Table of Contents
Plastic Surgery International
Volume 2015, Article ID 625396, 5 pages
http://dx.doi.org/10.1155/2015/625396
Clinical Study

Combined Liposuction and Excision of Lipomas: Long-Term Evaluation of a Large Sample of Patients

1Department of Surgery, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA
2Division of Nursing, Mount Sinai Beth Israel Medical Center, 245 5th Avenue, New York, NY 10016, USA
3Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, 1001 5th Avenue, New York, NY 10028, USA

Received 12 November 2014; Revised 29 December 2014; Accepted 31 December 2014

Academic Editor: Nicolo Scuderi

Copyright © 2015 Libby R. Copeland-Halperin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Lipomas are benign tumors of mature fat cells. They can be removed by liposuction, yet this technique is seldom employed because of concerns that removal may be incomplete and recurrence may be more frequent than after conventional excision. Objectives. We assessed the short- and long-term clinical outcomes and recurrence of combined liposuction and limited surgical excision of subcutaneous lipomas. Methods. From 2003 to 2012, 25 patients with 48 lipomas were treated with liposuction followed by direct excision through the same incision to remove residual lipomatous tissue. Initial postoperative follow-up ranged from 1 week to 3 months, and long-term outcomes, complications, and recurrence were surveyed 1 to 10 years postoperatively. Results. Lipomas on the head, neck, trunk, and extremities ranged from 1 to 15 cm in diameter. Early postoperative hematoma and seromas were managed by aspiration. Among 23 survey respondents (92%), patients were uniformly pleased with the cosmetic results; none reported recurrent lipoma. Conclusions. The combination of liposuction and excision is a safe alternative for lipoma removal; malignancy and recurrence are uncommon. Liposuction performed through a small incision provides satisfactory aesthetic results in most cases. Once reduced in size, residual lipomatous and capsular tissue can be removed without expanding the incision. These favorable outcomes support wider application of this technique in appropriate cases.