung, Andrew S Zimmermann, Kevin J Paik, Shane D Morrison, Jeong S Hyun, David D Lo, Adrian McArdle, Daniel T Montoro, Graham G Walmsley, Kshemendra Senarath-Yapa, Michael Sorkin, Robert Rennert, Hsin-Han Chen, Andrew S Chung, Dean Vistnes, Geoffrey C Gurtner, Michael T Longaker, Derrick C Wan
Harvesting adipose-derived stromal cells (ASCs) for tissue engineering is frequently done through liposuction. However, several different techniques exist. Although third-generation ultrasound-assisted liposuction has been shown to not have a negative effect on ASCs, the impact of laser-assisted liposuction on the quality and differentiation potential of ASCs has not been studied. Therefore, ASCs were harvested from laser-assisted lipoaspirate and suction-assisted lipoaspirate. Next, in vitro parameters of cell yield, cell viability and proliferation, surface marker phenotype, osteogenic differentiation, and adipogenic differentiation were performed...
October 2013: Stem Cells Translational Medicine
Craig A Blum, Charles G S Sasser, Jonathan L Kaplan
Liposuction is one of the most commonly performed aesthetic surgery procedures in the United States, and most plastic surgeons perform suction-assisted, ultrasound-assisted, or power-assisted liposuction. The past decade has seen a growing interest in laser-assisted liposuction (LAL) and the proposed advantages of traditional liposuction methods. However, it is performed by a minority of plastic surgeons. In fact, many LAL providers are not trained in aesthetic practice, and many offer LAL as their only body-contouring procedure...
October 2013: Aesthetic Plastic Surgery
Mark E Schafer, Kevin C Hicok, Daniel C Mills, Steve R Cohen, James J Chao
BACKGROUND: Although clinical evidence of successful autologous fat transfer (AFT) using third-generation ultrasound-assisted liposuction (UAL) is readily available, no study has quantified adipocyte viability using standardized methods. OBJECTIVES: The authors assess acute adipocyte viability following fat aspiration as a first step in determining the overall efficacy of using third-generation UAL for AFT. METHODS: Lipoaspirate samples were collected from patients who underwent elective liposuction procedures at multiple surgery centers...
July 2013: Aesthetic Surgery Journal
Franco Bassetto, Carlotta Scarpa, Fabio De Stefano, Luca Busetto
Multiple symmetric lipomatosis (MSL) is a rare disease of unknown etiology, characterized by the presence of multiple, symmetrical, noncapsulated lipomas, mostly in the neck and upper trunk. To date, there is no effective medical treatment of MSL. Surgical treatment is based on 2 options, namely, lipectomy and/or liposuction. In this retrospective study, we compare traditional lipectomy with ultrasound-assisted liposuction. Our initial experience demonstrates that the ultrasound-assisted liposuction procedure can be applied to patients with MSL, allowing simultaneous treatment of multiple areas in a single session and the removal of a substantial amount of fat, thus improving aesthetic results...
November 2014: Annals of Plastic Surgery
Elena Bravo Brañas, Javier Moreno Moraga
BACKGROUND: Laser technology provides the desired destruction of adipose tissue, hemostasis, and good skin retraction with a minimum of discomfort and a quick return to normal life for the patient. Here we present our experience with the use of laser-assisted liposuction (LAL) with a 924- and 975-nm laser diode and compare it with traditional liposuction alone. METHODS: A total of 430 patients were reviewed for this study. Three hundred thirty patients were treated with the 924- and 975-nm laser diode for laser lipolysis and 100 patients were treated with traditional liposuction of the anterior and inner thigh, the knee, the calf, and the trochanter...
April 2013: Aesthetic Plastic Surgery
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