Four-Position Four-Entry Site Circumferential Arm Liposuction: Technique Overview and Experience
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ORIGINAL ARTICLE
BODY CONTOURING
Four-Position Four-Entry Site Circumferential Arm Liposuction: Technique Overview and Experience Vasileios Vasilakis1 • Matthew H. Isakson1 • Feras Yamin2 • Bill G. Kortesis1,3 Gaurav Bharti1 • Joseph P. Hunstad1,3
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Received: 24 April 2020 / Accepted: 26 June 2020 Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background In attempting to overcome the challenges associated with arm contouring, arm liposuction has been an area of focus in recent years. In appropriately selected patients, circumferential liposuction is the procedure of choice. The objective of this study is to describe our experience with the four-position four-entry site circumferential arm liposuction technique. Methods All consecutive circumferential liposuction procedures that took place at our ambulatory surgical facility from January 2015 to November 2019 were retrospectively reviewed. The four-position four-entry site circumferential arm liposuction technique is described, and photographs as well as videos are presented. Results A total of 35 patients underwent circumferential bilateral arm liposuction via the four-position four-entry site technique. All patients were female, and their average age was 43 years. The average BMI was 28.4 kg/m2, and the average follow-up was 481 days. The average volume of lipoaspirate was 1,514 ml per patient, and the average volume of aspirated fat was 1,052 ml per patient. There
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01857-1) contains supplementary material, which is available to authorized users. & Vasileios Vasilakis [email protected] 1
Hunstad Kortesis Bharti Plastic Surgery Center, Charlotte, NC, USA
2
Division of Plastic Surgery, Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA
3
Division of Plastic Surgery, University of North Carolina, Chapel Hill, NC, USA
was no incident of infection, seroma, bleeding event or venous thromboembolism. Conclusions For the right candidate, the four-entry site four-position circumferential arm liposuction is an efficient and reproducible technique, which produces predictable and pleasing results. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Circumferential arm liposuction Arm contouring Liposuction
Introduction Arm contouring procedures offer significant challenges as they are associated with high rates of asymmetry, contour irregularities, over- or under-treatment of the lipodystrophy, redundant skin, or both [1–3]. To guide surgical decision making, several algorithms and classification systems have been proposed [4–6] Arm liposuction has been an area of focus ever since, particularly in light of high complication
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