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DESCRIPTION A 36-year-old man presents to the plastic surgeon's office for consultation regarding his desire for liposuction. He is overall healthy with a nonsignificant medical history. His height and weight are 166 cm and 68.2 kg, respectively. QUESTIONS Identify the location of lipodystrophy in this patient? What is the recommendation regarding large-volume liposuction? What are the different types of wetting solutions? What is the maximum safe dose of lidocaine used within the wetting solution for this patient? What measures should be taken to reduce the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing liposuction? Describe the postoperative management of this patient after liposuction? DISCUSSION Lipodystrophy can present in various areas of the body, and subcutaneous fat is amenable to improvement with liposuction. Concepts regarding the management of lipodystrophy have advanced from simply “suction” to lipo “sculpture.” The most commonly treated areas are abdomen, flanks, thighs, chin, knees, back, buttocks, and breast. Male patients tend to treat flanks, lower abdomen, and chest (for gynecomastia and/or pseudogynecomastia). This patient, with a body mass index (weight in kg / (height in m2) of 24.75, has excessive fat deposition in his abdominal and flank regions, and he seeks body contouring in these specific areas. Liposuction is a very effective procedure employed to treat localized adipose deposits. Many techniques are available: suction-assisted, ultrasound-assisted, power-assisted, laser-assis

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