Liposuction of the Hips and Thighs

2019 ◽  
pp. 107-116
Author(s):  
Hisham Seify
Keyword(s):  
Patient Selection ◽  
Three Dimensional ◽  
Plastic Surgeon ◽  
Left Behind ◽  
Proper Patient Selection ◽  
What Matters

Liposuction of the hips and thighs is one of the most requested areas in any cosmetic practice. Proper patient selection, planning, and precise execution of the surgical plan will avoid complications and unhappy patients. The main caveats is to think in a three-dimensional manner when marking the patient and performing the procedure. Using the prone, lateral, and supine positions allows a circumferential contouring of this area. Adequate compression postoperatively gives the best chance for skin contraction. Like any liposuction procedure, the plastic surgeon must remember that what matters is what is left behind to give an aesthetic contour and not how much fat is removed.

Should Sequential Bilateral Total Knee Arthroplasty Be Limited to Patients Younger than 80? A Two-Arm Propensity Matched Study

2020 ◽  
Author(s):  
Antonio Klasan ◽  
Sven Edward Putnis ◽  
Wai Weng Yeo ◽  
Darli Myat ◽  
Brett Andrew Fritsch ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Selection ◽  
Knee Arthroplasty ◽  
Major Complication ◽  
The Elderly ◽  
Complication Rates ◽  
Bilateral Total Knee Arthroplasty ◽  
Proper Patient Selection ◽  
Patient Reported ◽  
Total Knee

AbstractDespite multiple studies, there remains a debate on the safety of bilateral total knee arthroplasty (BTKA) in the average age patient, with a paucity of data on the outcome of BTKA in an elderly population. This study included 89 patients aged 80 years and older undergoing sequential BTKA over 14 years were identified in a prospectively collected database. Two matched comparison groups were created: patients under 80 undergoing sequential BTKA and patients over 80 undergoing unilateral TKA (UTKA). An analysis of complications, mortality, revision, and patient-reported outcome measures was performed. Mean age of the elderly cohorts was similar: 82.6 for BTKA and 82.9 for UTKA. The average age BTKA cohort had a mean age of 69.1. Complication rates were higher in bilateral cohorts, more so in the elderly BTKA cohort. Pulmonary embolism (PE) was observed in bilateral cohorts only. In these patients, history of PE and ischemic heart disease was a strong predictive factor for developing a major complication. There was no difference in revision rates and infection rates between the three cohorts, and no difference in patient survivorship between the two elderly cohorts. Through the combination of low revision and high survivorship rates and comparable clinical outcomes, this article demonstrates that simultaneous BTKA is an appropriate option to consider for an elderly patient, with proper patient selection and perioperative management. The demonstrated risk groups show that emphasis on patient selection should be focused on medical history rather than chronological age.

Lateral Talocalcaneal Angle in Assessment of Subtalar Valgus: Follow-up of Seventy Grice-Green Arthrodeses

Foot & Ankle ◽  
1983 ◽  
Vol 4 (2) ◽  
pp. 56-63 ◽  
Author(s):  
James Aronson ◽  
James Nunley ◽  
Karl Frankovitch
Keyword(s):  
Success Rate ◽  
Patient Selection ◽  
Operative Techniques ◽  
Reliable Measurement ◽  
Subtalar Arthrodesis ◽  
Proper Patient Selection ◽  
Selection And Assessment

To determine whether definitive radiographic criteria could be elucidated tor the Grice-Green extra-articular subtalar arthrodesis, all 70 cases performed at the Shri-ner's Hospital for Crippled Children, Erie, Pennsylvania, from 1972 to 1980 were reviewed. Patients were followed both clinically and radiographically an average of 4 years and 11 months. Major conclusions were as follows: 1) the standing lateral talocalcaneal angle is the most reliable measurement for operative selection and assessment of postoperative success; and 2) by using strict operative techniques and proper patient selection, a 90% success rate can be expected.

scholarly journals A successful case of rescue encerclage in the mid trimester taken upto term: a case report

2020 ◽  
Vol 10 (1) ◽  
pp. 377
Author(s):  
Sheelamoni A. ◽  
Fathima Mithilag ◽  
Anuradha Prasannan ◽  
Bincy A.
Keyword(s):  
Case Report ◽  
Patient Selection ◽  
Cervical Dilatation ◽  
Second Trimester ◽  
Trimester Pregnancy ◽  
Proper Patient Selection ◽  
Successful Case ◽  
Second Trimester Pregnancy

Cervical encerclage has been used to treat repeated second trimester pregnancy losses. Rescue cerclage is done in cases of advanced cervical dilatation with membranes protruding into the vagina. If done correctly after proper patient selection, it can successfully prolong a nonviable pregnancy to viability. Here, we present a case report of a multiparous lady with advanced cervical dilatation at 22 weeks who had a successful rescue cerclage where the pregnancy was taken upto 38 weeks.

scholarly journals Enhanced Liposuction for Arms

2021 ◽  
Author(s):  
Engin Selamioglu ◽  
Ercan Karacaoglu
Keyword(s):  
Patient Selection ◽  
Body Contouring ◽  
Patient Positioning ◽  
Skin Surface ◽  
Skin Tone ◽  
Classification Systems ◽  
Skin Tightening ◽  
Fat Deposits ◽  
Proper Patient Selection ◽  
Fat Removal

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.

scholarly journals Management of Scarring Following Aesthetic Surgery

2020 ◽  
pp. 385-395
Author(s):  
Alexandra Chambers
Keyword(s):  
Patient Selection ◽  
Cosmetic Surgery ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Care Process ◽  
Preoperative Preparation ◽  
Proactive Management ◽  
Proper Patient Selection ◽  
Tissue Healing ◽  
The Aesthetic

AbstractPatients undergo cosmetic surgery to improve their appearance and so, even though surgical scars cannot be avoided, they must be minimized as part of the aesthetic care process. The challenge is to make scars as inconspicuous as possible, and there are many techniques to be considered, including proper patient selection, preoperative preparation, the choice of surgical techniques, and postoperative care. The proactive management of tissue healing with prophylaxis of pathological scarring is particularly important. As the scarring process passes through multiple phases over a 6-week to 6-month period, cosmetic surgeons should not only plan to prepare patients well in advance of surgery but also be prepared to provide support to patients well after.

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