Mega-Liposuction with High Definition Concepts

Background:

Liposuction, being one of the most prevalent cosmetic methods performed worldwide, still has a significant debate on how much liposuction can be accomplished in one session. Essentially this needs to be done without affecting patient’s satisfaction, the adequacy of the results and maintaining the patient’s safety.

Patients and methods:

This is a prospective case series performed by the authors in a private practice. All our patient had mega liposuction sessions (more than 8 liters) using Power-assisted Liposuction (PAL) with Lipomatic© by Euromai and VASER©. Tumescent infiltration was used. Fifty patients (21 females and 29 males) participated in this study after providing their informed consent with age (range from 21 to 50) and (BMI) range from 28 to 40.  Exclusion criteria included patients with Hemoglobin level less than 12gm/ml, medical/family history of coagulopathy. Patients with history of previous liposuction were also excluded (including Redo and revision cases). 

Results:

The minimum percent of the amount of fat aspirated of body weight during the procedure was 7% and the maximum was 22%.  Incidence of anemia was 8% of cases.  The Results were evaluated by patient’s satisfaction score (from 0 to 30). 41 patients reported a score of (25-30), 5 reported (20-25), 2 reported (15-20) and 2 reported (10-15). The latter 4 patients had minor complications like Seroma and excessive fatigue and tiredness.

Conclusion:

Mega liposuction is a demanding procedure by both the surgeon and the patient to achieve the best results and contour. With adequate planning, patient selection and adequate setting, Mega-liposuction can be very pleasing and a safe procedure performed with up to 25 liters of fluid aspirated.

2. Iverson RE, Lynch MD, and the ASPS Committee on Patient Safety. Practice advisory on liposuction. Plast Reconstr Surg. 2004;113:1478–1485.
3. Albin R, de Campo T. Large-volume liposuction in 181 patients. Aesthetic Plast Surg. 1999;23:5–15.
4. Commons GW, Halperin B, Chang CC. Large-volume liposuction: a review of 631 consecutive cases over 12 years. Plast Reconstr Surg. 2001;108:1753–1763.
5. Klassen AF, Cano SJ, Alderman A, Soldin M, Thoma A, Robson S, et al. The BODY-Q: A Patient-Reported Outcome Instrument for Weight Loss and Body Contouring Treatments. Plast Reconstr Surg Glob Open [Internet]. 2016 Apr 13 [cited 2017 Nov 10];4(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859238/
6. Cárdenas-Camarena L, Tobar-Losada A, Lacouture AM. Large-volume circumferential liposuction with tumescent technique: a sure and viable procedure. Plast Reconstr Surg.1999 Nov;104(6):1887-99.
7. Dhami LD, Agarwal M. Safe total corporal contouring with large-volume liposuction for the obese patient. Aesthetic Plast Surg.2006 Sep-Oct;30(5):574-88.