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Atlas of Liposuction
Adrien E Aiache, Melvin A Shiffman
1:
History of Liposuction
Introduction
History
Liposuction
Tumescent Technique
Local Tumescent Anesthesia
2:
Preliminaries
The Patient's Point of View
Historical Background
Scientific and Esthetic Basics for Successful Liposuction
Basic Principles
Selection of Patients
Candidates for Surgery
Physical Evaluation
Esthetic Considerations
Preparation of the Patient
Preoperative Laboratory Tests
Anesthesia
Autologous Transfusion
Preoperative Autologous Blood Donations
Perioperative Blood Salvage
Acute Normovolemic Hemodilution
Replacement of Fluids during Liposuction
The Tumescent Technique
Surgical Technique
3:
The Setup
The Machine
The Cannula
Criteria for Proper Cannula Selection
Cannula Sizes
Introduction of the Cannula
Dressings and Garments
Technique
Preoperative and Postoperative Documentations Photography
Markings
Photographs Required
Face
Abdomen
Saddlebags/Thighs
Iliac Crests
Thighs
Knees
Ankles
Areas of Surgery and Special Positioning
Face and Neck
Arms
Breasts
Abdomen
Iliac Crests
Saddlebags
Inner Thighs and Knees
Ankles
General Liposuction Surgical Technique
Technique
Estimate of Removal
Extent of Liposuction
Advantages of the Crisscross Technique
Technical Hints (Table 3-2) (Figures 3-20 to 3-25)
Cellulite
Superficial Aponeurotic Fascial System
Description
Fat Layers and the Superficial Fascial System
Superficial Liposuction
Indications
Caveats
Markings
Positioning
Technique
Discussion
Cellulite Release Technique
Anesthesia
Markings
Position
Incisions
Technique
Advances in Liposuction
Liposuction with Different Systems
Operating Room Protection against Vapor Contamination
Ultrasonic-assisted Lipectomy
Physics
Surgical Procedure
Comments
External Ultrasound Assist with Liposuction
4:
Saddlebags
Introduction
Indications
The Cellulite Question
Contraindications
Age
Caveats
Symmetry
Markings
Location of the Incision
Prepping and Draping
Surgical Technique
Extent of the Liposuction
Refinements
Gluteal Folds
Technique Overview
Complications in Saddlebag Suction Lipectomy
5:
Suction Lipectomy of the Buttocks
General Principles
Indications
Contraindications
Age
Markings
Anesthesia
Prepping and Draping
Technique and Instruments
Closure
Discussion
The Gluteal Crease
Gluteal Crease Anatomy
Buttock Liposuction Complications
6:
Suction Lipectomy of the Thighs
General Principles
Indications
Contraindications
Age
Markings
Anesthesia
Prepping and Draping
Technique and Instruments
Discussion
Complications
7:
Liposuction of the Inner Thighs
General Principles
Indications
Caveats
Markings
Incisions
Anesthesia
Prepping and Draping
Refinements
Closure, Dressings and Postoperative Care
Discussion
8:
Combination of Techniques: Liposuction with Trochanteric Lipectomy
General Principles/Introduction
Trochanteric Lipectomy and Liposuction
Indications
Caveats
Markings and Preoperative Medications
Location of Incisions for Liposuction
Anesthesia
Prepping, Draping and Surgical Technique
Closure
Postoperative Care
Discussion
Inner Thigh Liposuction Combined with Dermatocrurolipectomy
Indications
Caveats
Markings and Preoperative Preparation
Anesthesia
Surgery
Conclusion
9:
Liposuction of the Knees
General Principles
Contraindications
Age
Caveats
Complications
Markings
Location of Incisions
Medial Condyles
Anesthesia
Surgical Technique
Refinements
Dressings
Postoperative Care
Complications
Discussion
Knees
10:
Abdominal Liposuction
General Principles
Indications
Caveats
Markings
Incisions
Instruments
Technique
Positioning
Anesthesia
Prepping and Draping
Closure
Postoperative Care
Intra-abdominal Lipodystrophy
Discussion
Complications
Abdominal Etching
Abdominal Liposuction Complications
11:
Combination of Abdominal Liposuction and Abdominal Lipectomy
Introduction
Indications
Caveats
Markings and Preoperative Preparation
Incisions
Anesthesia
Prepping, Draping and Surgical Technique
Extent of the Liposuction
Refinement
Closure
Postoperative Care
Abdominal Esthetic Surgery
Planning the Operation
Examination
Classification of the Types of Abdomen
The Umbilicus
Complications
12:
Liposuction of the “Love Handles”
General Principles
Indications
Age
Caveats
Preoperative Preparation
Anesthesia
Markings
Prepping and Draping
Incisions
Instruments
Technique
Refinements
Complications
Discussion
Conclusion
13:
Iliac Crest Liposuction
Introduction
Indications
Markings and Preoperative Preparation
Location of Incision
Position
Anesthesia
Prepping and Draping
Refinements
Postoperative Treatment
Discussion
Complications
14:
Lumbar Bulge Liposuction
Introduction
Indications
Caveats
Anesthesia
Markings
Incisions and Technique
Complications
Contraindications
Conclusion
15:
Breast Liposuction
Gynecomastia
Markings
Surgical Technique
Conclusion
Gynecomastia in the Body Builder
Surgical Treatment
Treatment
Anatomy
Anesthesia
Incision
Technique
Pathology
Complications
Conclusion
Female Breast Liposuction
Incisions
Instruments
Anesthesia
Indications
Markings
Instruments
Anesthesia
Technique
Refinements
Dressings
Sequelae
Discussion
16:
Breast Reduction Combined with Liposuction
Liposuction
Indications
Caveats
Markings
Anesthesia
Technique
Refinements
Dressings
Sequelae and Complications
Discussion
Conclusion
17:
Back and Scapula (Upper Back and Thoracic Rolls)
Upper Back and Thoracic Rolls
Indications
Markings
Incisions
Instruments and Techniques
Caveats
Refinements
Complications
Discussion
Flankplasty
Hip Lift
Indications
Technique
Excision of the Ellipse
The Dowager's Hump
Anatomy
Indications
Caveats
Technique
Instruments
Postoperative Care
18:
Arm Liposuction
General Principles
Indications
Contraindications
Anatomy
Caveats
Positioning
Anesthesia
Markings
Instruments
Incisions and Surgical Technique
Complications (Figures 19-22A and B)
19:
Combined Brachioplasty and Liposuction of the Arms
Introduction
Indications
Caveats
Markings and Preoperative Preparation
Excision Markings
Technique
Longitudinal Brachioplasty and Liposuction
Anesthesia
Prepping, Draping and Positioning
The Extent of Liposuction
Postoperative Care
Transverse Brachioplasty with Liposuction
Postoperative Care
Complications (Table 19-1)
Discussion
20:
Liposuction of the Calves and Ankles
Introduction
Anatomy
Indications
Contraindications
Markings
Anesthesia
Instruments
Incisions
Technique
Refinements
Postoperative Steps
Postoperative Care
Circumferential Ankle Liposuction
Complications
Discussion
21:
Facial Liposuction
Introduction
Indications (Table 21-1)
Contraindications
Principles
Patient Selection
Indications
Anesthesia
Incisions
Surgical Technique
Refinements
Dressings
Postoperative Care
Discussion
Conclusion
Special Areas
Malar Bags
Bichat Fat Liposuction
Anatomy
Caveats
Markings
Technique
Complications
Sub-platysma Liposuction
Indications for Sub-platysmal Fat
Caveats
Periorbital Surgical Treatment in Blepharoplasty
Anatomy
Technique
Discussion
Melolabial Fat
Incisions
Anatomy
Caveats
Technique
Jowls
22:
Facial Liposuction Combined with Rhytidoplasty
Introduction
Marking
Technique
Dressings
Postoperative Care
Discussion
Complications of Facial Liposuction Alone and in Combination with Face-lift (Figures 22-13 to 22-16)
Facial Liposuction Alone
Nerve Injuries
Conclusion
23:
Contour Liposuction
Introduction
Indications
Markings and Incisions
Anesthesia
Technique
Postoperative Care
Complications
Conclusion
24:
Autologous Fat Reconstruction
Treatment of Cutaneous Surface Defects by Fat Injections
Donor Sites
Instruments
Technique
Fat Evaluation (Figures 24-14 to 24-17)
Results
Complications
Discussion
25:
Non-cosmetic Liposuction
Introduction
Fatty Tumors: Lipomas
Reconstructive Flaps and Pedicles
Nodular Multiple Lipomatosis
Technique
Traumatic and Iatrogenic Scars and Depressions
Liposuction in Dercum's Disease
26:
Combination of Liposuction and Body Implants
Body Shaping with Implants
Pectoral Implants
Associated Liposuction with Implants
Buttock Implantation
Calf Implantation
Technique
Chin Implants with Neck Liposuction
Malar Implants with Cheek Liposuction
Mandibular Angle Implants and Cheek Liposuction
27:
Modalities Beyond Simple Liposuction
Introduction
External Ultrasound
Low-level Laser-assisted Liposuction
Nd:YAG (Neodymium:YAG)
Orthostatic Liposculpture
Powered Liposuction
Development of Powered Liposuction Technology
Current Instruments
Ultrasound
Vibration Amplification of Sound Energy at Resonance (VASER)
Water Jet-assisted Liposuction
28:
Medicolegal Aspects of Liposuction
Introduction
Anesthesia
Liposuction Limits
Other Dangers
Requirements for Medical Negligence
Duty
Breach of Duty
Injury
Cusation
Standard of Care
Informed Consent
Definition
Legal Definition
Patient Rapport
Complications
The Angry Patient
Medical Record
Legal Aspects
Legal Cases
Sousaris v Anonymous, Case No. 78-193-0105-96, Hawaii (1997)
Comment
Medical Board of California v Matory, Tustin District, CA Medical Board of California v Hoo, Tustin District, CA
Comment
Teillary v Pottle, New Hanover County (NC), Superior Court. In: Medical Malpractice Verdicts, Settlements and Experts. 1996;12(8):47 and 1996;12(11):46.
Comment
Herron v Stewart, Forsyth County (NC), Superior Court. In: Medical Malpractice Verdicts, Settlements and Experts. 1995;11(10)47.
Comment
Medical Board of California v Su, Sand Diego District, CA Mondeck v Su, California
Comment
Medical Board of California v Greenberg, Tustin District, CA
Comment
Medical Board of California v O'Neill
Comment
Taylor v Graves, San Diego County (CA) Superior Court, Case No. 694348 Medical Board of California v Graves
Comment
Medical Board of California v Chavis, Los Angeles District, CA
Comment
Anonymous vs Anonymous
Comment
Estate of Caswell v Daniel, Commonwealth of Kentucky Fayette Circuit Court (Eighth Division), Case No. 99-CI-1947.
Comment
Estate of Marinelli v Geffner, New Jersey Superior Court (1999). In: Medical Malpractice Verdicts Settlements. 1999;15(8):37.
Comment
Donnell-Behringer v McCann, Los Angeles County (CA) Superior Court, Case No. VC26507. In: Medical Malpractice Verdicts Settlements Experts. 2000;16(8):50.
Comment
Trebold v Fowler, Dallas County (TX) District Court, Case No. 00-6073-D. In: Medical Malpractice Verdicts Settlements Experts. 2002;18(8):55.
Comment
Medical Board of Texas v Ramirez, 1987
Comment
INDEX
TOC
Index
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