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Liposuktion

Liposuction

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Zusammenfassung

Die Liposuktion ist einer der am häufigsten durchgeführten Eingriffe in der ästhetischen Medizin. Sie dient dabei primär zur Körperformung und nicht zur Gewichtsreduktion. Eine Vielzahl von Methoden zur Absaugung des Körperfettes erlaubt bei korrekter Indikationsstellung einen optimalen individuellen Behandlungsplan. Obwohl eine Fettabsaugung häufig als kleiner und risikoarmer Eingriff angeboten wird, handelt es sich hierbei jedoch um einen komplexes Verfahren. Eine gründliche Ausbildung des Operateurs und das Wissen über mögliche Komplikationen sind von großer Wichtigkeit. Neben ästhetisch motivierten Eingriffen hat die Liposuktion auch in der rekonstruktiven Chirurgie einen hohen Stellenwert. Bei der Indikationsstellung ist die Retraktionsfähigkeit der Haut zu beachten. Neben der reinen Volumenreduktion stehen derzeit die regenerativen Kapazitäten des Fettgewebes im Interesse der Forschung und der klinischen Anwendung. Der autologe Fetttransfer, das Lipo-Filling, hat ein breites Indikationsspektrum im ästhetischen und im rekonstruktiven Bereich. Von besonderem Interesse sind dabei die im Fettgewebe vorhandenen Stammzellen, deren regeneratives und rekonstruktives Potenzial derzeit intensiv untersucht wird.

Abstract

Liposuction is one of the most commonly performed procedures in aesthetic surgery. The primary aim is body contouring and not weight reduction. The vast amount of available methods for suctioning subcutaneous fat allows an optimal individual treatment plan, keeping in mind the correct indications. Although liposuction is often offered as a minor and harmless surgery, it is a complex procedure. A thorough training of the surgeon and in-depth knowledge about possible complications is essential.

In addition to aesthetic indications liposuction is also a valuable tool in reconstructive surgery. For optimal patient selection the skin elasticity has to be considered during the preoperative assessment. Besides pure volume reduction through liposuction, the regenerative possibilities of adipose tissue are of great interest for basic research and clinical applications. Lipofilling or autologous fat transfer is used for a wide variety of aesthetic and reconstructive procedures. Of special interest is the regenerative and reconstructive potential of adipose-derived stem cells (ADSC).

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  1. Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland

    N. Pallua & T. Wolter

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  1. N. Pallua
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  2. T. Wolter
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Correspondence to N. Pallua.

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Pallua, N., Wolter, T. Liposuktion. Chirurg 82, 759–766 (2011). https://doi.org/10.1007/s00104-011-2106-8

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