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Semin Plast Surg 1999; 12(1): 75-96
DOI: 10.1055/s-2008-1080206
Focus on Technique

© 1999 by Thieme Medical Publishers, Inc.

Lipocontouring of the Face and Body

Joseph Michael Pober
  • J.M.P., Associate Attending Plastic Surgeon, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons; Clinical Instructor, Department of Surgery (Plastic), College of Medicine, SUNY Health Science Center; Department of Surgery (Plastic), The New York Methodist Hospital, Cornell Medical Center, New York, NY
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Publication History

Publication Date:
19 June 2008 (online)

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ABSTRACT

Lipocontouring embraces multilayer tumescent differential liposculpture and its natural byproduct, autologous multilevel microfilamentous fat grafting (microlipoinjection). Successful facial microlipoinjection appears to require complete correction or slight overcorrection of the static anatomic deformity. For the dynamic facial deformity characterized by a recurring crease, in addition to proper microlipoinjection, it is suggested that the crease be widely undermined and postoperatively immobilized. Facial liposculpture appears to require minimal actual removal of fatty tissue, relying additionally on continued fatty atrophy induced by localized trauma to residual adipocytes. Optimal body liposculpture appears to benefit from curved silhouette de côté (lateral) and de face (frontal) contour markings placed on the treated structure, which is viewed as a rectangle rather than a cylinder.

Keywords

Lipocontouring - liposculpture - lipoinjection - contour markings

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