Enhanced Liposuction for Arms

Engin Selamioglu, E. Karacaoglu
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Abstract

Arm contouring is a desired goal of the arm esthetics. Brachioplasty is a developing and safe surgery to improve the arm silhouette but scar is a one of the most distracting factor for both patients and surgeons. In this chapter conventional liposuction with laser assisted liposuction (LAL) is proposed to yield satisfactory results in selected group of patients. Classification systems are helpful to decide for proper patient selection for this technique. It includes assessment of fat excess, skin excess, and location of the deformity (proximal, entire arm, arm and chest). Patients with minimal to extensive fat deposits plus minimal to moderate skin laxity are the best candidates for this approach. When properly performed, with realistic expectations, liposuction and LAL combination is considerably a procedure of choice for arm contouring in these selected cases. The contraction of arm skin is considerably consistent. Our approach, except in the most extreme cases, is to initially recommend liposuction and possibly even a second liposuction prior to recommending brachioplasty. An esthetically pleasant result can be obtained even in massive arms with good skin tone. Massive arms with poor skin tone, however, may not. Patient selection and preoperative planning are discussed in detail. A thorough description for patient positioning and anesthesia options are studied. The technique of the liposuction is widely described including specific regional contour goals with artistic attention to enhance the contour. Refinement regarding skin tightening and skin surface smoothness are also discussed. Arm contouring is a growing field of body contouring and can be practiced with low complication rates and high patient satisfaction. Available classification systems help to select proper patient group. Laser assisted fat removal combined with conventional liposuction are promising procedures for selected patients.
手臂强化抽脂术
手臂轮廓是手臂美学的理想目标。肱成形术是一种发展中且安全的手术,可以改善手臂轮廓,但疤痕是患者和外科医生最容易分心的因素之一。在本章中,提出了传统的吸脂与激光辅助吸脂术(LAL),以获得满意的结果。分类系统有助于决定正确的患者选择该技术。它包括评估脂肪过剩、皮肤过剩和畸形的位置(近端、整个手臂、手臂和胸部)。少量到广泛的脂肪沉积加上少量到中度皮肤松弛的患者是这种方法的最佳候选人。如果操作得当,在现实的期望下,抽脂和LAL联合在这些选定的病例中是手臂轮廓的一个相当好的选择。手臂皮肤的收缩相当一致。我们的方法,除了最极端的情况,是首先建议抽脂,甚至可能第二次抽脂在推荐肱成形术之前。即使是肤色好的粗壮手臂也能获得美观的效果。然而,粗壮的手臂和糟糕的肤色可能不会。详细讨论了患者选择和术前计划。对病人的体位和麻醉选择进行了全面的描述。抽脂技术被广泛描述,包括特定的区域轮廓目标与艺术关注,以提高轮廓。还讨论了皮肤紧致度和皮肤表面光滑度的改进。手臂轮廓术是一种新兴的身体轮廓术,其并发症发生率低,患者满意度高。现有的分类系统有助于选择合适的患者群体。激光辅助脂肪去除结合传统吸脂是有前途的程序选定的病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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