Abstract
Background Submental adiposity is one of visible signs of the aging process which affects the aesthetic look of the face and neck , and its management usually is difficult without surgery, nowadays we can achieve a good results in double chin without surgical lifting of neck by new technology (VASER liposuction) in many cases. Aim of the work: To Evaluation of surgical versus VASER assisted liposuction in management of submental adiposity in moderate to severe skin laxity and significant lipodystrophy. Patient and Methods: This study is prospective study was conducted on 30 male and female patients starting from September 2018 till march 2021, in Al-Azhar university hospitals presented with moderate or severe submental adiposity (double chin), were categorized in random fashion into two groups, Group (A) management by ultrasound assisted liposuction VASER (15 patient), Group (B) surgical management (neck lifting) (15 patient). Results: Regarding patient acceptance, among the VASER group, 6 patients (40%) reported good score, 5 patients (33.3%) reported very good score, 4 patients (26.7%) reported fair score. While 10 patients (66.7%) reported very good score, 3 patients (20%) reported excellent score and 2 patients (13.3%) reported good score. Conclusion: Surgical neck lifting is the best result , especially in old age however , VASER liposuction have a good results in young and middle age , especially in mild , moderate and some cases of sever lipodystrophy , the vaser liposuction is a good option for the patient whose a fried from the scar of surgery.
Highlights
Cases complaining of redundant submental fat and moderate to severe skin laxity of the neck and jowls were included in the study as type III and type IV patients, as per the Rod J
The operation was done by local anesthesia with sedation, and if the double chin liposuction is a part from another operation like breast reduction or etc. the anesthesia was general
There is a paucity of clinical trials directed towards options for treating the aging neck
Summary
Aim of the study: To evaluate the surgical versus VASER assisted liposuction in management of submental adiposity in moderate to severe skin laxity and significant lipodystrophy. Patients and Methods: This study is prospective study was conducted on 30 male and female patients starting from September 2018 till March 2021, in Al-Azhar university hospitals presented with moderate or severe submental adiposity (double chin), were categorized in random fashion into two groups, Group (A) management by ultrasound assisted liposuction VASER (15 patient), Group (B) surgical management (neck lifting) (15 patient). Results: Regarding patient acceptance, among the VASER group, 6 patients (40%) reported good score, 5 patients (33.3%) reported very good score, 4 patients (26.7%) reported fair score. Conclusion: Surgical neck lifting showed best result , especially in old age when compared with VASER liposuction that have a good results in young and middle ages
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