Department of Plastic Surgery, Luiz Haroldo Clinic, Rua Xavier da Silveira 45/206, Rio de Janeiro, Brazil.
Aesthetic Plast Surg. 2010 Apr;34(2):129-35. doi: 10.1007/s00266-008-9233-8. Epub 2008 Aug 28.
In many countries, liposuction is the most frequently performed aesthetic procedure. The procedure is promoted as a safe, easy-to-learn, outpatient procedure. The increasing number of liposuction procedures, often performed by inadequately trained physicians, has led to a growing number of iatrogenic postliposuction contour deformities and skin irregularities. This report describes a treatment protocol for iatrogenic abdominal contouring deformities. For patients who present with contour deformities but no skin flaccidity, the type 1 treatment plan (syringe-assisted lipectomy and lipografting) is the suggested approach. In cases of contour deformities and infraumbilical skin flaccidity, the type 2 treatment plan (mini-lipoabdominoplasty and lipografting procedures) is used. Finally, in the case of contour deformities as well as supra- and infraumbilical flaccidity, the type 3 treatment plan (lipoabdominoplasty and lipografting procedures) is indicated.
在许多国家,抽脂术是最常施行的美容手术。该手术被宣传为一种安全、易于学习的门诊手术。越来越多的抽脂术由训练不足的医生施行,导致越来越多的医源性抽脂术后轮廓畸形和皮肤不平整。本报告描述了一种治疗医源性腹部轮廓畸形的方案。对于出现轮廓畸形但皮肤无松弛的患者,建议采用 1 型治疗方案(注射器辅助抽脂术和脂肪移植术)。对于存在轮廓畸形和脐下皮肤松弛的患者,采用 2 型治疗方案(迷你腹壁整形术和脂肪移植术)。最后,对于存在轮廓畸形以及脐上和脐下皮肤松弛的患者,采用 3 型治疗方案(腹壁整形术和脂肪移植术)。