Pallua N, Wolter T
Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum der RWTH Aachen, Deutschland.
Chirurg. 2011 Sep;82(9):759-60, 762-4, 766. doi: 10.1007/s00104-011-2106-8.
Liposuction is one of the most commonly performed procedures in aesthetic surgery. The primary aim is body contouring and not weight reduction. The vast amount of available methods for suctioning subcutaneous fat allows an optimal individual treatment plan, keeping in mind the correct indications. Although liposuction is often offered as a minor and harmless surgery, it is a complex procedure. A thorough training of the surgeon and in-depth knowledge about possible complications is essential. In addition to aesthetic indications liposuction is also a valuable tool in reconstructive surgery. For optimal patient selection the skin elasticity has to be considered during the preoperative assessment. Besides pure volume reduction through liposuction, the regenerative possibilities of adipose tissue are of great interest for basic research and clinical applications. Lipofilling or autologous fat transfer is used for a wide variety of aesthetic and reconstructive procedures. Of special interest is the regenerative and reconstructive potential of adipose-derived stem cells (ADSC).
抽脂术是美容外科中最常施行的手术之一。其主要目的是塑造身体轮廓而非减轻体重。大量用于抽吸皮下脂肪的方法使得能够制定出最佳的个体化治疗方案,同时要牢记正确的适应症。尽管抽脂术常被视为一种小手术且无害,但它是一个复杂的过程。外科医生接受全面培训并深入了解可能出现的并发症至关重要。除了美容适应症外,抽脂术在重建手术中也是一种有价值的工具。为了进行最佳的患者选择,术前评估时必须考虑皮肤弹性。除了通过抽脂术单纯减少体积外,脂肪组织的再生可能性在基础研究和临床应用中也备受关注。脂肪填充或自体脂肪移植被用于多种美容和重建手术。特别令人感兴趣的是脂肪来源干细胞(ADSC)的再生和重建潜力。