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Suction Lipectomy: Outcome Relates to Region-Specific Lipoprotein Lipase Activity and Interval Weight Change
Abstract
To determine the effects of suction lipectomy on regional adipose tissue metabolism, nine women had repetitive circumferential measurements and biopsies of subcutaneous adipose tissue from a lipectomy site (site A) and a nonlipectomy site (site B) up to 12 months following lipectomy. Maximum reductions from preoperative baseline in weight, body mass index, and circumferences of sites A and B occurred at 3 months. Because of variable long-term compliance (6 to 12 months), we created a "last visit" time-point to assess adequately the effects of lipectomy for each individual. Not all subjects maintained reduction in site circumferences from 3 months to the last visit. The change in circumference of site A for that period was highly correlated with the change in circumference of site B (r = 0.828, p = 0.005). The change in circumference of site B, but not site A, at 3 months was related to the weight change above the weight of adipose tissue removed at suction lipectomy. Five subjects who were "sustained responders" to the lipectomy procedure were able to maintain or decrease circumferences of sites A and B from 3 months to the last visit. In contrast, four "limited responders" actually increased circumference of site A and had either no change or increased circumference of site B from 3 months to the last visit. The changes in circumference in both sites between 3 months and the last visit related to changes in body weight over the same interval. Ultimately, the decrement in circumference of site A was 3.4 percent (-2.4 cm) greater than that of site B (p = 0.0001). The response to lipectomy in site B, but not site A, between 3 months and the last visit was related to the change in fasting adipose tissue lipoprotein lipase from baseline to 3 months (r = 0.728, p = 0.026). This change in lipase activity in the control region may represent a metabolic defense of body weight in response to adipose tissue removal in the lipectomy site.
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“Information obtained from case reports in patients is consistent with the findings in animals, and suggest that weight gain after liposuction results in an increase in subcutaneous fat in areas that were not aspirated, such the back and breasts (19-21).”
From Long-term Effects of Large-volume Liposuction on Metabolic Risk Factors for Coronary Heart Disease (2008) · cites this paper as [21]
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Sympathetic and sensory innervation of brown adipose tissue
Bartness, T. J., Vaughan, C. H., & Song, C. K. (2010) · International Journal of Obesity · doi:10.1038/ijo.2010.182 · Cited by 459
Long-term Effects of Large-volume Liposuction on Metabolic Risk Factors for Coronary Heart Disease
Mohammed, B. S., Cohen, S., Reeds, D., Young, V. L., & Klein, S. (2008) · Obesity · doi:10.1038/oby.2008.418 · Cited by 108
The Impact of Liposuction on Body Fat
Matarasso, A., Kim, R. W., & Kral, J. G. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199810000-00057 · Cited by 60
Metadata
- Authors
- Yost, T. J., Rodgers, C. M., & Eckel, R. H.
- Affiliations
- University of Colorado Health (US)
- ORCID
- Eckel, Robert H.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1993-11
- Volume
- 92
- Issue
- 6
- Pages
- 1101-1108
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2080278755
- Cited by
- 27
- References
- 0
- Citations by year
- 2018: 2 · 2016: 2 · 2014: 1 · 2012: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 26356, R01DK026356)
- National Center for Research Resources (GCRC RR-00051)
- Topics
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Keywords
- suction-assisted lipectomy, subcutaneous adipose tissue, adipose tissue metabolism, lipoprotein lipase, weight loss, weight maintenance, body contouring
- MeSH terms
- Abdomen, Adipose Tissue, Adult, Body Weight, Buttocks, Female, Follow-Up Studies, Humans, Lipoprotein Lipase, Thigh, Time Factors, Lipectomy, Treatment Outcome
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