Total Corporal Contouring with Megaliposuction (120 Consecutive Cases) |
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Authors: | Paul Alegría Perén Julio Barba Gómez José Guerrero-Santos |
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Institution: | (1) Jalisco, Mexico, MX |
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Abstract: | The purpose of this study is to present the authors' long-term experience with total corporal contouring with megaliposuction.
The evolution of body reshaping in one operative setting including simultaneous head and neck contouring, upper and lower
extremity recontouring, and creation of an aesthetic trunk and abdominal form is discussed. Patient evaluation, operative
techniques, postoperative management, and long-term results are emphasized. From February 1994 to February 1997, 120 consecutive
patients underwent total corporal contouring with tumescent (Hunstad formula)-technique, classic liposuction. There were 10
males and 110 females. The average age of all patients was 28 years. Preoperative evaluation emphasized corporal shape and
proportions. No other open procedures were performed simultaneously in these patients. The authors' postoperative regimen
is discussed. The average amount of aspirated material in these series was 14,000 ml (range, 8000–20,000 ml). No blood transfusions
were required. Complications included only hypopigmentation (N= 2) and postoperative seromas requiring aspiration (N= 12). Follow-up examination took place at 3 months to 3 years, with an average of 14 months. All patients underwent a metamorphosis
from an amorphic shape to one that follows the normal body contours and profiles. The goals of megaliposuction are no longer
just to reduce body fat and body mass. Individually planned surgery for these patients should be based upon obtaining normal
symmetrical body proportions. Total corporal contouring and reshaping can now be safely performed, offering hope and predictable
outcomes to this patient population. Patient evaluation, operative technique, postoperative care, and long-term results are
presented. |
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Keywords: | : Body contouring— Tumescent liposuction— Large-volume liposuction— Megaliposuction |
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