EC Cardiology

Review Article Volume 10 Issue 4 - 2023

Hyperadiposity: Liposuction Applications in Weight Loss and Conditions Related to Excess Body Fat

ND Victor Carsrud1†, Nicholas A Kerna2,3*†, Hilary M Holets4, Dabeluchi C Ngwu5,6, Sudeep Chawla7, John V Flores4, Kevin D Pruitt8,9 , Joseph Anderson II10 and Cornelius I Azi11

1Lakeline Wellness Center, USA

2Independent Global Medical Research Consortium

3First InterHealth Group, Thailand

4Orange Partners Surgicenter, USA

5Cardiovascular and Thoracic Surgery Unit, Department of Surgery, Federal Medical Center, Umuahia, Nigeria

6Earthwide Surgical Missions, Nigeria

7Chawla Health & Research, USA

8Kemet Medical Consultants, USA

9PBJ Medical Associates, LLC, USA

10International Institute of Original Medicine, USA

11Northern Care Alliance NHS Foundation Trust, UK

*Corresponding Author: Nicholas A Kerna†, (mailing address) POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500. Contact: medpublab+drkerna@gmail.com † indicates co-first author
Received: January 10, 2023; Published: March 09, 2023



Liposuction is a safe cosmetic procedure for body contouring that removes excess fat and reshapes the body parts. It is a well-known and helpful body contouring procedure that uses quick, safe, and minimally invasive techniques to remove unwanted fat deposits. The removal of excess fat reduces the risk of heart disease, stroke, diabetes, and other fat-associated health problems associated with fat while enhancing the patient’s self-esteem. This review aims to investigate and summarize the historical, contemporary, and future vision of liposuction techniques, their application, benefits, and risks in weight loss and various health conditions. Also, this paper provides a concise overview of liposuction vs. bariatric surgery in weight loss.

Keywords: Adipose Tissue; Bariatric Surgery; Body Contouring; Cosmetic Procedure; Rapid Weight Loss Techniques; Removing Excess Fat

  1. Sterodimas F Boriani., et al. “Thirty-four years of liposuction: past, present and future”. European Review for Medical and Pharmacological Sciences 16 (2012): 393-406. https://pubmed.ncbi.nlm.nih.gov/22530358/
  2. Goyal NN., et al. “History of dermatologic liposuction and autologous fat grafting-Review”. Dermatological Reviews4 (2021): 159-169. https://onlinelibrary.wiley.com/doi/full/10.1002/der2.81
  3. Juma A., et al. “The safe evolution of liposuction into liposculpture”. In: Enhanced Liposuction - New Perspectives and Techniques. Intech Open (2022). https://cdn.intechopen.com/pdfs/76356.pdf
  4. Coleman WP III. “The history of liposuction and fat transplantation in America”. Clinics in Dermatology4 (1999): 723-727. https://pubmed.ncbi.nlm.nih.gov/10526704/
  5. Hanke CW., et al. “Key moments in the history of liposuction by dermatologists”. Journal of Drugs in Dermatology9 (2022): 997-1000. https://jddonline.com/articles/key-moments-in-the-history-of-liposuction-by-dermatologists-S1545961622P0997X
  6. Ramesh S. “Tumescent technique for local anesthesia improves safety in large-volume liposuction”. In: Foundational Papers in Oculoplastics. Springer International Publishing (2022): 45-52. https://journals.lww.com/plasreconsurg/Abstract/1993/11000/Tumescent_Technique_for_Local_Anesthesia_Improves.14.aspx
  7. Bagatin D., et al. “VASER Liposuction-How to Get Natural Results with Ultrasound Assisted Liposuction?” In: Enhanced Liposuction-New Perspectives and Techniques. Intech Open (2021). https://www.intechopen.com/chapters/78675
  8. Rosique RG and Rosique MJF. “Augmentation gluteoplasty: A Brazilian perspective”. Plastic and Reconstructive Surgery4 (2018): 910-919. https://pubmed.ncbi.nlm.nih.gov/29979370/
  9. Zochhi M. “Ultrasonic liposculpturing”. Aesthetic Plastic Surgery 16 (1992): 287-298. https://pubmed.ncbi.nlm.nih.gov/1414652/
  10. McBean JC and Katz BE. “Laser lipolysis: an update”. The Journal of Clinical and Aesthetic Dermatology 4 (2011): 25-34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140909/
  11. Jewell ML., et al. “Clinical application of VASER–assisted lipoplasty: a pilot clinical study”. Aesthetic Surgery Journal 22 (2002): 131-146. https://pubmed.ncbi.nlm.nih.gov/19331963/
  12. Setta H., et al. “YAG laser versus ultrasound assisted liposuction in the management of grade II gynecomastia (comparative study)”. The Egyptian Journal of Plastic and Reconstructive Surgery3 (2020): 469-474. https://ejprs.journals.ekb.eg/article_68198.html
  13. Hoyos A., et al. “A report of 736 high-definition lipoabdominoplasties performed in conjunction with circumferential VASER liposuction”. Plastic and Reconstructive Surgery3 (2018): 662-675. https://pubmed.ncbi.nlm.nih.gov/29878992/
  14. Zocchi ML., et al. “Regenerative technologies and adipose-derived stem cells (ADSCs): Regulatory, ethical, and technical updates”. In: Plastic and Aesthetic Regenerative Surgery and Fat Grafting. Springer International Publishing (2022): 109-121. https://link.springer.com/chapter/10.1007/978-3-030-77455-4_9
  15. Hoffner M., et al. “Liposuction gives complete reduction of arm lymphedema following breast cancer treatment-A 5-year prospective study in 105 patients without recurrence”. Plastic and Reconstructive Surgery-Global Open8 (2018): e1912. https://pubmed.ncbi.nlm.nih.gov/30324078/
  16. Kucharz EJ., et al. “Dercum’s disease adiposis dolorosa): a review of clinical presentation and management”. Reumatologia5 (2019): 281-287. https://pubmed.ncbi.nlm.nih.gov/31844341/
  17. Palumbo P., et al. “Dercum’s Disease or Adiposis Dolorosa: A Complex Condition Still Awaiting Full DeOinition”. International Union of Aesthetic Medicine UIME (2021). https://www.healthline.com/health/dercums-disease
  18. Sarla GS. “Epidemiology of subcutaneous lipomas”. Online Türk Sağlık Bilimleri Dergisi3 (2019): 350-359. https://dergipark.org.tr/en/pub/otjhs/issue/48663/470122
  19. Al-basti HA and El-Khatib HA. “The use of suction-assisted surgical extraction of moderate and large lipomas: long-term follow-up”. Aesthetic Plastic Surgery 26 (2002): 114-117. https://pubmed.ncbi.nlm.nih.gov/12016495/
  20. Fotiadis A., et al. “Giant Posttraumatic Angiolipoma of the Forearm: A Case Report and Review of the Literature”. Case Reports in Orthopedics (2021). https://pubmed.ncbi.nlm.nih.gov/34336328/
  21. Borman P. “Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists”. Turkish Journal of Physical Medicine and Rehabilitation3 (2018): 179-197. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657795/
  22. Bosompra K., et al. “Knowledge about preventing and managing lymphedema: a survey of recently diagnosed and treated breast cancer patients”. Patient Education and Counseling2 (2002): 155-163. https://pubmed.ncbi.nlm.nih.gov/12191539/
  23. Schaverien MV., et al. “Liposuction for chronic lymphoedema of the upper limb: 5 years of experience”. Journal of Plastic, Reconstructive and Aesthetic Surgery07 (2012): 935-942. https://pubmed.ncbi.nlm.nih.gov/22373827/
  24. Hoffner M., et al. “Liposuction gives complete reduction of arm lymphedema following breast cancer treatment- A 5-year prospective study in 105 patients without recurrence”. Plastic and Reconstructive Surgery-Global Open8 (2018): e1912. https://www.researchgate.net/publication/327085751_Liposuction_Gives_Complete_Reduction_of_Arm_Lymphedema_following_Breast_Cancer_Treatment-A_5-year_Prospective_Study_in_105_Patients_without_Recurrence
  25. Karlsson T., et al. “Liposuction of Breast Cancer-Related Arm Lymphedema Reduces Fat and Muscle Hypertrophy”. Lymphatic Research and Biology1 (2022): 53-63. https://www.researchgate.net/publication/349769905_Liposuction_of_Breast_Cancer-Related_Arm_Lymphedema_Reduces_Fat_and_Muscle_Hypertrophy
  26. Peprah K., et al. “Canadian Agency for Drugs and Technologies in Health”. Liposuction for the Treatment of Lipedema: A Review of Clinical Effectiveness and Guidelines (2019). https://en.wikipedia.org/wiki/Canadian_Agency_for_Drugs_and_Technologies_in_Health
  27. Chang DW., et al. “Surgical Treatment of Lymphedema: A Systematic Review and Meta-Analysis of Controlled Trials. Results of a Consensus Conference”. Plastic and Reconstructive Surgery4 (2021): 975-993. https://pubmed.ncbi.nlm.nih.gov/33761519/
  28. Schaverien MV and Coroneos CJ. “Surgical Treatment of Lymphedema”. Plastic and Reconstructive Surgery3 (2019): 738-758. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144713/
  29. Brorson H. “Liposuction in Lymphedema Treatment”. Journal of Reconstructive Microsurgery1 (2016): 56-65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891650/
  30. Schaverien MV., et al. “Liposuction Treatment of Lymphedema”. Seminars in Plastic Surgery1 (2018): 42-47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891650/
  31. Hsu KC and Wang KY. “Sparing subcutaneous septa avoids skin necrosis in the treatment of axillary bromhidrosis with suction-curettage shaving”. Journal of Cosmetic Dermatology3 (2019): 892-896. https://pubmed.ncbi.nlm.nih.gov/30094912/
  32. Lee DG., et al. “A phase 3, randomized, multi-center clinical trial to evaluate the efgicacy and safety of Neu-BoNT/A in treatment of primary axillary hyperhidrosis”. Aesthetic Plastic Surgery3 (2022): 1400-1406. https://pubmed.ncbi.nlm.nih.gov/35132458/
  33. Centurión P., et al. “Optimizing harvesting for facial lipografting with a new photochemical stimulation concept: One STEP technique”. European Journal of Plastic Surgery 43 (2020): 733-742. https://link.springer.com/article/10.1007/s00238-020-01643-x
  34. Hammond SE., et al. “Filling in the details: A review of lipogilling of radiated tissues in the head and neck”. Journal of Craniofacial Surgery3 (2019): 667-671. https://journals.lww.com/jcraniofacialsurgery/fulltext/2019/05000/filling_in_the_details__a_review_of_lipofilling_of.14.aspx
  35. Hegedus F., et al. “Radiation dermatitis: an overview”. International Journal of Dermatology9 (2017): 909-914. https://pubmed.ncbi.nlm.nih.gov/27496623/
  36. Costantino A., et al. “Lipogilling in skin affected by radio dermatitis: clinical and ultrasound aspects”. Case Report 33 (2012): 186-190. https://pubmed.ncbi.nlm.nih.gov/22709457/
  37. Reuben CM., et al. “Power-assisted suction lipectomy of fasciocutaneous glaps in the extremities”. Annals of Plastic Surgery1 (2010): 60-65. https://pubmed.ncbi.nlm.nih.gov/20548220/
  38. Hallock G. “The free glap man: An heroic 50-year odyssey via multiple glaps”. Microsurgery1 (2022): 66-70. https://pubmed.ncbi.nlm.nih.gov/34773421/
  39. Parashar S and Venkataram A. “Aesthetic subunits of the trunk: Anatomy and behavior of skin and adipose tissue in each unit for better outcomes in liposuction”. Indian Journal of Plastic Surgery2 (2018): 115-122. https://pubmed.ncbi.nlm.nih.gov/30505080/
  40. Mayoclinic (2022). https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586
  41. Cameron C. “Can fat return after liposuction?” American Society of Plastic Surgeons (2017). https://www.plasticsurgery.org/news/blog/can-fat-return-after-liposuction
  42. Sommer B and Sattler G. “Indications and contraindications for liposuction. In: Series in Cosmetic and Laser Therapy”. Informa Healthcare (2007): 61-71. https://cosmoderma.org/indications-and-techniques-of-liposuction/
  43. Bandoim L. “Is liposuction safe?” Healthline (2017). https://www.healthline.com/health/is-liposuction-safe
  44. Mayoclinic (2022). https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586
  45. Liposuction Market. Futuremarketinsights (2022).
  46. Data bridge market research, Global Liposuction Devices Market – Industry Trends and Forecast to 2029 (2023).
  47. Sugerman HJ., et al. “Gastric bypass for treating severe obesity”. The American Journal of Clinical Nutrition2 (1992): 560S-566S. https://pubmed.ncbi.nlm.nih.gov/1733127/
  48. Mayoclinic, Bariatric surgery (2023). https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258
  49. Mayoclinic, Gastric bypass (roux-en-Y) (2022). https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189
  50. Hopkinsmedicine, BPD/DS weight-loss surgery (2022).
  51. Andalib A., et al. “Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S): short-term outcomes from a prospective cohort study”. Surgery for Obesity and Related Diseases2 (2021): 414-424. https://pubmed.ncbi.nlm.nih.gov/20798995/

Carsrud NDV, Kerna NA, Holets HM, Ngwu DC, Chawla S, Flores JV, Pruitt KD, Anderson II, J, Azi CI. “Hyperadiposity: Liposuction Applications in Weight Loss and Conditions Related to Excess Body Fat”. EC Cardiology  10.4 (2023): 03-15.