Liposuction for Lipedema: Functional Therapy or Aesthetic Procedure?
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Liposuction for Lipoedema: Functional Therapy or Aesthetic Procedure? Iakovos Georgiou1
•
Philipp Kruppa1 • Jeremias Schmidt1 • Mojtaba Ghods1,2
Received: 24 June 2020 / Accepted: 29 July 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Liposuction is one of the most common procedures undertaken in plastic surgery with a steadily increasing trend over the years. Although usually performed as an aesthetic procedure for body contouring, it can also be utilized in specific patient groups for disease symptom reduction. One such disease entity is lipedema. The goal of this video to present the authors’ technique in the surgical treatment of lipedema, and to offer the viewer a better understanding of the differences between an aesthetic liposuction and a functional liposuction as performed on a lipedema patient. Between July 2009 and July 2019, 106 lipedema patients have been treated in the authors’ specialized lipedema clinic, with a total of 298 liposuction procedures and a median follow-up of 20 months. The mean amount of lipoaspirate was 6354.73 ml (± 2796.72 ml). The patients reported a significant reduction in lipedema-associated complaints and improvement in quality of life. The need for conservative therapy was significantly reduced. No serious complications were reported. The authors also present before and after photographs of three patients.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01910-z) contains supplementary material, which is available to authorized users. & Iakovos Georgiou [email protected] 1
Department of Plastic, Aesthetic and Reconstructive Microsurgery/Hand surgery, Academic Teaching Hospital of the Charite´ – University Medicine Berlin, Germany, Klinikum Ernst von Bergmann, Charlottenstraße 72, 14467 Potsdam, Germany
2
Center for Sports Medicine, University of Potsdam, Potsdam, Germany
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 Lipedema Lipoedema Liposuction Megaliposuction Compliance with Ethical Standards Conflict of interest The authors declare that they have no conflicts of interest to disclose. Human and Animal Rights This article does not contain any studies with human participants or animals performed by any of the authors. Informed Consent Assigned informed consent from the patient depicted in the video was obtained.
References 1. Dadras M, Mallinger P, Corterier C, Theodosiadi S, Ghods M (2017) Liposuction in the treatment of lipedema: a longitudinal study. Arch Plast Surg 44(4):324–331 2. Ghods M, Kruppa P (2018) Surgical treatment of lipoedema. Handchir Mikrochir Plast Chir 50(6):400–411 3. Kruppa P, Georgiou I, Biermann N, Prantl L, Klein-Weigel P, Ghods M (2020
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