Background and Objective

Abdominoplasty and liposuction are among the surgical techniques used for body modeling. The biochemical variations of lipid metabolism play an important role when applying these surgical techniques. Lipids as insoluble components in water, have to be transported in the body linked to other molecules called lipopoproteins, which are the fractions taken into account in our study.

Our general objective is to determine the variation of lipid fractions in patients undergoing abdominoplasty in Dr. Salvador Bienvenido Gautier Hospital (Dominican Republic) between January- May 2018.

Methods

A descriptive, prospective and cross-sectional study was conducted in 15 female patients aged between 25-44 years and a with body mass index below 34.9 kg / m2, who underwent conventional abdominoplasty plus flank liposuction, studying pre-surgical lipid profile the previous day and 30 days post-surgical.

Results

In relation to age, triglyceride levels below 35 years showed an increase in post-surgery and above 35 years a decrease was observed. Regarding the level of LDL in patients under 30 years and over 40 an increase was observed and between 30-40 decrease was observed. The lipid fractions decreased but not significantly in the cases of liposuction from 500 to 1499 ml. of aspirated fat, and increased in the cases from 2000 to 2500 ml. 30 days after surgery. Triglycerides and total cholesterol decreased in overweight and obese patients and increased in patients with normal body mass index. Total cholesterol was the lipid fraction with the highest rate of reduction at 30 days post-surgery.

Conclusions

Abdominoplasty plus liposuction produces a mobilization of lipid fractions, so clinically we should be moderate in liposuction and individualize cases that exceed 2000 ml. to control the fractions of lipids and take the necessary corrective measures in each patient.

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