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Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe?

Identifieur interne : 001F00 ( PubMed/Corpus ); précédent : 001E99; suivant : 001F01

Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe?

Auteurs : Ronald P. Bossert ; Stephanie Dreifuss ; Devin Coon ; Adi Wollstein ; Julio Clavijo-Alvarez ; Jeffrey A. Gusenoff ; J Peter Rubin

Source :

RBID : pubmed:23076417

English descriptors

Abstract

Brachioplasty continues to be a sought-after procedure among the massive weight loss population. Residual adiposity of the upper arm can make this procedure more difficult. The authors sought to determine the safety of arm liposuction outside the region of excision with concomitant excisional brachioplasty.

DOI: 10.1097/PRS.0b013e3182789de9
PubMed: 23076417

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pubmed:23076417

Le document en format XML

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<title xml:lang="en">Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe?</title>
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<name sortKey="Bossert, Ronald P" sort="Bossert, Ronald P" uniqKey="Bossert R" first="Ronald P" last="Bossert">Ronald P. Bossert</name>
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<nlm:affiliation>Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pa 15123, USA.</nlm:affiliation>
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<name sortKey="Dreifuss, Stephanie" sort="Dreifuss, Stephanie" uniqKey="Dreifuss S" first="Stephanie" last="Dreifuss">Stephanie Dreifuss</name>
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<name sortKey="Coon, Devin" sort="Coon, Devin" uniqKey="Coon D" first="Devin" last="Coon">Devin Coon</name>
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<name sortKey="Wollstein, Adi" sort="Wollstein, Adi" uniqKey="Wollstein A" first="Adi" last="Wollstein">Adi Wollstein</name>
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<name sortKey="Clavijo Alvarez, Julio" sort="Clavijo Alvarez, Julio" uniqKey="Clavijo Alvarez J" first="Julio" last="Clavijo-Alvarez">Julio Clavijo-Alvarez</name>
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<name sortKey="Gusenoff, Jeffrey A" sort="Gusenoff, Jeffrey A" uniqKey="Gusenoff J" first="Jeffrey A" last="Gusenoff">Jeffrey A. Gusenoff</name>
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<name sortKey="Rubin, J Peter" sort="Rubin, J Peter" uniqKey="Rubin J" first="J Peter" last="Rubin">J Peter Rubin</name>
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<term>Lipectomy (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Reconstructive Surgical Procedures (adverse effects)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Weight Loss</term>
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<term>Lipectomy</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Reconstructive Surgical Procedures</term>
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<term>Arm</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Weight Loss</term>
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<div type="abstract" xml:lang="en">Brachioplasty continues to be a sought-after procedure among the massive weight loss population. Residual adiposity of the upper arm can make this procedure more difficult. The authors sought to determine the safety of arm liposuction outside the region of excision with concomitant excisional brachioplasty.</div>
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<Year>2013</Year>
<Month>01</Month>
<Day>29</Day>
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<Year>2013</Year>
<Month>04</Month>
<Day>01</Day>
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<Year>2015</Year>
<Month>06</Month>
<Day>24</Day>
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<ISSN IssnType="Electronic">1529-4242</ISSN>
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<Volume>131</Volume>
<Issue>2</Issue>
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<Year>2013</Year>
<Month>Feb</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
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<ArticleTitle>Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe?</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Brachioplasty continues to be a sought-after procedure among the massive weight loss population. Residual adiposity of the upper arm can make this procedure more difficult. The authors sought to determine the safety of arm liposuction outside the region of excision with concomitant excisional brachioplasty.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data were analyzed from a prospective registry of massive weight loss patients who underwent brachioplasty alone or with concurrent arm liposuction. Variables examined included age, sex, body mass index, method of weight loss, medical comorbidities, and smoking status. Outcomes included complications such as seroma, wound dehiscence, infection, hematoma, lymphedema, and need for revision. Multivariate analyses were performed to assess outcome measures.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred forty-four patients (139 women and five men; mean body mass index, 29.6 ± 4.1 kg/m; mean age, 46 ± 10.7 years) underwent brachioplasty. Sixty-four patients had concomitant arm liposuction at the time of brachioplasty. The remaining 80 patients underwent excisional brachioplasty alone. Despite significantly higher operative body mass indices among those undergoing concurrent liposuction, no significant differences in complication rates were seen between the liposuction and excision-alone cohorts for seroma (19.1 percent versus 23.1 percent), wound dehiscence (7.9 percent versus 2.6 percent), infection (4.8 percent versus 6.4 percent), hematoma (3.2 percent versus 0 percent), or lymphedema (3.2 percent versus 1.3 percent). Revision rates were similar between the two groups (9.5 percent with liposuction and 8.9 percent without liposuction).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Liposuction can be performed safely and effectively outside the region of excision at the time of brachioplasty without the need for prior debulking or staged arm-contouring procedures.</AbstractText>
<AbstractText Label="CLINICAL QUESTION/LEVEL OF EVIDENCE" NlmCategory="METHODS">Therapeutic, III.</AbstractText>
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