Mandamientos de la liposucción
Palabras clave:
liposucción, tumescenciaResumen
Desde 1976 se conoce la liposucción, siendo hoy en día una de las cirugías más practicadas en el mundo entero; sin embargo, se siguen presentando complicaciones, en algunos casos fatales.
Con el fin de disminuir estas complicaciones, recordamos los mandamientos de la liposucción para hacer esta cirugía menos riesgosa, los cuales se basan en la elección del paciente, la preparación del cirujano, el conocimiento de las indicaciones, la evaluación preoperatoria, la realización ambulatoria en quirófano con sedoanalgesia y tumescencia y el conocimiento de las complicaciones.
Biografía del autor/a
Higia Iveth Carrasquilla Sampayo, Asociación Colombiana de Dermatología
Dermatóloga, Barranquilla.
José Manuel Tovar Berardinelli, Asociación Colombiana de Dermatología
Dermatólogo, Barranquilla.
Referencias bibliográficas
1. Flynn TC, Coleman 111 WP, Field LM, et al. History of liposuction. Dermatol Surg 2000; 26:515-520.
https://doi.org/10.1046/j.1524-4725.2000.00066.x
2. Shiffman MA. Autologous fat transplantation. Am J Cosm Surg 1997; 4:433-443.
https://doi.org/10.1177/074880689701400410
3. Lillis PJ. Liposuction of the arms, calves, and ankles. Dermatol Surg 1997; 23:1161-1168.
https://doi.org/10.1111/j.1524-4725.1997.tb00466.x
4. Flynn TC, Narins RS. Preoperative evaluation of the liposuction patient. Dermatol Clin 1999; 4:729-734.
https://doi.org/10.1016/S0733-8635(05)70122-4
5. Lawrence N, Clark RE, Flynn TC, et al. Guidelines of care far liposuction. Am Soc Dermatol Surg 2000; 26:265-269.
6. Hernandez-Pérez E. Is it safe to aspirate large volumes of fat? The present experience in El Salvador. Am J Cosm Surg 1989; 2:97-102.
https://doi.org/10.1177/074880688900600205
7. Fischer G. Liposculpture. Dermatol Surg 1997; 23:1183-1187.
https://doi.org/10.1111/j.1524-4725.1997.tb00469.x
8. Alexander R, Castillo G, Jackson R, et al. Guidelines far liposuction surgery. Am J Cost Surg 1997; 4:389-393.
https://doi.org/10.1177/074880689701400403
9. Martínez-Escribano JA, Gonzalez R, Quecedo E, et al. Efficacy of lipectomy and liposuction in the treatment of multiple symmetric lipomatosis. lnt J Dermatol 1999; 38:551-554.
https://doi.org/10.1046/j.1365-4362.1999.00743.x
10. Hernández-Pérez E. Fat transplants in male and fe-mal e genitals. Am J Cosm Surg 1996; 2: 109-111.
https://doi.org/10.1177/074880689601300204
11. Hernández-Pérez E, Páez CE. Lipoescultura de volú- menes. Act Terap Dermatol 1998; 21: 108-112.
https://doi.org/10.1111/j.1365-4362.1982.tb00515.x
12. Hernández-Pérez E. La técnica tumescente en liposucción. ActTerap Dermatol 1995; 18:217-222.
13. Lesser T, Ritvo E, Moy LS. Modification of subcu- taneous adipose tissue by a methylxanthine formu-lation: a double-blind controlled study. Dermatol Surg 1999; 25:455-462.
https://doi.org/10.1046/j.1524-4725.1999.08243.x
14. Hernández-Pérez E, Lozano G. Volume liposculp- ture: variations on a technique. Cosm Dermatol 1999; feb:35-39.
15. Langdon RC. Liposuction of neck and jowls: five in- cision method combining machine-assisted and sy-ringe aspiration. Dermatol Surg 2000; 26:388-391.
https://doi.org/10.1046/j.1524-4725.2000.99290.x
16. Ascari-Raccagni A, Baldari U. Liposuction surgery for the treatment of large hematomas on the leg. Dermatol Surg 2000; 26:263-264.
https://doi.org/10.1046/j.1524-4725.2000.09073.x
17. Sattler G, Sommer B, Bergfeld D. Tumescent liposuction in Germany: history and new trends and techniques. Dermatol Surg 1999; 25:221-223.
https://doi.org/10.1046/j.1524-4725.1999.025003221.x
18. Stasshower M, Smith K, Williams J. Stromal proge-nitor cells present within liposuction and reduction abdomino-plasty fat for autologous transfer to aged skin. Dermatol Surg 1999; 25:945-949.
https://doi.org/10.1046/j.1524-4725.1999.99098.x
19. Swinehart JM. Treatment of axillary hyperhidrosis: combination of the starch-iodine test with the turnes-cent liposuction technique. Dermatol Surg 2000; 26:392-396.
https://doi.org/10.1046/j.1524-4725.2000.00604.x
20. Shiffman MA. Superficial liposculpture: can it be dan-gerous?. Am J Cosm Surg 1997; 4:463-466.
https://doi.org/10.1177/074880689701400416
21. Fulton JE, Rahimi AD, Helton P. Modified tumescent liposuction. Dermatol Surg 1999; 25:755-766.
https://doi.org/10.1046/j.1524-4725.1999.99018.x
22. Bank DE, Pérez MI. Skin retraction after liposuction in patients over the age of 40. Dermatol Surg 1999; 25:673-676.
https://doi.org/10.1046/j.1524-4725.1999.99105.x
23. Augustin M, Zschocke 1, Sommer B, et al. Sociode-mografic profile and satisfaction with treatment of patients undergoing liposuction in tumescent local anesthesia. Dermatol Surg 1999; 25:480-483.
https://doi.org/10.1046/j.1524-4725.1999.09019.x
24. Lawrence N, Coleman WP. Ultrasonic-assisted liposuction. Dermatol Clin 1999; 4:761-771.
https://doi.org/10.1016/S0733-8635(05)70125-X
25. Klein J. Anesthetic formulation of tumescent solu- tions. Dermatol Clin 1999; 4:751-759.
https://doi.org/10.1016/S0733-8635(05)70124-8
26. Bernstein G. lnstrumentation for liposuction. Dermatol Clin 1999; 4:735-7 49.
https://doi.org/10.1016/S0733-8635(05)70123-6
27. Coleman WP. Powered liposuction. Dermatol Surg 2000; 26:315-318.
https://doi.org/10.1046/j.1524-4725.2000.99240.x
28. Coleman WP, Glogan RG, Klein JA. Guidelines of care for liposuction. J Am Acad Dermatol 2001; 45:438-447.
https://doi.org/10.1067/mjd.2001.117045
29. Golden RR. Prevention of epinephrine reaction in tumescent liposuction with atenolol (tenormin). Am J Cosm Surg 1997; 4:445-446.
https://doi.org/10.1177/074880689701400411
30. Butterwick KJ, Goldman MP, Sriprachya-Anunt S. Lidocaine levels during the first two hours of infiltra- tion of dilute anesthetic solution for tumescent liposuction: rapid versus slow delivery. Dermatol Surg 1999; 25:681-685.
https://doi.org/10.1046/j.1524-4725.1999.98275.x
31. Hanke CW, Coleman 111 WP, Lillis PJ. lnfusion rates and levels of premedication in tumescent liposuction. Dermatol Surg 1997; 23:1131-1134.
https://doi.org/10.1111/j.1524-4725.1997.tb00462.x
32. Hernández-Pérez E. Cirugía Dermatológica Práctica, UCA Editores 1992:68.
33. Hernández-Pérez E. Cirugía Dermatológica Práctica, UCA Editores 1992:238.
https://doi.org/10.1046/j.1524-4725.2000.00066.x
2. Shiffman MA. Autologous fat transplantation. Am J Cosm Surg 1997; 4:433-443.
https://doi.org/10.1177/074880689701400410
3. Lillis PJ. Liposuction of the arms, calves, and ankles. Dermatol Surg 1997; 23:1161-1168.
https://doi.org/10.1111/j.1524-4725.1997.tb00466.x
4. Flynn TC, Narins RS. Preoperative evaluation of the liposuction patient. Dermatol Clin 1999; 4:729-734.
https://doi.org/10.1016/S0733-8635(05)70122-4
5. Lawrence N, Clark RE, Flynn TC, et al. Guidelines of care far liposuction. Am Soc Dermatol Surg 2000; 26:265-269.
6. Hernandez-Pérez E. Is it safe to aspirate large volumes of fat? The present experience in El Salvador. Am J Cosm Surg 1989; 2:97-102.
https://doi.org/10.1177/074880688900600205
7. Fischer G. Liposculpture. Dermatol Surg 1997; 23:1183-1187.
https://doi.org/10.1111/j.1524-4725.1997.tb00469.x
8. Alexander R, Castillo G, Jackson R, et al. Guidelines far liposuction surgery. Am J Cost Surg 1997; 4:389-393.
https://doi.org/10.1177/074880689701400403
9. Martínez-Escribano JA, Gonzalez R, Quecedo E, et al. Efficacy of lipectomy and liposuction in the treatment of multiple symmetric lipomatosis. lnt J Dermatol 1999; 38:551-554.
https://doi.org/10.1046/j.1365-4362.1999.00743.x
10. Hernández-Pérez E. Fat transplants in male and fe-mal e genitals. Am J Cosm Surg 1996; 2: 109-111.
https://doi.org/10.1177/074880689601300204
11. Hernández-Pérez E, Páez CE. Lipoescultura de volú- menes. Act Terap Dermatol 1998; 21: 108-112.
https://doi.org/10.1111/j.1365-4362.1982.tb00515.x
12. Hernández-Pérez E. La técnica tumescente en liposucción. ActTerap Dermatol 1995; 18:217-222.
13. Lesser T, Ritvo E, Moy LS. Modification of subcu- taneous adipose tissue by a methylxanthine formu-lation: a double-blind controlled study. Dermatol Surg 1999; 25:455-462.
https://doi.org/10.1046/j.1524-4725.1999.08243.x
14. Hernández-Pérez E, Lozano G. Volume liposculp- ture: variations on a technique. Cosm Dermatol 1999; feb:35-39.
15. Langdon RC. Liposuction of neck and jowls: five in- cision method combining machine-assisted and sy-ringe aspiration. Dermatol Surg 2000; 26:388-391.
https://doi.org/10.1046/j.1524-4725.2000.99290.x
16. Ascari-Raccagni A, Baldari U. Liposuction surgery for the treatment of large hematomas on the leg. Dermatol Surg 2000; 26:263-264.
https://doi.org/10.1046/j.1524-4725.2000.09073.x
17. Sattler G, Sommer B, Bergfeld D. Tumescent liposuction in Germany: history and new trends and techniques. Dermatol Surg 1999; 25:221-223.
https://doi.org/10.1046/j.1524-4725.1999.025003221.x
18. Stasshower M, Smith K, Williams J. Stromal proge-nitor cells present within liposuction and reduction abdomino-plasty fat for autologous transfer to aged skin. Dermatol Surg 1999; 25:945-949.
https://doi.org/10.1046/j.1524-4725.1999.99098.x
19. Swinehart JM. Treatment of axillary hyperhidrosis: combination of the starch-iodine test with the turnes-cent liposuction technique. Dermatol Surg 2000; 26:392-396.
https://doi.org/10.1046/j.1524-4725.2000.00604.x
20. Shiffman MA. Superficial liposculpture: can it be dan-gerous?. Am J Cosm Surg 1997; 4:463-466.
https://doi.org/10.1177/074880689701400416
21. Fulton JE, Rahimi AD, Helton P. Modified tumescent liposuction. Dermatol Surg 1999; 25:755-766.
https://doi.org/10.1046/j.1524-4725.1999.99018.x
22. Bank DE, Pérez MI. Skin retraction after liposuction in patients over the age of 40. Dermatol Surg 1999; 25:673-676.
https://doi.org/10.1046/j.1524-4725.1999.99105.x
23. Augustin M, Zschocke 1, Sommer B, et al. Sociode-mografic profile and satisfaction with treatment of patients undergoing liposuction in tumescent local anesthesia. Dermatol Surg 1999; 25:480-483.
https://doi.org/10.1046/j.1524-4725.1999.09019.x
24. Lawrence N, Coleman WP. Ultrasonic-assisted liposuction. Dermatol Clin 1999; 4:761-771.
https://doi.org/10.1016/S0733-8635(05)70125-X
25. Klein J. Anesthetic formulation of tumescent solu- tions. Dermatol Clin 1999; 4:751-759.
https://doi.org/10.1016/S0733-8635(05)70124-8
26. Bernstein G. lnstrumentation for liposuction. Dermatol Clin 1999; 4:735-7 49.
https://doi.org/10.1016/S0733-8635(05)70123-6
27. Coleman WP. Powered liposuction. Dermatol Surg 2000; 26:315-318.
https://doi.org/10.1046/j.1524-4725.2000.99240.x
28. Coleman WP, Glogan RG, Klein JA. Guidelines of care for liposuction. J Am Acad Dermatol 2001; 45:438-447.
https://doi.org/10.1067/mjd.2001.117045
29. Golden RR. Prevention of epinephrine reaction in tumescent liposuction with atenolol (tenormin). Am J Cosm Surg 1997; 4:445-446.
https://doi.org/10.1177/074880689701400411
30. Butterwick KJ, Goldman MP, Sriprachya-Anunt S. Lidocaine levels during the first two hours of infiltra- tion of dilute anesthetic solution for tumescent liposuction: rapid versus slow delivery. Dermatol Surg 1999; 25:681-685.
https://doi.org/10.1046/j.1524-4725.1999.98275.x
31. Hanke CW, Coleman 111 WP, Lillis PJ. lnfusion rates and levels of premedication in tumescent liposuction. Dermatol Surg 1997; 23:1131-1134.
https://doi.org/10.1111/j.1524-4725.1997.tb00462.x
32. Hernández-Pérez E. Cirugía Dermatológica Práctica, UCA Editores 1992:68.
33. Hernández-Pérez E. Cirugía Dermatológica Práctica, UCA Editores 1992:238.
Cómo citar
1.
Carrasquilla Sampayo HI, Tovar Berardinelli JM. Mandamientos de la liposucción. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de junio de 2002 [citado 19 de abril de 2024];10(2):875-8. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/688
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Publicado
2002-06-01
Cómo citar
1.
Carrasquilla Sampayo HI, Tovar Berardinelli JM. Mandamientos de la liposucción. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 1 de junio de 2002 [citado 19 de abril de 2024];10(2):875-8. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/688
Número
Sección
Cirugía dermatológica
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