Subscribe to RSS
DOI: 10.1055/s-0044-1801794
LipoCodes Methodology: Objective Control of Infiltrated and Aspirated Volumes in Liposuction
Article in several languages: português | English Financial Support The author declares that he did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.Ensaios Clínicos Não. | Clinical Trials None.
Abstract
Background Liposuction techniques, technologies, publications, and scientific events evolve continuously seeking better, more predictable outcomes with maximum potential safety. However, there are no references to objective volume controls for more precise and predictable liposuction outcomes. These objective parameters could improve outcomes and safety, leading to the development of a methodology to obtain objective safety information to support fluid replacement and control regional and total aspirated volumes, thus optimizing surgical time. The present study aimed to describe a method called LipoCodes to measure infiltrated and aspirated volumes, surgical time, and speed in liposuction and fat grafting procedures.
Materials and Methods The LipoCodes methodology relies on four main parameters: fat deposit and graft regions; liposuction depth levels; access portals (incisions); and infiltrated and aspirated volume control.
Results The LipoCodes methodology controls infiltrated, fat suction, and fat graft volumes for each previously defined region as well as liposuction speed.
Discussion The LipoCodes methodology systematizes liposuction regardless of the equipment and preferred technique of each plastic surgeon. The goal is to make liposuction more controlled, objective, didactic, educational, and predictable.
Conclusion The LipoCodes methodology uses simple equipment to measure each milliliter of infiltrated, aspirated, and grafted volumes from previously defined body regions. This information provides objective parameters, volume control in liposuction, and surgical time control.
Author's Contributions
RSG: data analysis and/or interpretation; final manuscript approval; data collection; conceptualization; study conception and design; resource management; project management; methodology; performance of operations and/or experiments; writing – original draft preparation, writing – review & editing; software; supervision; validation; and visualization.
Publication History
Received: 29 March 2024
Accepted: 29 September 2024
Article published online:
10 February 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Rogerio Schützler Gomes. Metodologia LipoCodes: Controle objetivo de volumes infiltrados e aspirados em lipoaspiração. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00441801794.
DOI: 10.1055/s-0044-1801794
-
Referências
- 1 Sood J, Jayaraman L, Sethi N. Liposuction: Anaesthesia challenges. Indian J Anaesth 2011; 55 (03) 220-227
- 2 Cucchiaro JV. Abdominal etching: Surgical technique and outcomes. Plast Reconstr Surg 2020; 145 (02) 454e
- 3 Durán Vega HC, Lopez Echaury A, Flores E. The Energy a Plastic Surgeon Expends during Liposuction. Plast Reconstr Surg Glob Open 2023; 11 (05) e5001
- 4 Hoyos A, Perez ME, Guarin DE, Montenegro A. A report of 736 high definition lipoabdominoplasties performed in conjunction with circumferential Vaser liposuction. Plast Reconstr Surg 2018; 142 (03) 662-675
- 5 Gomes RS, Mattiello CM, Rendon NB, Garcia EB, Gomes HFC, Ferreira LM. Lipoaspiração de Alta Definição e Tubos de Silicone. Rev Bras Cir Plást 2018; 33 (04) 567-571
- 6 Gomes RS, Nicolau GV. Abdominal Liposuction: Evolving from high to medium definition. Rev Bras Cir Plást 2021; 36 (02) 1-11
- 7 Nagy MW, Vanek Jr PF. A multicenter, prospective, randomized, single-blind, controlled clinical trial comparing VASER-assisted Lipoplasty and suction-assisted Lipoplasty. Plast Reconstr Surg 2012; 129 (04) 681e-689e
- 8 Danilla S, Babaitis RA, Jara RP. et al. High-Definition Liposculpture: What are the Complications and How to Manage Them?. Aesthetic Plast Surg 2020; 44 (02) 411-418
- 9 Pereira-Netto D, Montano-Pedroso JC, Aidar ALES, Marson WL, Ferreira LM. Laser-Assisted Liposuction (LAL) Versus Traditional Liposuction: Systematic Review. Aesthetic Plast Surg 2018; 42 (02) 376-383
- 10 Cohen SR, Weiss ET, Brightman LA. et al. Quantitation of the results of abdominal liposuction. Aesthet Surg J 2012; 32 (05) 593-600
- 11 Lipp MB, Butterwick K, Angra K, Chunhara C, Goldman MP. Evaluation of Long-Term Outcome and Patient Satisfaction Results After Tumescent Liposuction. Dermatol Surg 2020; 46 (Suppl. 01) S31-S37
- 12 Cansancao AL, Condé-Green A, David JA, Cansancao B, Vidigal RA. Use of Tranexamic Acid to Reduce Blood Loss in Liposuction. Plast Reconstr Surg 2018; 141 (05) 1132-1135
- 13 Rodríguez-García FA, Sánchez-Peña MA, de Andrea GT. et al. Efficacy and Safety of Tranexamic Acid for the Control of Surgical Bleeding in Patients Under Liposuction. Aesthetic Plast Surg 2022; 46 (01) 258-264
- 14 Willet JW, Alvaro AI, Ibrahim AK, Javed MU. A Systematic Review of Efficacy and Complications of High-Definition Liposuction. Plast Reconstr Surg 2023; 152 (01) 57-63
- 15 Nogueira FVM, Coelho GVBF, Da Silveira Junior VF, De Andrade CZN, Hetem CMC, Farina Junior JÁ. Liposuction and fat embolism: a literature review. Rev Bras Cir Plást 2015; 33 (04) 511-517
- 16 Cantarelli J, Godoy MF. Safe limits for aspirate volume under wet liposuction. Obes Surg 2009; 19 (12) 1642-1645
- 17 Kaoutzanis C, Gupta V, Winocour J. et al. Cosmetic Liposuction: Preoperative Risk Factors, Major Complication Rates, and Safety of Combined Procedures. Aesthet Surg J 2017; 37 (06) 680-694
- 18 Rohrich RJ, Avashia YJ, Savetsky IL. Cosmetic Surgery Safety: Putting the Scientific Data into Perspective. Plast Reconstr Surg 2020; 146 (02) 295-299
- 19 Wu S, Coombs DM, Gurunian R. Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleve Clin J Med 2020; 87 (06) 367-375
- 20 Kanapathy M, Pacifico M, Yassin AM, Bollen E, Mosahebi A. Safety of Large-Volume Liposuction in Aesthetic Surgery: A Systematic Review and Meta-Analysis. Aesthet Surg J 2021; 41 (09) 1040-1053
- 21 Rubino C, Marongiu F, Manzo MJ. et al. A simple and cheap system to speed up and to control the tumescent technique procedure: the Tedde's system. Eur Rev Med Pharmacol Sci 2014; 18 (11) 1647-1648
- 22 Bukret WE, Alonso GF. Use of 3D geometrical models to improve efficacy and safety of Laser-assisted liposuction: a prospective study. Rev Bras Cir Plást 2015; 30 (03) 381-390
- 23 Harutyunyan R, Gilardino MS, Papanastasiou VW, Jeffries SD, Hemmerling TM. Ultrasound Calculation of Fat Volume for Liposuction: A Clinical Software Validation. Aesthet Surg J 2023; 43 (10) 1150-1158
- 24 Gu Y, Kang N, Lv Q. et al. Application of a Proposed Multi-Positional Circumferential Arm Liposuction Method and Quantification of its Clinical Efficacy Evaluation. Aesthetic Plast Surg 2021; 45 (03) 1115-1124
- 25 Barros LFL, Teixeira VF, Reis Júnior JAP, Ferraz RA, Araújo DC, Vendramin FS. Complications in liposuction: systematic review. Rev Bras Cir Plást 2023; 38 (01) 1-10
- 26 Mentz III HA, Gilliland MD, Patronella CK. Abdominal etching: differential liposuction to detail abdominal musculature. Aesthetic Plast Surg 1993; 17 (04) 287-290
- 27 Hoyos AE, Millard JÁ. VASER-assisted high-definition liposculpture. Aesthet Surg J 2007; 27 (06) 594-604
- 28 Almeida ARH, Mafra AVC, Araújo GKM. Methodology for analysis of results in liposuction. Rev Bras Cir Plást 2011; 26 (02) 288-292