Seoul, Korea; and Singapore From the Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University; the Sein Aesthetic Clinic; the Plastic, Reconstructive, and Aesthetic Surgery Department, National University Hospital; and the J-One Aesthetic Clinic.
Plast Reconstr Surg. 2011 Feb;127(2):863-871. doi: 10.1097/PRS.0b013e318200afbf.
Superficial liposuction has found its application in maximizing and creating a lifting effect to achieve a better aesthetic result. Due to initial high complication rates, these procedures were generally accepted as risky. In a response to the increasing concerns over the safety and efficacy of superficial liposuction, the authors describe their 14-year experience of performing superficial liposuction and analysis of postoperative complications associated with these procedures.
From March of 1995 to December of 2008, the authors performed superficial liposuction on 2398 patients. Three subgroups were incorporated according to liposuction methods as follows: power-assisted liposuction alone (subgroup 1), power-assisted liposuction combined with ultrasound energy (subgroup 2), and power-assisted liposuction combined with external ultrasound and postoperative Endermologie (subgroup 3). Statistical analyses for complications were performed among subgroups.
The mean age was 42.8 years, mean body mass index was 27.9 kg/m2, and mean volume of total aspiration was 5045 cc. Overall complication rate was 8.6 percent (206 patients). Four cases of skin necroses and two cases of infections were included. The most common complication was postoperative contour irregularity. Power-assisted liposuction combined with external ultrasound with or without postoperative Endermologie was seen to decrease the overall complication rate, contour irregularity, and skin necrosis. There were no statistical differences regarding other complications.
Superficial liposuction has potential risks for higher complications compared with conventional suction techniques, especially postoperative contour irregularity, which can be minimized with proper selection of candidates for the procedure, avoiding overzealous suctioning of superficial layer, and using a combination of ultrasound energy techniques.
浅层脂肪抽吸术已广泛应用于最大化和提升效果，以获得更好的美学效果。由于最初的高并发症发生率，这些手术通常被认为是有风险的。为了应对人们对浅层脂肪抽吸术的安全性和有效性日益关注，作者描述了他们 14 年的浅层脂肪抽吸术经验，并分析了与这些手术相关的术后并发症。
从 1995 年 3 月至 2008 年 12 月，作者对 2398 例患者进行了浅层脂肪抽吸术。根据脂肪抽吸方法将患者分为三组：单纯手动脂肪抽吸（第 1 组）、手动脂肪抽吸联合超声能量（第 2 组）和手动脂肪抽吸联合外部超声和术后使用 Endermologie（第 3 组）。对各组并发症进行统计学分析。
平均年龄为 42.8 岁，平均体重指数为 27.9kg/m2，总抽吸量为 5045cc。总并发症发生率为 8.6%（206 例）。包括 4 例皮肤坏死和 2 例感染。最常见的并发症是术后轮廓不规则。手动脂肪抽吸联合外部超声联合或不联合术后使用 Endermologie 可降低总体并发症发生率、轮廓不规则和皮肤坏死的发生率。其他并发症无统计学差异。
与传统抽吸技术相比，浅层脂肪抽吸术有更高的并发症风险，尤其是术后轮廓不规则，可通过适当选择手术患者、避免过度抽吸浅层组织以及联合使用超声能量技术来最小化。
