The Effects of Large Volume Liposuction on Body Weight

Document Type : Research article

Authors

1 The Department of Plastic and Reconstructive Surgery, Berket El-Sabae General Hospital

2 Plastic and Reconstructive Surgery Department, Faculty of Medicine, Menoufia University, Egypt

Abstract

Objective: To study the effect of large volume liposuction
on body weight and total body fat in overweight and obese
patients (BMI from 25-35) and in patients with localized
lipodystrophy.
Background: Liposuction has become one of the most
popular cosmetic procedures performed by plastic surgeon.
Method: This study was conducted on 31 patients presented
with localized accumulation of fat either in thigh, abdomen,
back or gluteal region and arms or in generalized overweight
patients with BMI 25-30 and obese patients' class 1 with BMI
30-35 will undergo large volume liposuction in Plastic Surgery
Department, Faculty of Medicine, Menoufia University. All
studied patients were subjected to take a full history, general
examination and local examination (for the area to be suctioned).
Laboratory investigations as: Complete blood counts
(CBC), blood glucose level, kidney function tests, liver
function tests and bleeding profile.
Results: There were statistically significant difference
between preoperative measurements of total body fat and (3
months, 6 months) postoperatively (p < 0.01).
There was statistically significant difference between the
preoperative measurements of visceral fat and postoperative
measurements (after 3 months and 6 months) (p < 0.01).
Conclusion: We found that the large volume liposuction
in our patients, significantly reduces the weight, BMI, total
body fat, visceral fat, circumference of abdomen and gluteal
region.

Keywords

Main Subjects


Gabriel A. and Gingrass M.K.: Large Volume Liposuction
Safety and Indications. CME & Education, Medscape,
2014.
2- Perez R.A.: Liposuction and diabetes type 2 development
risk reduction in the obese patient. Medical hypotheses,
Jan. 1; 68 (2): 393-6, 2007.
3- Evstatiev D. and Boı ˘chev B.: Liposuction in outpatient/oneday
surgery. Khirurgiia, Jan. 1; 60 (6): 13-5, 2004.
4- Dhami L.D. and Agarwal M.: Safe total corporal contouring
with large-volume liposuction for the obese patient.
Aesthetic Plastic Surgery, Oct. 1; 30 (5): 574-88, 2006.
5- Gingrass M.K.: Liposuction. Grabb and smith's plastic
surgery. 6th ed. Philadelphia: Lippincott Williams &
Wilkins, 533-41, 2007.
6- Sailon A.M., Wasserburg J.R., Kling R.R., Pasick C.M.
and Taub P.J.: Influence of large-volume liposuction on
metabolic and cardiovascular health: A systematic review.
Annals of Plastic Surgery, Dec. 1; 79 (6): 623-30, 2017.
7- Saleh Y., El-Oteify M., Tohamy A. and Abd-Elsayed A.A.:
Safety and benefits of large-volume liposuction: A single
center experience. International Archives of Medicine,
Dec. 1; 2 (1): 4, 2009.
8- Greville W.L.: Proposed Safety Guidelines for the Maximum
Volume Fat Removal by Tumescent Liposuction.
InLiposuction (pp. 30-34). Springer, Berlin, Heidelberg,
2006.
9- Shim Y.H. and Zhang R.H.: Literature review to optimize
the autologous fat transplantation procedure and recent
technologies to improve graft viability and overall outcome:
A systematic and retrospective analytic approach.
Aesthetic Plastic Surgery, Aug. 1; 41 (4): 815-31, 2017.
10- Han F., Zhang S., Hou N., Wang D. and Sun X.: Irisin
improves endothelial function in obese mice through the
AMPK-eNOS pathway. American Journal of Physiology-
Heart and Circulatory Physiology, Nov. 309 (9): H1501-
8, 2015.
11- Habib H., Abd Alazeem S. and Abd Alazeem N.: Fasting
Insulin Level Changes after Large Volume Liposuction.
The Egyptian Journal of Hospital Medicine, Oct. 1; 73
(3): 6243-51, 2018.
12- Dhami L.D.: Liposuction. Indian journal of plastic surgery:
Official publication of the Association of Plastic Surgeons
of India, Oct. 41 (Suppl): S27, 2008.
13- Geliebter A., Krawitz E., Ungredda T., Peresechenski E.
and Giese S.Y.: Physiological and psychological changes
following liposuction of large volumes of fat in overweight
and obese women. Journal of Diabetes and Obesity, 2 (4):
1, 2015.
14- Ahmad J., Eaves III F.F., Rohrich R.J. and Kenkel J.M.:
The American Society for Aesthetic Plastic Surgery (ASAPS)
survey: Current trends in liposuction. Aesthetic
Surgery Journal, Feb. 1; 31 (2): 214-24, 2011