Brachioplasty by Power-Assisted Liposuction and Fat Transfer: A Novel Approach That Obviates Skin Excision.

Background: Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring.Objectives: The authors proposed a new classification system and treatme...

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Publicado en:Aesthetic Surgery Journal Vol. 36; no. 8; pp. 908 - 918
Autores principales: Abboud, Marwan H., Abboud, Nicolas M., Dibo, Saad A.
Formato: pictorial research tables/charts Journal Article
Publicado: Oxford University Press / USA Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2016
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      pub: Oxford University Press / USA
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        atl: Brachioplasty by Power-Assisted Liposuction and Fat Transfer: A Novel Approach That Obviates Skin Excision.
      aug:
        au:
          Abboud, Marwan H.
          Abboud, Nicolas M.
          Dibo, Saad A.
        affil: Head, Division of Plastic Surgery, Centre Hospitalier Universitaire de Tivoli, Brussels, Belgium
      sug:
        subj:
          Adipose Tissue Surgery
          Arm Surgery
          Lipectomy Methods
          Adult
          Middle Age
          Female
          Young Adult
          Prospective Studies
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring.Objectives: The authors proposed a new classification system and treatment algorithm for brachial ptosis and described their experience with power-assisted liposuction and lipofilling to treat brachial ptosis without excisional surgery.Methods: Ninety-five patients with grades 1, 2, or 3 brachial ptosis who underwent brachioplasty were evaluated in a prospective study. Power-assisted liposuction was applied to the posterior arm and para-axillary region, and power-assisted lipofilling was applied to the so-called "bicipital triangle" of the medial arm.Results: The patients' mean age was 39 years, mean body mass index was 28 kg/m(2), mean lipoaspirate volume was 240 mL per arm, and mean fat-injection volume was 110 mL per side. The mean operating time was 50 minutes, and the average follow-up period was 24 months. Hematoma developed in 2 patients who underwent brachioplasty in combination with another body contouring procedure (1 abdominal hematoma and 1 thigh hematoma; 2.1% complication rate). No other complications were recorded.Conclusions: Brachioplasty by means of power-assisted liposuction and lipofilling is a safe and reliable option that obviates excisional surgery in patients with mild to moderate brachial ptosis.Level Of Evidence: 4 Therapeutic.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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