From the Department of Plastic and Reconstructive Surgery, Lenox Hill Hospital.
Division of Plastic Surgery, Ann and Robert H. Lurie Children's Hospital.
Plast Reconstr Surg. 2023 Sep 1;152(3):523-531. doi: 10.1097/PRS.0000000000010254. Epub 2023 Feb 1.
The American Board of Plastic Surgery has collected data on cosmetic surgery tracers as part of the Continuous Certification process since 2005. The current study was performed to analyze evolving trends in liposuction from the American Board of Plastic Surgery database.
Tracer data from 2005 through 2021 were reviewed and grouped into an early cohort (EC) (2005-2014) and a recent cohort (RC) (2015-2021). Fisher exact tests and two-sample t tests were used to compare patient demographics, techniques, and complications.
A total of 2810 suction-assisted liposuction cases were included (1150 EC, 1660 RC). In-office procedures increased (36% EC versus 41% RC). The use of general anesthesia remained the same (63% EC versus 62% RC). The use of power-assisted liposuction increased (24% EC versus 40% RC) and use of ultrasound-assisted liposuction decreased (5% versus 2%). With respect to body areas treated, liposuction of the abdomen (64% EC versus 69% RC), flanks (60% EC versus 64% RC), and back (22% EC versus 34% RC) increased; treatments of thighs (36% EC versus 23% RC), and knees (8% EC versus 5% RC) decreased. Intraoperative position changes are more common (30% EC versus 37% RC), as is liposuction of multiple areas in one case (28% EC versus 36% RC). The volume of lipoaspirate also increased (1150 cc EC versus 1660 cc RC).
This study highlights evolving trends in liposuction over 16 years. Liposuction is becoming more common as an outpatient procedure performed concomitantly with other procedures. Despite multiple emerging technologies, the popularity of power-assisted liposuction is increasing. Although adverse events have not significantly increased with these changes, the authors stress careful preoperative evaluation of patients to identify factors that increase the risk of complications.
自 2005 年以来，美国整形外科学会一直在连续认证过程中收集美容手术追踪者的数据。本研究旨在分析美国整形外科学会数据库中吸脂术的演变趋势。
回顾 2005 年至 2021 年的追踪者数据，并分为早期队列（EC）（2005-2014 年）和近期队列（RC）（2015-2021 年）。使用 Fisher 精确检验和两样本 t 检验比较患者人口统计学、技术和并发症。
共纳入 2810 例吸脂术病例（1150 例 EC，1660 例 RC）。门诊手术增加（36%EC 对 41%RC）。全身麻醉的使用率保持不变（63%EC 对 62%RC）。使用动力辅助吸脂术增加（24%EC 对 40%RC），使用超声辅助吸脂术减少（5%对 2%）。就治疗的身体部位而言，腹部吸脂术（64%EC 对 69%RC）、侧腰吸脂术（60%EC 对 64%RC）和背部吸脂术（22%EC 对 34%RC）增加；大腿吸脂术（36%EC 对 23%RC）和膝关节吸脂术（8%EC 对 5%RC）减少。术中体位变化更常见（30%EC 对 37%RC），同一病例中多部位吸脂术也更常见（28%EC 对 36%RC）。吸脂量也增加（EC 组 1150cc，RC 组 1660cc）。
本研究强调了 16 年来吸脂术的演变趋势。吸脂术作为一种门诊手术越来越普遍，同时还与其他手术一起进行。尽管出现了多种新技术，但动力辅助吸脂术的普及度仍在增加。尽管这些变化并没有显著增加不良事件，但作者强调术前仔细评估患者，以确定增加并发症风险的因素。
