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Keep the patient well hydrated with colloids in order to maintain a Use only blunt cannulas with 3mm in diameter attached to lowpressure syringes.ĥ. If needed, in this area, lipoinject in the subcutaneous tissue.Ĥ. Avoid injecting into the muscles in the danger zone (area compromised between the red lines in figure 1), which is the area where is located most of the bigger vessels. Later, projection augmentation by intramuscular injection, with a smaller percentage of the total lipoaspirate, since the good intramuscular graft take allow us to avoid the need for hypercorrection.ģ. Preoperative planning by prioritizing the buttocks' contour through the subcutaneous plane injections first. When patient’s subcutaneous tissue lacks width and it would be necessary to inject fat mainly into the muscles, we prefer to perform gluteal silicone implant into the muscular plane and then, complement the result with fat injection in the subcutaneous plane.Ģ. Project the fat injected in the subcutaneous plane in patients without enough buttocks' subcutaneous tissue. Careful patient selection using the injection toward the muscles to
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Propose some maneuvers that could answer this question: 1. Why the difference between experimental and clinical findings? We No fat particles were found in any organ of the control group. Underwent only liposuction and in 6 animals of the group that underwent In a experimental study with 3 groups of 10 Wistar rats each, FrancoĮt al (5) found fat particles in the lungs of 3 animals in the group that What disturbed us most was the fact that, so far, we hadn’t any case of death, neither clinically evident pulmonary embolism in our patients (2),Īlthough we also lipoinject into the muscles along with the subcutaneous plane, like other groups with extended experience on this subject does and, also, with no such complications (3, 4). Interesting, yet disturbing for us since it showed 19 deaths in Mexico and Colombia related to gluteal lipoinjection, letting the authors conclude that injections into deep muscle planes should be avoided. Letter to the Editor Deaths Caused by Gluteal Lipoinjection: What Are We Doing Wrong? Sir: The cosmetic article by Cárdenas-Camarena et al. Email: įinancial Disclosures: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.Ĭopyright © American Society of Plastic Surgeons. Master Hospital of Plastic Surgery, Rua 1123, n 232, Marista, Goiânia Goiás, Brazil,Ĭorresponding Author: Rodrigo Gouvea Rosique, Rua 1123, n 232, Marista, Goiânia, Goiás, Brazil, 74175-070.
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Full Member of Brazilian Society of Plastic Surgery,
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Full Member of Brazilian Society of Plastic Surgery,Īctive Member of ISAPS, Professor of Plastic Surgery at Federal University of Goiás, Brazil.
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Got a subreddit you want to see here? Message the mods! (It must be PS3 related.) Spoiler Guide (#s "Don't get wet.Plastic and Reconstructive Surgery Advance Online Article DOI: 10.1097/PRS.0000000000000112 Deaths Caused by Gluteal Lipoinjection: What Are We Doing Wrong? Authors:
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