The January 2017 Volume 139, Number 1 Issue of Plastic and Reconstructive Surgery — Journal of the American Society of Plastic Surgeons featured the article “Evidence Based Medicine: Liposuction” by Christopher T. Chia, Ryan M. Neinstein & Spero J. Theodorou. While providing a literature supported overview of liposuction techniques, the article highlights the latest trends of adjunctive liposuction technology/techniques including laser-assisted liposuction, ultrasound-assisted liposuction, radiofrequency-assisted liposuction, power-assisted liposuction, water-assisted liposuction; and separation, aspiration, and fat equalization (SAFELipo). Over the years, liposuction techniques have become more advanced along with which patient safety and overall care of the patient have been emphasized and improved.
This highly informative and educational publication is intended for residents, plastic surgery practitioners and other healthcare professionals interested in putting expanded knowledge into practice and ensure improved patient outcomes in plastic and reconstructive surgery. It carries a systematic review of relevant literature pertaining to patient workup, tumescent fluid techniques, medication overview and surgical techniques. This review was conducted with a practical approach the reader may find clinically relevant.
The article is particularly significant in the present age when there is an increasing focus on the body as a means to articulate identity and self-expression. Both men and women now place more emphasis on an improved appearance and the enhanced self esteem it brings. This has made liposuction the most frequently performed surgical procedure on a global level since its introduction in the 1980s.
The article is intended to educate a participant so that he/she is able to review the appropriate indications and techniques for suction-assisted lipectomy body contouring surgery, and identify at the pre-operative stage itself any possible red flags or symptoms in the patient history and physical examination that signify an increased risk profile for lipo procedure. They should also be able to accurately calculate the patient limits of lidocaine for safe dosing during the tumescent infiltration phase of liposuction.
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