Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

2021 ◽  
pp. 074880682110247
Author(s):  
Paul von Waechter-Gniadek ◽  
Thomas Kündig ◽  
Pål Johansen ◽  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Deltoid Muscle ◽  
Fat Grafting ◽  
The Body ◽  
Safe Procedure ◽  
High Definition ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Male Patients ◽  
Satisfaction Rates

In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.

High-Definition Liposculpture in Males Using Power-Assisted Liposuction and Local Anesthesia

2019 ◽  
Vol 37 (2) ◽  
pp. 69-74
Author(s):  
Roland Boeni
Keyword(s):  
Side Effects ◽  
Local Anesthesia ◽  
Deltoid Muscle ◽  
Fat Grafting ◽  
The Body ◽  
High Definition ◽  
Tumescent Solution ◽  
Systemic Side Effects ◽  
Male Patients ◽  
A Prospective Study

In high-definition liposculpture, the body is being shaped in a manner that it creates an athletic appearance and defined, contoured look. Typical areas in the male patient include arms, pectoralis, the area over the serratus muscle, lower back, as well as lateral and medial abdomen. This is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. High-definition liposculpture poses a new challenge to local anesthesia using lidocaine alone. Sufficient analgesia has to be achieved in multiple areas, without reaching systemic toxic levels of lidocaine. To reduce the risk of systemic side effects, we added prilocaine to the tumescent solution. Prilocaine differs from lidocaine in its metabolizing pathway, and combining both anesthetics therefore allows for higher tumescent volumes. In a prospective study, 48 male patients underwent high-definition liposculpture. The mean injected volume was 9.4 L. There were no side effects resulting from the high volumes of tumescent solution. Minor complications included seroma (2); 3 patients required touch-up. To conclude, a combination of lidocaine and prilocaine enables treatment of the entire torso and arms in a single session. Potential systemic effects of each anesthetic, lidocaine and prilocaine, need to be known to the user.

Power-Assisted High Definition Liposuction in Male Patients With or Without VASER: Comparison of Seroma Formation

2021 ◽  
pp. 074880682110324
Author(s):  
Roland Böni ◽  
Paul von Waechter-Gniadek
Keyword(s):  
Lymphatic Drainage ◽  
The Body ◽  
Seroma Formation ◽  
High Definition ◽  
Open Drainage ◽  
At Resonance ◽  
Increased Risk ◽  
Male Patients ◽  
The Difference ◽  
Muscle Groups

In power-assisted high definition liposuction (PA-HDL), large areas of the body surface are treated, followed by superficial aspiration along definition lines between muscle groups. Both factors can contribute to seroma formation. The purpose of this study was to evaluate if the use of vibration amplification of sound energy at resonance (VASER) prior to PA-HDL would increase the frequency of seroma formation. In this retrospective study, 164 male patients underwent PA-HDL with (n = 82) or without VASER (n = 82). No drains were used. Lymphatic drainage was performed in all patients. Seroma formation was determined by physical examination 1 and 2 weeks postoperatively. The incidence of seroma was 11% (n = 9) in the group with VASER treatment prior to PA-HDL, and 4.9% (n = 4) in the group without previous VASER use. The difference was statistically not significant ( P > .05). The most frequent area of seroma formation was at the lower part of the linea semilunaris. PA-HDL has an increased risk of seroma formation, which in our series was mainly located at the lower part of the linea semilunaris. VASER treatment prior to PA-HDL showed a tendency to further increase the risk of seroma formation in an open drainage—no-drains technique, albeit the difference was not statistically significant.

scholarly journals Autologous Fat Grafting to the Breast: An Educational Review

2021 ◽  
Author(s):  
Nicole S Winkler ◽  
Alexander Tran ◽  
Alvin C Kwok ◽  
Phoebe E Freer ◽  
Laurie L Fajardo
Keyword(s):  
Fat Grafting ◽  
The Body ◽  
Breast Cancer Surgery ◽  
Safe Procedure ◽  
Imaging Features ◽  
Imaging Findings ◽  
Fat Necrosis ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Over Time

Abstract Autologous fat grafting (AFG) is a technique that is increasingly utilized in breast cosmetic and reconstructive surgery. In this procedure, fat is aspirated by liposuction from one area of the body and injected into the breast. The procedure and process of AFG has evolved over the last few decades, leading to more widespread use, though there is no standard method. Autologous fat grafting is generally considered a safe procedure but may result in higher utilization of diagnostic imaging due to development of palpable lumps related to fat necrosis. Imaging findings depend on surgical technique but typically include bilateral, symmetric, retromammary oil cysts and scattered dystrophic and/or coarse calcifications when AFG is used for primary breast augmentation. More focal findings occur when AFG is used to improve specific areas of cosmetic deformity, scarring, or pain following breast cancer surgery. As with any cause of fat necrosis, imaging features tend to appear more benign over time, with development of rim calcifications associated with oil cysts and a shift in echogenicity of oil cyst contents on ultrasound towards anechoic in some cases. This article reviews the AFG procedure, uses, complications, and imaging findings.

PATIENT'S SATISFACTION COME FOR EXAMINATION AND REATMENT AT MEDICAL FACILITIES IN VIETNAM. SYSTEM OVERVIEW STUDY, PERIOD 2010-2020

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Tran Thi Ly ◽  
Dang Duc Nhu ◽  
Tran Quoc Thang ◽  
Duong Duy Luong
Keyword(s):  
Health Insurance ◽  
Average Score ◽  
Satisfaction Level ◽  
Information Transparency ◽  
Patient’S Satisfaction ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Research Findings ◽  
Satisfaction Rates ◽  
Relevant Factors

Background: Patient’s satisfaction is a measure of the health facilities’ reputation and quality of health services. Therefore, determining the satisfaction of the patients in the current context is extremely necessary and meaningful. It provides the evidence for quality improvement of health services.Objective: A systematic review to review research findings on the the satisfaction level and relevant factors, analysis of strengths, weaknesses and deficiencies that need to be supplemented by further studies.Methods: Systematic review.Results: Searched and analyzed 32 national studies related to patient satisfaction. The results show that studies were carried out on many different subjects and locations with different levels of satisfactionConclusion: The satisfaction level of patients is quite high (satisfaction rate is over 70%, average score is over 3.5). Factors with high satisfaction rates include: Information transparency; Behavioralattitude and professional capacity of medical staff. Factors with not high satisfaction rates include: Infrastructure; Accessibility; Service results. Relevant factors: Patient’s satisfaction is not / verylittle related to demographic factors such as: Age, occupation, education level, medical examination target (with health insurance / no health insurance). Factors related to the patient’s satisfaction levelinclude: waiting

High Definition Lipoplasty in Male Patients: A Systematic Review of Surgical Techniques and Outcomes

2021 ◽  
Author(s):  
Joseph M Escandón ◽  
Krishna S Vyas ◽  
Oscar J Manrique
Keyword(s):  
Fluid Collection ◽  
Surgical Techniques ◽  
Fat Grafting ◽  
Variable Degree ◽  
High Definition ◽  
Adequate Knowledge ◽  
Ovid Medline ◽  
Proper Training ◽  
Male Patients

Abstract Background Lipoplasty has undergone a series of refinements throughout history. It is now possible to apply superficial suction to enhance the outline of a muscle in order to improve the results of aesthetic lipoplasty. Objectives Herein, we aimed to summarize the available evidence on the techniques and surgical outcomes of high definition lipoplasty (HDL) in male patients. Methods A systematic search across PubMed MEDLINE, Web of Science, Ovid MEDLINE(R) and In-Process and Other Non-Indexed Citations, and SCOPUS was performed in accordance with the PRISMA guidelines. Data regarding the surgical techniques, outcomes and complications, was extracted. Results Thirteen studies comprising 1,280 patients fulfilled the inclusion criteria. The age of patients ranged from 18-71 years. The average BMI was 26.5 kg/m 2. The follow-up ranged from 2 weeks-10 years. The liposculpting concepts reported were abdominal etching, high-definition, muscular sculpture, dynamic definition. Four studies used conventional liposuction, three used VASER-assisted HDL, and six studies used power-assisted liposculpting. Eight studies reported the use of fat grafting. All studies reported the use of postoperative garments and a well-established wound protocol. Overall satisfaction ranged from 84% to 100%. The most common complications reported were fluid collection, hyperpigmentation, contour irregularities, anemia, and port dehiscence. Conclusions A wide variety of techniques are available to perform HDL with a variable degree of definition. A careful patient selection is critical for successful results, as HDL cannot be applied to every patient. Finally, proper training and adequate knowledge of abdominal anatomy is necessary to avoid complications.

scholarly journals Fat Grafting for Hand Rejuvenation

2020 ◽  
Vol 34 (01) ◽  
pp. 047-052 ◽  
Author(s):  
Christopher J. Conlon ◽  
Amjed Abu-Ghname ◽  
Matthew J. Davis ◽  
Kausar Ali ◽  
Sebastian J. Winocour ◽  
...  
Keyword(s):  
Aging Process ◽  
Subcutaneous Fat ◽  
Fat Grafting ◽  
The Body ◽  
Technical Approach ◽  
High Patient Satisfaction ◽  
Pressure Injection ◽  
Active Research ◽  
Satisfaction Rates ◽  
Hand Rejuvenation

AbstractThe hands are one of the most visible parts of the body, and prominent dorsal veins and extensor tendons are the most readily recognized signs of the aging process. Fat grafting has been demonstrated to be a safe and effective method of hand rejuvenation by restoration of subcutaneous fat. Despite some variability in the technical approach, fat grafting techniques are consistent in their use of low-pressure injection with standard cannula sizes, small aliquots of graft, and a total volume of graft greater than or equal to 15 mL per hand. While distribution of the fat is an area of debate and a topic of active research, published studies have shown high patient satisfaction rates, suggesting that perhaps the restoration of volume alone is paramount. In this article, we will review the applications of fat grafting to the hand, focusing primarily on its role in hand rejuvenation.

scholarly journals High Definition Liposculpture in Male Patients Using Reciprocating Power-Assisted Liposuction Technology: Techniques and Results in a Prospective Study

2019 ◽  
Vol 40 (3) ◽  
pp. 299-307 ◽  
Author(s):  
Ahmad N Saad ◽  
Juan Pablo Arbelaez ◽  
Javier De Benito
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Recovery Process ◽  
Safe Procedure ◽  
High Definition ◽  
Level Of Evidence ◽  
Compression Garments ◽  
Full Activity ◽  
Surface Anatomy ◽  
Male Patients

Abstract Background High-definition liposculpture (HDL) consists of techniques developed to emulate an athletic and attractive surface anatomy. Objectives The aim of this study was to describe our experience, including techniques and postoperative outcomes, when performing HDL with power-assisted liposuction (PAL) technology in male patients. Methods In this prospective study PAL was used for fat extraction and to perform HDL. Intraoperative data were collected and the techniques used were recorded. Postoperatively, photographs were taken, and data were collected regarding the use of compression garments and pain medication, return to work and full activity, and satisfaction levels. Results All patients were males, with an average age of 32.3 years and a body mass index of 26.45 kg/m2; the follow-up period averaged 7.6 months. Intraoperatively, all patients received HDL of the chest, abdomen, back, and upper arms, and fat transfer to the chest. The average operative time was 3.4 hours. None of patients had drains left intraoperatively. Postoperatively, all patients were completely off their pain medications by postoperative day 9. They received, on average, 3.7 sessions of lymphatic massage and wore compression garments for an average of 3 weeks. They returned to work 6.1 days after surgery and were back to full activity in 3.2 weeks. Minor complications were reported in 2 patients. Patient satisfaction was on average 9.8 (on a scale of 1-10) at 6 months. Conclusions HDL with PAL technology is a safe procedure that delivers reproducible natural-looking results with high patient satisfaction rates, low risk of complications, and a relatively short and tolerable recovery process. Level of Evidence: 4

scholarly journals Efficacy, safety and complications of autologous fat grafting to the eyelids and periorbital area: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248505
Author(s):  
Fan Yang ◽  
Zhaohua Ji ◽  
Liwei Peng ◽  
Ting Fu ◽  
Kun Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Fat Grafting ◽  
Cochrane Library ◽  
Efficacy And Safety ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Satisfaction Rate ◽  
High Satisfaction ◽  
High Satisfaction Rate

Background In recent years, autologous fat grafting (AFG), also known as fat transfer or lipofilling, has been widely performed for periorbital rejuvenation and defect correction, although the evidence regarding its efficacy and safety is still lacking. Besides, with respect to the periorbital region, it is invariably the earliest appearance area of the facial aging phenomenon. Therefore, a systematic review and meta-analysis is needed to evaluate the efficacy and safety of this technique. Methods A literature search was performed in PubMed, Embase, and the Cochrane library databases on November 20, 2020, adhering to the PRISMA guidelines, to identify all relevant articles. Then, a data extraction and standardization process was performed to assess all outcome data. Ultimately, the data were assessed using a random effects regression model with comprehensive meta-analysis software. Results Thirty-nine studies consisting of 3 cohorts and 36 case series with a total of 4046 cases were included. Meta-analysis revealed a relatively high satisfaction rate of 90.9% (95% CI, 86.4%–94.0%). Frequent complications in 4046 patients receiving AFG were edema, chemosis, and contour irregularity, with an overall complication rate of 7.9% (95% CI, 4.8%–12.8%). Conclusion This systematic review and meta-analysis showed that AFG for rejuvenation of eyelids and periorbital area provided a high satisfaction rate and did not result in severe complications. Therefore, AFG might be performed safely for periorbital rejuvenation and reconstruction.

scholarly journals Valoración del primer curso de implantación de un programa municipal integral de deporte escolar (Evaluation of a Integral School-Sports Program first year development)

Retos ◽  
2015 ◽  
pp. 14-18 ◽  
Author(s):  
Marta González Pascual ◽  
Juan Carlos Manrique Arribas ◽  
Víctor Manuel López Pastor
Keyword(s):  
Ad Hoc ◽  
First Year ◽  
Satisfaction Index ◽  
School Sports ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Satisfaction Rates ◽  
Los Grupos ◽  
Integrated Program ◽  
Very High

El presente artículo aporta los resultados de la evaluación llevada a cabo al final del primer curso de implantación de un programa municipal integral de deporte en edad escolar, especialmente centrados en los índices de satisfacción que ofrecen los diferentes agentes implicados: alumnos, padres, profesores y monitores. Se diseñó un cuestionario «ad hoc» para cada una de las cuatro poblaciones implicadas en el desarrollo del programa: alumnado, familias, profesorado y monitores. Se aplicó en las dos últimas semanas del programa. Los datos fueron analizados con el paquete estadístico SPSS 15.0. Los resultados muestran que, en términos generales, el programa integral de deporte escolar ha generado unos índices de satisfacción bastante elevados en todos los grupos participantes. Se analizan los puntos fuertes y débiles del proyecto respecto a los siguientes aspectos: encuentros de los viernes, uso de las instalaciones, actitud y metodología empleada por los monitores, enfoque que se le da a la actividad físico-deportiva (AFD) e información recibida sobre el proyecto. Conclusión: la evaluación del funcionamiento del programa muestra un índice de satisfacción muy elevado en todos los agentes implicados, aunque aparecen algunos puntos débiles que deberían ser mejorados en los siguientes cursos de aplicación.. Palabra clave: deporte escolar, proyecto investigación, índice de satisfacción, deporte educativo.Abstract: This paper provides the results of the evaluation carried out at the end of the first year of implementation of an integrated municipal scholar-sports project, especially focusing on the satisfaction ratings provided by various stakeholders (students, parents, teachers and monitors). A questionnaire was designed «ad hoc» for each of the four people involved in the development of the program: students, families, teachers and monitors. It was applied in the last two weeks of the program. Data were analyzed with SPSS 15.0. The results show that, overall, the integrated program of scholar-sport has generated very high satisfaction rates in all participating groups. We analyze the strengths and weaknesses of the project on the following aspects: the Friday meetings, use of facilities, attitude and methodology used by the monitors, an approach that is given to exercise regularly (AFD) and information received about the project. Conclusion: The performance evaluation of the program shows a very high satisfaction rate in all the agents involved, although there are some weaknesses that should be improved in the following application.Key words: Scholar-Sports, Project Research, Satisfaction Index, Educational Sport.

scholarly journals Safety and efficacy of polydimethylsiloxane (Macroplastique®) in women with stress urinary incontinence: analysis of data from patients who completed three years follow-up

2021 ◽  
Author(s):  
Gamal Ghoniem ◽  
Bilal Farhan ◽  
Mashrin Lira Chowdhury ◽  
Yanjun Chen
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Serious Adverse Events ◽  
Safety And Efficacy ◽  
Medical Centers ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Time Observation ◽  
The Rose

Abstract Introduction and hypothesis This study aimed to report 3-year completed follow-up of the safety and efficacy of Macroplastique® (MPQ) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). Methods This is a retrospective analysis of all women who completed 3-year follow-up post-MPQ injection(s) at ten medical centers. We used the ROSE registry data report of Macroplastique® [Macroplastique® Real-time Observation of Safety and Effectiveness (ROSE) registry P040050/PAS001 on 2017]. Subjective incontinence outcome and adverse effects were assessed. Results The study included all patients (n = 70) who completed 3-year follow-up after the last MPQ injection. Twenty-four of 70 (34%) patients had two injections; 21/70 (30%) patients reported Stamey grade 0 and 28/70 (40%) reported Stamey grade 1. The overall patient satisfaction was 68% who completed 3-year follow-up. The composite success rate (I-QoL, PGI-S, and Stamey grade improvement) was 51.4%. No serious adverse events (AE) were reported within the completed 3-year follow-up. Conclusions MPQ was found to be safe and efficacious for the treatment of SUI secondary to ISD in women. The overall high satisfaction rate was sustained from baseline to 3 years post-injection. Most complications were minor and transient without sequelae.

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