Lymphatics and Liposculpture

Abstract

Introduction:

Although lymphatic drainage of the lower extremities is well understood and liposuction-assisted lypectomy has been in existence almost 25 years, this study was undertaken to determine if liposculpture of the lower extremities causes significant damage to the lymphatics.

Materials and Methods:

One patient with bitrochanteric lipodystrophy was selected for the study. Radioisotopic lymphography was performed. Dynamic images were obtained of the distal limbs for 15 to 20 minutes at 3 and 6 hours after injection. Liposculpture was performed on one side and ultrasonic liposculpture on the opposite side using tumescent anesthesia. Four months after the surgery, radioisotopic lymphography was repeated.

Results:

There were no relevant changes from the preoperative study. Lymphographs done early, late, and at 4 months show no abnormalities. There was no evidence of organic block or dermal reflux.