Aesthetic surgery journal
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Aesthetic surgery journal · Mar 2009
Randomized Controlled TrialEfficacy of lidocaine for pain control in subcutaneous infiltration during liposuction.
Liposuction remains the most commonly performed aesthetic surgical procedure in the United States. Preoperative infiltration of the subcutaneous tissues with a wetting solution has become standard. These solutions typically contain some amount of lidocaine for pain control. High doses of lidocaine have been demonstrated to be safe, but large amounts of this cardioactive agent during elective cosmetic procedures may be unnecessary. ⋯ Decreasing concentrations of lidocaine in infiltrative wetting solutions did not significantly affect intraoperative anesthesia requirements or postoperative pain with liposuction. Lower concentrations of lidocaine can effectively be used, use of any lidocaine may be unnecessary. Future investigations may examine whether total elimination of lidocaine yields similar results in terms of anesthesia requirements and postoperative pain.
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Aesthetic surgery journal · Mar 2009
Safe and consistent outcomes of successfully combining breast surgery and abdominoplasty: an update.
Combined cosmetic procedures have become increasingly popular. One of the most common combinations of cosmetic procedures includes abdominoplasty and cosmetic breast surgery. The shortened recovery and financial savings associated with combined surgery contribute to the increased demand for these combined surgeries. ⋯ Combined abdominoplasty and cosmetic breast surgery was safe and effective in this large series of cases performed at a single plastic surgery practice. The complication and revision rates of the combined surgery were similar to those reported for individually staged procedures.
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A 34-year-old woman developed a chyle leak after removal and replacement of her breast prostheses. This is the first such case reported in the literature. We discuss the diagnosis and management of this rare and interesting case.