Mess Sarah A, Carr Brandon
Aesthet Surg J Open Forum. 2025 May 23;7:ojaf045. doi: 10.1093/asjof/ojaf045. eCollection 2025.
This is a case report of fat embolism syndrome (FES), where fatty micro-fragments lodge into pulmonary capillaries damaging alveoli and causing respiratory insufficiency immediately following the combination of liposuction, helium radiofrequency (HRF), and targeted cellulite subcision of the thighs in a 51-year-old woman. FES is to be distinguished from macroscopic fat embolism, which causes mechanical obstruction of venous vasculature and sudden cardiac failure. FES is the sequelae of microscopic fat emboli affecting the lungs, brain, and skin and is characterized by acute onset of hypoxia and a diffuse ground-glass appearance on computed tomography. In this report, the authors theorize the possible mechanism created by the combination of subcision, power-assisted liposuction, and HRF, which might have led to FES. They also share potential safety considerations when using these multiple modalities. : 5 (Therapeutic).
这是一例脂肪栓塞综合征（FES）的病例报告。一名51岁女性在进行抽脂、氦气射频（HRF）以及大腿针对性脂肪团皮下分离术后，脂肪微碎片进入肺毛细血管，损害肺泡并立即导致呼吸功能不全。FES应与宏观脂肪栓塞相区分，宏观脂肪栓塞会导致静脉血管的机械性阻塞和突发心力衰竭。FES是影响肺部、大脑和皮肤的微小脂肪栓子的后遗症，其特征为急性缺氧发作以及计算机断层扫描上的弥漫性磨玻璃样表现。在本报告中，作者推测了皮下分离、动力辅助抽脂和HRF联合使用可能产生的导致FES的机制。他们还分享了使用这些多种方式时潜在的安全注意事项。: 5（治疗性）
