Advances in liposuction, primarily involving the tumescent technique of local anesthesia, have fostered the advent of large-volume liposuction. Such major alterations in the volume of an organ system must have physiologic implications. This paper attempts to describe fat metabolism as it relates to fat storage and expenditure and the possible effects of large-volume liposuction on fat metabolism.
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References
1.
SkougeJ: The biochemistry and development of adipose tissue and the pathophysiology of obesity as it relates to liposuction surgery. Dermatol Clin1990;8:385–393.
2.
Lipid and protein metabolism. In GuytonA, (ed.), Human Physiology and Mechanisms of Disease. Philadelphia, Pennsylvania, W. B. Saunders, 1992, pp. 520–525.
3.
FlierJS: Obesity and lipoprotein disorders. In KahnCRWeirG, (eds.), Joslin's Diabetes Mellitus. Philadelphia, Pennsylvania, Lea and Febiger, 1994, pp. 351–361.
4.
The biochemistry of blood lipid regulation and the assessment of lipid abnormalities. In SchlantR, (eds.), The Heart Arteries and Veins. New York, New York, McGraw-Hill, 1990, pp. 973–985.
5.
YostTJ: Suction lipectomy: Outcome relates to region-specific lipoprotein lipase activity and interval weight change. Plast Reconstr Surg1993;92: 1101–1107.
6.
HowardBHowardW: The pathophysiology and treatment of lipid disorders in diabetes mellitus. In KahnCRWierG, (eds.), Joslin's Diabetes Mellitus. Philadelphia, Pennsylvania, Lea and Febiger, 1994, pp. 372–395.
7.
BonoraEDel PratoSBonadonaG: Total body fat content and fat topography are associated differently with in vivo glucose metabolism in nonobese nondiabetic women. Diabetes1992;41:1151–1159.
8.
VogelJFreidlK: Body fat assessment in women. Sports Med1992;13:245–269.
9.
PalmerJ: Hey, Fatso!Barrons, July 1, 1996.
10.
DowlingHPi-Sunyer: Race-dependent health risks of upper body obesity. Diabetes1993;42:537–543.
11.
KayeS: Increased incidence of diabetes mellitus in relation to abdominal adiposity in older women. J Clin Epidemiol1991;44:329–334.
12.
GillumR: The association of body fat distribution with hypertension, hypertensive heart disease, coronary heart disease, diabetes and cardiovascular risk factors in men and women aged 18–79 years. J Chronic Dis1987;40:421–428.
13.
SchapiraDKumarNLymanG: Variation in body fat distribution and breast cancer risk in the families of patients with breast cancer and control families. Cancer1993;71:2764–2768.
14.
PetrekJPetersMCirrincroneMS: Is body fat topography a risk factor for breast cancer?Ann Intern Med1993;118:356–362.
15.
KralJ: Discussion: Suction lipectomy: Outcome relates to region-specific lipoprotein lipase activity and interval weight change. Plast Reconstr Surg1993;92:1109–1111.
