Featured Research

from universities, journals, and other organizations

Combined liposuction/tummy tuck offers best of both procedures, study suggests

Date:
August 20, 2013
Source:
Wolters Kluwer Health: Lippincott Williams & Wilkins
Summary:
A combined technique of liposuction and tummy tuck —- designed to reduce surgical trauma —- provides excellent patient outcomes with a low complication rate, reports a new study.

A combined technique of liposuction and tummy tuck -- designed to reduce surgical trauma -- provides excellent patient outcomes with a low complication rate, reports a study in Plastic and Reconstructive Surgery -- Global Openฎ, the official open-access medical journal of the American Society of Plastic Surgeons (ASPS).

ASPS Member Surgeon Dr. Eric Swanson, a plastic surgeon in private practice in Leawood, Kan., presents an in-depth report on his experience with a combined technique of liposuction and abdominoplasty in a large series of patients over five years. He writes, "Liposuction and abdominoplasty, individually and in combination, may be performed safely with appropriate measures to reduce complications by minimizing tissue trauma."

Detailed Analysis of Combined 'Lipoabdominoplasty' In the combined "lipoabdominoplasty" procedure, patients initially underwent ultrasonic liposuction to remove excess fat from the abdomen and flanks (love handles). Liposuction was followed by abdominoplasty -- or "tummy tuck" -- to eliminate excess abdominal tissue and loose skin. Outcomes after lipoabdominoplasty in 150 patients were compared to liposuction alone in 384 patients and abdominoplasty alone in 17 patients.

Notably, no liposuction patients developed seromas--collections of fluid under the skin--which is attributed to limited ultrasound to reduce tissue trauma. There was a low (five percent) rate of seromas after abdominoplasty. Dr. Swanson writes that seromas have led some plastic surgeons to leave behind some abdominal fat and connective tissue during abdominoplasty in an effort to reduce this risk. He believes that preserving this excess tissue is unnecessary and compromises the cosmetic result.

Less-Traumatic Technique Limits Complications The study demonstrates that by using shorter periods of ultrasound and eliminating the traditional use of electrodissection during surgery, the risk of seromas may be minimized while at the same time achieving excellent cosmetic outcomes. By first injecting the tissues with fluid containing epinephrine, blood loss is reduced, making cautery dissection unnecessary.

Dr. Swanson also describes a modified form of general anesthesia -- total intravenous anesthesia without muscle paralysis -- to reduce the risk of blood clots in the legs. Only one patient in his series developed this complication and was successfully treated. He writes that by adopting safe preventive measures, surgeons may reduce the risk of this serious complication without the need for blood-thinning medication. Patients also recover more quickly after surgery, averaging only 51 minutes in the recovery room, and experience less nausea.

Taking advantage of the PRS GO's open-access format, the article includes videos in which Dr. Swanson demonstrates his lipoabdominoplasty technique. He illustrates a technique of deep tissue anchoring to keep the tummy tuck scar low and hidden within the bikini line.

Liposuction and abdominoplasty are common cosmetic plastic surgery procedures that are often performed together. However, few well-designed studies have investigated the outcomes of the combined procedures. This new study includes systematically collected data in a large series of consecutive patients undergoing a consistent technique performed by a single surgeon.

In a previous study, published in Plastic and Reconstructive Surgery last year, Dr. Swanson reported high patient satisfaction rates and improved self-esteem in patients undergoing liposuction and/or abdominoplasty -- especially the combined technique. The new results show that, with attention to some basic measures to reduce risk, excellent cosmetic results are achieved with a low complication rate. "Lipoabdominoplasty may be performed safely, so that patients may benefit from both modalities," Dr. Swanson concludes.


Story Source:

The above story is based on materials provided by Wolters Kluwer Health: Lippincott Williams & Wilkins. Note: Materials may be edited for content and length.


Journal Reference:

  1. Swanson, Eric. Prospective Clinical Study of 551 Cases of Liposuction and Abdominoplasty Performed Individually and in Combination. Plastic and Reconstructive Surgery -- Global Openฎ, 2013 DOI: 10.1097/GOX.0b013e3182a333d7

Cite This Page:

Wolters Kluwer Health: Lippincott Williams & Wilkins. "Combined liposuction/tummy tuck offers best of both procedures, study suggests." ScienceDaily. ScienceDaily, 20 August 2013. <www.sciencedaily.com/releases/2013/08/130820113758.htm>.
Wolters Kluwer Health: Lippincott Williams & Wilkins. (2013, August 20). Combined liposuction/tummy tuck offers best of both procedures, study suggests. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2013/08/130820113758.htm
Wolters Kluwer Health: Lippincott Williams & Wilkins. "Combined liposuction/tummy tuck offers best of both procedures, study suggests." ScienceDaily. www.sciencedaily.com/releases/2013/08/130820113758.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) — President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Obama Orders Military Response to Ebola

Obama Orders Military Response to Ebola

AP (Sep. 16, 2014) — Calling the Ebola outbreak in West Africa a potential threat to global security, President Barack Obama is ordering 3,000 U.S. military personnel to the stricken region amid worries that the outbreak is spiraling out of control. (Sept. 16) Video provided by AP
Powered by NewsLook.com
UN: 20,000 Could Be Infected With Ebola by Year End

UN: 20,000 Could Be Infected With Ebola by Year End

AFP (Sep. 16, 2014) — Nearly $1.0 billion dollars is needed to fight the Ebola outbreak raging in west Africa, the United Nations say, warning that 20,000 could be infected by year end. Duration: 00:40 Video provided by AFP
Powered by NewsLook.com
Obama: Ebola Outbreak Threat to Global Security

Obama: Ebola Outbreak Threat to Global Security

AP (Sep. 16, 2014) — President Obama is ordering U.S. military personnel to West Africa to deal with the Ebola outbreak, which is he calls a potential threat to global security. (Sept. 16) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

    Technology News



    Save/Print:
    Share:  

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile iPhone Android Web
    Follow Facebook Twitter Google+
    Subscribe RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins