Department of Burn and Plastic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Plastic and Reconstructive Surgery Department, Shanghai Anhe Meige Hospital, No. 38 Xu Xiang Road, Xujing Town, Qingpu District, Shanghai, 201700, China.
Aesthetic Plast Surg. 2024 Aug;48(16):3128-3136. doi: 10.1007/s00266-024-03875-9. Epub 2024 Mar 30.
In cases where the upper arm exhibits an irregular cylindrical appearance with subcutaneous fat concentrated primarily in the posterior lateral aspect, traditional localized fat suction techniques may lead to uneven or disharmonious results when addressing this concern. Many practitioners have turned to circumferential fat suction methods using multi-incision approaches to ensure effective results and fat removal. However, these methods often involve numerous incisions and complex procedures, necessitating the development of new, more efficient surgical techniques.
We collected and screened patients who underwent upper arm circumferential liposuction with a double incision technique at our hospital from October 2020 to February 2023. A total of 496 cases were included in our retrospective analysis, in which we examined factors such as the length of surgery, arm circumference before and after surgery, subcutaneous tissue thickness before and after surgery, fat suction volume, postoperative satisfaction, and postoperative complications of the patients.
The average length of surgery was 71.7 min. 458 cases (92.3%) showed significant improvement, 23 cases (4.6%) reported satisfaction, and 10 cases (2.0%) were essentially satisfied. Additionally, 339 cases (68.3%) experienced an improvement in skin laxity. Four cases (0.8%) developed localized hard nodules with slight tenderness in the early postoperative period, which resolved without special treatment after observation and follow-up for 1-3 months. Three cases (0.6%) reported localized pain or numbness, and they were given oral medication. Their symptoms disappeared after 1-3 months of observation and follow-up. Three cases (0.6%) had localized pain or numbness, and their symptoms disappeared. All of these cases improved and resolved after one month of taking mecobalamin tablets. There were also three cases (0.6%) with mild pigmentation of the incision and two cases (0.4%) with mild limitation of unilateral upper arm abduction movement. However, upper arm activities were not affected after three months to one year of follow-up. No serious complications were reported, resulting in an overall satisfaction rate of 99.0%.
The double incision upper arm liposuction is safe, effective, time-saving, with high satisfaction and fewer complications, and is worthy of clinical popularization and application.
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当上臂呈现出不规则的圆柱形外观，皮下脂肪主要集中在后外侧时，传统的局部脂肪抽吸技术可能会导致在解决这个问题时出现不均匀或不协调的结果。许多医生已经转向使用多切口的环形脂肪抽吸方法，以确保有效的结果和脂肪去除。然而，这些方法通常涉及多个切口和复杂的程序，因此需要开发新的、更有效的手术技术。
我们收集并筛选了 2020 年 10 月至 2023 年 2 月在我院行双切口上臂环形脂肪抽吸术的患者。共对 496 例患者进行了回顾性分析，其中检查了手术时间、术前术后臂围、术前术后皮下组织厚度、脂肪抽吸量、术后满意度和术后并发症等因素。
手术平均时间为 71.7 分钟。458 例（92.3%）患者明显改善，23 例（4.6%）患者满意，10 例（2.0%）患者基本满意。此外，339 例（68.3%）患者皮肤松弛得到改善。术后早期有 4 例（0.8%）出现局部硬结伴轻微触痛，经观察和随访 1-3 个月，无需特殊治疗即可缓解。3 例（0.6%）患者诉局部疼痛或麻木，给予口服药物治疗，观察随访 1-3 个月后症状消失。3 例（0.6%）患者局部疼痛或麻木，症状消失。所有患者均在服用甲钴胺片一个月后改善并缓解。还有 3 例（0.6%）患者切口轻度色素沉着，2 例（0.4%）患者单侧上臂外展活动轻度受限。但随访 3 个月至 1 年后，上臂活动不受影响。未出现严重并发症，总满意度为 99.0%。
双切口上臂吸脂术安全、有效、省时，满意度高，并发症少，值得临床推广应用。
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