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Liposuction Principles and Practice - part 7

Loose da Hút mỡ của một số khu vực của cơ thể dễ bị sự phát triển của da lỏng lẻo vì lượng chất béo cần phải được loại bỏ và thiếu sự co rút da hoàn thành. Những khu vực có nhiều khả năng có vấn đề này bao gồm: 1. Bụng: đặc biệt là với lớn panniculus 2. Vũ khí: đặc biệt là người cao tuổi bệnh nhân và bệnh nhân rất béo | 50.3 Evaluation and Treatment 337 50.3.5 Loose Skin Liposuction of certain areas of the body is prone to the development of loose skin because of the amount of fat that needs to be removed and the lack of complete skin retraction. Those areas most likely to have this problem include 1. Abdomen especially with large panniculus 2. Arms especially elderly patients and very fat patients 3. Medial thighs postoperative loose skin is a major problem in a large percentage of patients Treatment for the loose skin requires a surgical approach with significant scars. Abdominoplasty usually modified may have to be performed to resolve loose hanging skin of the lower abdomen brachioplasty to resolve loose hanging skin of the arm and thigh plasty for the loose skin of the medial thigh. 50.3.6 Necrosis There may be skin necrosis after liposuction if the cannula comes too close to the skin and disrupts the subdermal plexus of vessels. Chronic smokers who do not stop smoking before and after surgery have a high incidence of necrosis. Necrosis is more likely to occur with the use of cannulas with sharp edges and turning the openings toward the skin surface. Combining excessive liposuction of the mid upper abdomen and full abdominoplasty increases the risk of necrosis of the abdominoplasty flap. Necrotizing fasciitis has been reported following liposuction Table 50.1 22-24 . This disorder is an infection with fulminant streptococcal group A infection or mixed bacterial infection frequently with anaerobes that involves the subcutaneous tissues and deep fascia producing thrombosis of the subcutaneous vessels and gangrene of the underlying and surrounding tissues. Treatment requires surgical debridement antibiotics and when necessary hyperbaric therapy. 50.3.7 Need For Further Surgery Since the surgeon can ordinarily improve the contour deformities by about 50 the patient may not be satisfied with the results. There also may be need to refine or correct the original procedure because of