Facial Liposuction Research Articles

A Method of Tumescent Anesthesia Based on Facial and Cervical Nerve Block for Face and Neck Liposuction.

Liposuction of the face and neck is a common treatment for fat deposition. If conventional methods are used for tumescent anesthesia, patients will experience pain, affecting their surgery experience. Using general anesthesia for liposuction of the face and neck can increase the cost to the patient and cause various adverse effects. The authors selected appropriate parts of the patient's neck, angle of the mandible, and face as needle entry points, and performed nerve block in different directions. Afterward, we performed facial liposuction on these patients and evaluated their level of pain. This study included a total of 20 female participants who underwent facial liposuction after a nerve block. The Visual Analog Scale score of the 20 participants was 0.55 (±0.60). There were no significant adverse reactions during the treatment process, and all patients expressed satisfaction with this treatment. In this article, the authors present a method of tumescent anesthesia based on facial and cervical nerve block that significantly reduces the pain associated with facial and neck liposuction, eliminating the need for general anesthesia and enhancing the patient's comfort during the procedure.

"Subzone-Counting" Method in Asian Facial Liposuction: A Retrospective Study.

Facial liposuction is a popular and reliable procedure for patients with subcutaneous fat accumulation pursuing the ideal face shape. However, complications like irregularities and asymmetry are still problems for plastic surgeons. To lower the incidence of the above complications, we developed the "subzone-counting" method. In this study, this technique was introduced and evaluated. By several lines all parallel to the earlobe-mouth corner line, the liposuction area was subdivided into several subzones. With consistent negative pressure, the paths of the cannula trip in all subzones were also parallel to the earlobe-mouth corner line. An objective index could be obtained by counting the number of aspiration in every subzone. Based on this index, the real-time adjustment was made to achieve smoothness and symmetry. This study identified 32 Chinese patients who accepted this method between January 2019 and January 2021. The follow-up ranged from 6 to 44 months. Twenty-nine and 3 patients were satisfied and somewhat satisfied with the postoperative outcome, respectively. No patient was unsatisfied with the outcome. And no major complication was reported. The "subzone-counting" method is safe and effective for facial liposuction. The approach helps intraoperative judgment and adjustment. According to the real-time counting results, contour smoothness and bilateral symmetry can be easily achieved and less dependent on the surgeon's experience.

Difficulties of facelift in patients with scar after treatment of facial liposuction or thread lift sutures

Difficulties of facelift in patients with scar after treatment of facial liposuction or thread lift sutures

Facial liposuction combined with botulinum toxin type A: A technique for lower facial contouring

BackgroundBotulinum toxin type A injection, a noninvasive alternative method for treating masseteric hypertrophy, is inadequate for treating patients with a round lower face. This study aimed to investigate the operative technique and clinical results of liposuction followed by botulinum toxin type A injections in patients with masseteric hypertrophy and excessive subcutaneous fat. MethodsSixty-five patients (50 women and 15 men) were treated using this technique between May 2014 and January 2019. Their mean age was 26.3 years (range, 18–35 years) and the mean follow-up period was 13 months (range, 8–18 months). ResultsAll patients achieved slimmer lower cheeks with improved jaw definitions after the procedure. Among the 65 patients, 61 (94%) expressed satisfaction with the results and believed that the procedure produced their desired face shape. No major complications were observed. The effect of this combination treatment remained stable for 12 months after the procedure. ConclusionThe authors believe that liposuction followed by botulinum toxin type A injections is an effective technique for the treatment of masseteric hypertrophy and excessive subcutaneous fat. It is also a relatively simple and safe treatment approach.

Distracción ósea y cirugía ortognática en paciente previamente radiado

IntroductionWe report the case of a patient who received radiotherapy in childhood for retinoblastoma. The main sequelae of this was, severe bone hemifacial hypoplasia, abnormal dentition, and muscle atrophy. Corrective facial surgery was performed through bone distraction, orthognathic surgery, and facial liposuction, with excellent and stable aesthetic and functional results to date. Casereport A 15 year-old patient with left temporo-parieto-frontal and orbital hypoplasia and midface hypoplasia with an inclined occlusal plane, overjet more than 25mm and multiple teeth with microdontia and rhizolysis. At 19 years old, presurgical orthodontics and placement of Zurich type maxillar distractors were started. An advancing of 25mm was achieved. At 21years old, bimaxillary orthognathic surgery and facial liposuction was performed. ResultsPatient improvement in facial symmetry, occlusion type i of Angle classification with inclined occlusal plane. Stable results to date on a 23 year-old patient. Continues with post-surgical orthodontic and dental rehabilitation. DiscussionGood bone consolidation was obtained, with excellent bone quality from a clinical and radiological point of view, with no complications. Another benefit is the distraction expanding effect of the soft tissue. Osteogenesis distraction and bimaxillary orthognathic surgery are promising methods in maxillofacial reconstruction on irradiated patients with dentofacial deformity as oncology sequelae.

The application of facial liposuction and fat grafting in the remodeling of facial contour

To investigate the application of facial liposuction and fat grafting in the remodeling of facial contour. From Nov. 2008 to Mar. 2014, 49 cases received facial liposuction and fat grafting to improve facial contours. Subcutaneous facial liposuction with tumescent technique and chin fat grafting were performed in all the cases, buccal fat pad excision of fat in 7 cases, the masseter injection of botulinum toxin type A in 9 cases, temporal fat grafting in 25 cases, forehead fat grafting in 15 cases. Marked improvement was achieved in all the patients with stable results during the follow-up period of 6 - 24 months. Complications, such as asymmetric, unsmooth and sagging were retreated with acceptance results. Combination application of liposuction and fat grafting can effectively and easily improve the facial contour with low risk.

Clinical efficacy and safety of combined grindding and cutting bone method of mandibular angle plasty

Objective To study a safe means of mandibular angle plasty of bone cutting and its clinical efficay. Methods Through grinding bone oblique trapezoidal incisure, mandibular angle wide deformity was then corrected according to the cutting trace on bone cutting method. Results Of 260 cases of torture beauty, 185 cases were followed-up, in which 181 (97.84%) cases were satisfied with the results, and 1 case got satisfaction after facial liposuction; other 1 case did not accepted further treatment advice of bone cutting processing because her mandibular angle was too wide. Two cases of bone wax reaction occured and got satisfaction after treatment. Conclusions Mandibular angle plasty by combined grinding with cutting makes it easy for positioning and bone cutting; bone cutting arc becomes more fluent with good exposure of its posterior horn. It can prevent mandibular fracture induced by bone cutting that does not reach the designated position. Therefore, this procedure is relatively simple and safe. Key words: Mandibular angle plasty; Osteotomy; Bone grinding; Combined operation

Facial sculpting: Comprehensive approach for aesthetic correction of round face

Context:Standards for an aesthetic face are dynamic. The current trend is towards a leaner looking face with preservation of the inverted triangle of youth. Procedures that have been reported to be employed for correction of a chubby face include buccal fat pad excision, facial liposuction and injection lipolysis. In addition to giving the face an aesthetic triangular cut, chin and malar augmentation may be performed. The rounded appearance at the angles may further be reduced by injection of Botulinum toxin into the masseter.Materials and Methods:Forty patients who presented to us for correction of chubby (round) faces were analysed and treated by facial sculpting surgery, which included at least two of the procedures in combination. The procedures included facial liposuction, buccal fat pad excision, chin augmentation, malar augmentation and injection lipolysis. All cases were followed-up for a minimum of 6 months after surgery.Results:Aesthetic expectations of the patients were met in 39 cases, one patient complained of facial asymmetry following facial liposuction and was subjected to a touch-up injection lipolysis.Conclusions:A combination of procedures is necessary to give the face an attractive contour. All the individual procedures have stood the test of time and are safe, proven and are put in mainstream. However, a thorough analysis of the face preoperatively and then subjecting the patient to a combination of these procedures in a single surgical sitting has yielded good results as seen in this study.

Strategies in the treatment of HIV-1-associated adipose redistribution syndromes

HIV-1/highly active antiretroviral therapy-associated lipodystrophy syndrome (HALS) is presently the most common long-term adverse effect limiting the doubtless efficacy of antiretroviral therapy. It has a great impact on the quality of life of patients, it is stigmatising and its psychologically devastating consequences may ultimately impact on the adherence to treatment of patients, eventually leading to treatment failure. Despite considerable advances in recent times, the pathogenesis of HALS remains elusive. Factors involved belong to three categories: those intrinsic to the host, some of them modifiable and some not, those associated with antiretroviral therapy, that are sometimes modifiable as well, and finally those related to HIV-1 infection and its consequences, most often not modifiable. The most commonly used strategies for HALS reversion have included host-dependent factors such as lifestyle and dietary modifications and antiretroviral-dependent factors such as switching or avoiding the use of drugs more prone to promote HALS. Lifestyle modifications and switching thymidine analogues have been associated with moderate success. Pharmacological interventions have included the use of insulin-sensitising agents and hormone therapy with disappointing results, whereas treatment with pravastatin or pioglitazone, and uridine supplementation seem to be associated with fat gain in preliminary studies. The only interventions with almost immediate results that may render a patient's appearance similar to his past one have included filling techniques for facial lipoatrophy and ultrasound-assisted liposuction for cervical fat pad hypertrophy. Among the filling options, semipermanent reabsorbable materials and autologous fat transfer have been associated with acceptable outcomes. As of now, the best hope should rely on the use of drugs friendly for fat, on defining the appropriate timing for starting antiretroviral and on continuing the research effort to understand the basic mechanisms underlying HALS pathogenesis. Only through this effort can the best chances for preventing or reverting established HALS be recognised.

Plastic Surgical Solutions for Melkersson-Rosenthal Syndrome

: Melkersson-Rosenthal Syndrome (MRS) is a rare granulomatous disease characterized by a triad, including orofacial swelling, facial palsy and lingua plicata with usually recurrent or progressive course. Orofacial swelling, the most often sign of MRS, leads to the both esthetic and functional deformities. Because of its unknown etiology, a rational treatment is difficult and management of MRS still remains symptomatic, aiming at to remove orofacial swelling mainly. Although the many nonsurgical therapies have been mentioned in the literature, none has been proved uniformly and predictably successful to date. In this paper, we present different surgical procedures and their outcomes in a series of 4 cases with MRS. The procedures including mucosa, submucosa and tangential muscle resection, crescent shaped commissuroplasty, and facial liposuction may be considered in surgical armamentarium when orofacial swelling becomes persistent. We think that the plastic surgeons may act more effectively in the management of the syndrome in the future.

Liposuction and Lipotransplants for Facial Rejuvenation in the Asian Patient

If the surgeon can understand the unique aesthetic and anatomic features of the Asian patient, he or she can embark on a successful surgical intervention in the Asian patient who seeks plastic surgery. The bony structure, soft-tissue distribution, and skin quality all differ radically from the Caucasian anatomy. The authors discuss the anatomy, histology, and physiology of the Asian and describe facial liposuction and fat transfer. They have found that facial liposuction and lipotransfer have proven to be reliable and consistent techniques for facial rejuvenation in the Asian patient.

Minimal-incision endoscopic face-lift.

Ptosis of the midfacial tissues with resultant deepening of the melolabial folds, vertical lengthening of the lower eyelid, and depression of the oral commissure are generally only slightly improved with traditional superficial musculoaponeurotic system (SMAS) suspension or rhytidectomy techniques. Subperiosteal, deep plane, and composite rhytidectomies have evolved in an attempt to rejuvenate these areas. This article reviews a series of patients who underwent an endoscopic subperiosteal face-lift either as an isolated procedure or in conjunction with an SMAS rhytidectomy. Although all patients showed good initial improvement, patients with thin faces and well-defined facial bone structure maintained the best long-term result. Complications were minimal, with no permanent facial nerve injuries observed. The endoscopic subperiosteal face-lift is a useful technique as an isolated procedure or in conjunction with facial liposuction or SMAS suspension rhytidectomy. Arch Facial Plast Surg. 2000;2:274-278

The Soft-Tissue Shaving Procedure for Removal of Adipose Tissue: A New, Less Traumatic Approach Than Liposuction

To introduce the soft-tissue shaving cannula, a new, precise alternative to conventional liposuction that embodies an entirely different method of soft-tissue extraction and that appears to be less traumatic and more precise than methods currently used in liposuction. Nonrandomized, nonblinded comparison of the soft-tissue shaver and conventional liposuction devices in fresh cadavers, followed by clinical use of the liposhaver in selected patients undergoing cosmetic facial liposuction. Conventional liposuction devices and the soft-tissue shaving cannulas in fresh cadavers (< 8 hours old). A submental lipectomy and a melolabial fold liposhaving were performed in a clinical setting. Subjective evaluation by the operating surgeons. The fat was cleanly shaved and the contour result was even, without dimpling or asymmetry. Our early experiences suggest that this new liposhaving technique may offer a precise, less traumatic alternative to conventional liposuction. Fat can be shaved in an open fashion under direct vision. It does not rely on a vacuum seal. The soft-tissue shaving cannula shaves fat one layer at a time. The depth of each layer removed, the depth of soft-tissue injury, and the optimal settings and sizes for various procedures remain to be reported.

Rhytidoplasty in the “pseudo-obese” patient: A group with specific characteristics and management

Among candidates for rhytidoplasty there is a group with special features. These patients are called "pseudo-obese" because they look obese since they have flaccid faces. They present deep nasolabial sulcus, a prominent nasogenian region, and large cervicofacial flaccidity, all of which contribute to a look of anxiety or depression. These problems are not resolved by a classic rhytidoplasty alone. The author has applied standard procedures to this group of patients, including: (1) extensive undermining up to the nasogenian sulcus and across the cervical midline; (2) facial liposuction associated with fat injection under the nasogenian and laterobucal sulcus; (3) submentonian and cervical lypectomy performed without visual aid by curettage below the undermined skin; (4) traction on the border of the platisma muscle. Associated procedures were also used, such as treatment of micrognatism, rhinoplasty, perioral chemical peeling, and thickening of the upper lip. Special emphasis is placed on a surgical maneuver of introducing both hands beneath the undermined skin and crossing the fingers over the cervical midline in order to eliminate residual adherences, to verify the symmetry of the undermining on both sides, and to provide rapid trans-surgical skin expansion. Among the 159 patients who underwent rhytidoplasty by the author in 1987 and 1988), 74 (47%) presented "pseudo-obese" features. The author concluded that this group would not present good results if the associated procedures were not applied. This article presents anatomic and technical details, statistical data, and final results of these procedures.

Facial Liposuction and Microlipoinjection

Liposuction and microlipoinjection can be used to improve the contour of the face, correct certain defects, and improve signs of aging. The technique of facial liposuction as well as that of collecting and injecting the fat used for microlipoinjection (autologous fat transplantation), is described.

Conservative Approach to Facial Liposuction: A New Method

At the annual meeting of American Academy of Facial Plastic and Reconstructive Surgery in Chicago, Sept 19, 1987, Pierre F. Giammanco, MD, Bloomfield Hills, Mich, discussed liposuction of the face. The author stated that liposuction of the face should be conservative as compared with the neck, where it can be more aggressive. Too much liposuction of the face can cause marking, grooving, and depression. Dr Giammanco believes that this is probably related to instrumentation. He advocates using small cannulas such as the No. 3 or No. 4 Fenno cannula and a small harvester such as a 13-gauge harvester. In addition, with the small harvester you can actually sculpt the face and quantitate the amount of fat removed so that symmetry can be maintained. He recommends that you cannulate without suction first, then do the reduction in mass with cross tunneling. He has seen weakness in the depressor of the lower

Complications and Pitfalls of Facial Lipo-Suction Surgery

Complications and Pitfalls of Facial Lipo-Suction Surgery

Facial liposuction.

Facial liposuction.

Facial profileplasty by liposuction extraction.

Facial profileplasty can include the removal of abnormal fat deposits in the face and neck as an individual begins to age and, in many cases, the correction of chin projection to achieve a better neck-chin contour line. In this report we retrospectively analyze the complications and results from 142 patients undergoing facial liposuction alone or in combination with chin augmentation or rhytidectomy during a follow-up period of 14 months. The liposuction technique offers very low morbidity and is superior to conventional excisional methods.

Complications and Pitfalls of Facial Lipo-Suction Surgery

Complications and Pitfalls of Facial Lipo-Suction Surgery