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Endovenous laser ablation is a reliable treatment for varicose veins, but traditional infiltration with sharp needles often causes discomfort and increases the risk of tissue or nerve injury. Motivated by the need for a safer and more comfo…

[OBJECTIVE] To evaluate the clinical efficacy and patient satisfaction of high-speed rotary cutter combined with endoscopy for the treatment of nuchal fat pads. [METHODS] A total of 68 adult patients with hypertrophic nuchal fat pads were …

[BACKGROUND] The TARD technique (Tumescent anesthesia, sharp cannula Release, Debulking) achieves satisfactory outcomes in mild-to-moderate fibrofatty dorsocervical hump, but shows limitations in fibrous-dominant subtype. [OBJECTIVES] To i…

The buffalo hump, characterized by abnormal fat and fibrous tissue accumulation in the dorsocervical region, presents both esthetic contours and functional challenges. Based on esthetic subunits, we proposed TARD (tumescent anesthesia, shar…

[OBJECTIVE] Liposuction of the face and neck is a common treatment for fat deposition. If conventional methods are used for tumescent anesthesia, patients will experience pain, affecting their surgery experience. Using general anesthesia fo…

High-definition liposculpture with variable degrees of muscular definition allows both patients and surgeons to broaden the procedure to fit almost any individual preferences; however, skin laxity and those secondary cases still represent a…

This is a retrospective analysis of all lipedema patients treated by tumescent liposuction at our department in the years 2007-2021: We performed 519 liposuctions in 178 patients with a mean age of 45 ± 15.5 years. By the stage of lipedema …

[BACKGROUND] Bleeding, a common intraoperative complication of liposuction, often causes pain and discomfort during recovery. Because of the vasoconstrictive effect of adrenaline in the tumescent solution, bleeding can be reduced; however, …

The use of fast-track surgery pathway has been reported to reduce the stress of operation and accelerate rehabilitation in various surgical specialties. However, there has been a relative dearth of research on this subject for surgical trea…

Gynecomastia, benign enlargement of the male breast is the most common breast pathology amongst males. The most widely used modality of treatment is liposuction under general anesthesia. To date however there is no published study that spec…

Tumescent anesthesia was initially developed as a safer and more effective alternative to general anesthesia in performing liposuction. Today, it is used extensively for a wide variety of surgical procedures performed by various specialties…

Tumescent anesthesia, initially developed as a safer and more effective alternative to general anesthesia in performing liposuction, is used extensively today for a wide array of surgical procedures performed by various specialties. The mak…

Lipedema is a painful disease of subcutaneous adipose tissue leading to bilateral increase of leg and/or arm volume, but sparing hands and feet. Although conservative treatment with complex decongestive therapy has been considered as the fu…

[BACKGROUND] The effect of decantation time on viability and apoptosis in adipocytes has not been described. The objective of the study was to describe viability and apoptosis in adipocytes up to 2 h after harvesting. [METHODS] Twenty pati…

Methemoglobinemia is characterized by an increased level of methemoglobin (MetHb) in the peripheral blood. MetHb levels increase after tumescent anesthesia and need to be monitored. If a patient becomes symptomatic and/or the MetHb levels i…

Tumescent anesthesia makes it feasible to perform liposuction in an office setting. There are often patients who desire extensive liposuction on approximately 30% of total body surface area, which means the potential of fluid overload. In t…

Liposuction is the most popular cosmetic surgical procedure performed in men. Aside from traditional liposuction using the tumescent technique, several energy-assisted liposuction technologies have emerged and been proven safe and particula…

[BACKGROUND] Lipedema is a condition consisting of painful bilateral increases in subcutaneous fat and interstitial fluid in the limbs with secondary lymphedema and fibrosis during later stages. Combined decongestive therapy (CDT) is the st…

Microcannular liposuction in tumescent anesthesia is the most effective treatment for painful lipedema. Tumescent anesthesia is an established and safe procedure in local analgesia when performed according to guidelines. Major adverse effec…

[OBJECTIVE] To investigate the application of facial liposuction and fat grafting in the remodeling of facial contour. [METHODS] From Nov. 2008 to Mar. 2014, 49 cases received facial liposuction and fat grafting to improve facial contours.…