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Cirugía Plástica Ibero-Latinoamericana

versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892

Resumo

SERRA RENOM, J.Mª; VILA ROVIRA, R.  e  RECALDE, M.. Liposuction in reconstructive surgery (undermine of cutaneous and miocutaneous flaps, exeresis of fat deposits and autologous fat transplantation). Cir. plást. iberolatinoam. [online]. 2013, vol.39, suppl.1, pp.s130-s137. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000500023.

Surgery of the forms is an important part of plastic surgery. Occasionally, the presence of adipose masses will interfere in certain reconstructive procedures. This is specifically true for breast surgery in reductive or reconstructive techniques. Suction lipectomy is an interesting procedure for the exeresis of fat deposits, and can also be used as an ancillary treatment in many other procedures. It is also of great use in the remodeling of skin flaps performed with a pedicle or microsurgically, as well as for myocutaneous and muscular flaps. In performing the remodeling, it is also convenient to undermine and release the edges of the flap from the peripheral scar, in order to facilitate the "lifting" procedure. The instrument set for the transplantation of autologus adipose tissue is presented. The trasnplant of fat can fill and raise depressed areas, and it must be done in an over-corrective fashion by injection into a closed preformed pouch. Thse adipose trasnplants have been followed and controlled by external assessment and biopsy, revealing a 20-30o per cent resorption of transplanted tissue, and capsule formation.

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