TY - JOUR
T1 - Improvements in patients with lipedema 4, 8 and 12 years after liposuction
AU - Baumgartner, Axel
AU - Hueppe, Michael
AU - Meier-Vollrath, Ilka
AU - Schmeller, Wilfried
N1 - Funding Information:
Not applicable. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© The Author(s) 2020.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/3
Y1 - 2021/3
N2 - Background: Long-term results following liposuction in patients with lipedema were available only for an average period of 8 years. Objective: To find out whether the improvements persist for a further 4 years. Methods: In 60 patients with lipedema a single-centre study with a mail questionnaire – often in combination with clinical controls – was performed after an average period of 12 years following liposuction(s). All patients in this group had already been surveyed 4 and 8 years after surgery. Results: Compared with the earlier results improvement persisted with regard to spontaneous pain, sensitivity to pressure, edema, bruising and restriction of movement; similar outcomes were observed for self-assessment of cosmetic impairment, reduction in quality of life and overall impairment. While in the period from 4 to 8 years postoperatively complaints slightly increased, this was not the case for the period 8 to 12 years postoperatively. In addition a similar reduction of conservative treatment (decongestive therapy, compression garments) was observed as after 4 and 8 years postoperatively. Compared with the body weight before liposuction, 55% of the patients showed a reduction of 6.2 kg on average and 43.3% had a weight increase with an average of 7.9 kg. Conclusion: The results show, that the positive effects of liposuction last 12 years postoperatively without relevant worsening. They imply that liposuction for lipedema leads to a permanent reduction of symptom severity and need for conservative therapy.
AB - Background: Long-term results following liposuction in patients with lipedema were available only for an average period of 8 years. Objective: To find out whether the improvements persist for a further 4 years. Methods: In 60 patients with lipedema a single-centre study with a mail questionnaire – often in combination with clinical controls – was performed after an average period of 12 years following liposuction(s). All patients in this group had already been surveyed 4 and 8 years after surgery. Results: Compared with the earlier results improvement persisted with regard to spontaneous pain, sensitivity to pressure, edema, bruising and restriction of movement; similar outcomes were observed for self-assessment of cosmetic impairment, reduction in quality of life and overall impairment. While in the period from 4 to 8 years postoperatively complaints slightly increased, this was not the case for the period 8 to 12 years postoperatively. In addition a similar reduction of conservative treatment (decongestive therapy, compression garments) was observed as after 4 and 8 years postoperatively. Compared with the body weight before liposuction, 55% of the patients showed a reduction of 6.2 kg on average and 43.3% had a weight increase with an average of 7.9 kg. Conclusion: The results show, that the positive effects of liposuction last 12 years postoperatively without relevant worsening. They imply that liposuction for lipedema leads to a permanent reduction of symptom severity and need for conservative therapy.
UR - http://www.scopus.com/inward/record.url?scp=85089986406&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/81e4f420-2b11-3ea4-868b-9493db2ce00d/
U2 - 10.1177/0268355520949775
DO - 10.1177/0268355520949775
M3 - Journal articles
C2 - 32847472
AN - SCOPUS:85089986406
VL - 36
SP - 152
EP - 159
JO - Phlebology
JF - Phlebology
SN - 0268-3555
IS - 2
ER -