Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis

<h3>Background</h3><p dir="ltr">Liposuction has emerged as one of the most common cosmetic procedures globally, increasing by more than two-fold since 1997. While different liposuction techniques exist, each with distinct advantages and potential sequelae, a comprehensive...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Mohamed Badie Ahmed (10223510) (author)
مؤلفون آخرون: Bara A. Shraim (11753786) (author), Mohammed Ahmad Al-Matwi (22303432) (author), Salma Jarrar (22303435) (author), Fatima Saoud Al-Mohannadi (17945279) (author), Rami A. Mesk (22303438) (author), Khaled E. Elzawawi (22045253) (author), Ayman A. H. Asnaf (22303441) (author), Sherouk Essam Elnefaily (22303444) (author), Muath A. Shraim (11753789) (author), Gaffar Abbas (22303447) (author), Abeer Alsherawi (17945291) (author)
منشور في: 2025
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author Mohamed Badie Ahmed (10223510)
author2 Bara A. Shraim (11753786)
Mohammed Ahmad Al-Matwi (22303432)
Salma Jarrar (22303435)
Fatima Saoud Al-Mohannadi (17945279)
Rami A. Mesk (22303438)
Khaled E. Elzawawi (22045253)
Ayman A. H. Asnaf (22303441)
Sherouk Essam Elnefaily (22303444)
Muath A. Shraim (11753789)
Gaffar Abbas (22303447)
Abeer Alsherawi (17945291)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Mohamed Badie Ahmed (10223510)
Bara A. Shraim (11753786)
Mohammed Ahmad Al-Matwi (22303432)
Salma Jarrar (22303435)
Fatima Saoud Al-Mohannadi (17945279)
Rami A. Mesk (22303438)
Khaled E. Elzawawi (22045253)
Ayman A. H. Asnaf (22303441)
Sherouk Essam Elnefaily (22303444)
Muath A. Shraim (11753789)
Gaffar Abbas (22303447)
Abeer Alsherawi (17945291)
author_role author
dc.creator.none.fl_str_mv Mohamed Badie Ahmed (10223510)
Bara A. Shraim (11753786)
Mohammed Ahmad Al-Matwi (22303432)
Salma Jarrar (22303435)
Fatima Saoud Al-Mohannadi (17945279)
Rami A. Mesk (22303438)
Khaled E. Elzawawi (22045253)
Ayman A. H. Asnaf (22303441)
Sherouk Essam Elnefaily (22303444)
Muath A. Shraim (11753789)
Gaffar Abbas (22303447)
Abeer Alsherawi (17945291)
dc.date.none.fl_str_mv 2025-01-16T09:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s00238-024-02268-0
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Comparison_of_complications_in_isolated_aesthetic_liposuction_procedures_across_different_techniques_a_systematic_review_and_meta-analysis/30197797
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Liposuction
Complications
Aesthetic procedures
Techniques
dc.title.none.fl_str_mv Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Liposuction has emerged as one of the most common cosmetic procedures globally, increasing by more than two-fold since 1997. While different liposuction techniques exist, each with distinct advantages and potential sequelae, a comprehensive comparative analysis of complication rates across various techniques in purely aesthetic cases remains unexplored. We aimed to (1) systematically review the literature on complications of distinctliposuction techniques, and (2) compare complication rates between different techniques.</p><h3>Methods</h3><p dir="ltr">PubMed, EMBASE, and Web of Science databases were searched for studies reporting on complications of isolated cosmetic liposuction techniques in specific anatomical regions. Complication rates were pooled, and heterogeneity was assessed using the I² statistic. Publication bias was evaluated using the Luis Furuya-Kanamori index and Doi plot.</p><h3>Results</h3><p dir="ltr">Twenty-three studies were included. Laser-assisted liposuction (LAL) demonstrated the lowest overall complication rates for hemorrhage, infection, seroma formation, thermal injury, and cutaneous necrosis (all 0.13%). Power-assisted liposuction (PAL) exhibited the highest rates for hemorrhage (0.72%), infection (1.34%), and cutaneous necrosis (0.72%). Radiofrequency-assisted liposuction (RFAL) showed the highest rates for seroma formation (3.93%) and thermal injuries/blistering (1.64%). Suction-assisted liposuction (SAL) presented the highest rate of cutaneous irregularities (3.36%). Heterogeneity varied widely across complication types and techniques, with I² values ranging from 0 to 91.4%.</p><h3>Conclusions</h3><p dir="ltr">This study provides the first comprehensive comparison of complication rates across different liposuction techniques in aesthetic cases. LAL demonstrated superior safety profiles, while PAL and RAL showed higher rates for specific complications. These findings can inform surgical decision-making and patient counseling.</p><h3>Level of Evidence</h3><p dir="ltr">Not gradable.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Plastic Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00238-024-02268-0" target="_blank">https://dx.doi.org/10.1007/s00238-024-02268-0</a></p>
eu_rights_str_mv openAccess
id Manara2_397f0abc79483f0799654af338300f54
identifier_str_mv 10.1007/s00238-024-02268-0
network_acronym_str Manara2
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publishDate 2025
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spelling Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysisMohamed Badie Ahmed (10223510)Bara A. Shraim (11753786)Mohammed Ahmad Al-Matwi (22303432)Salma Jarrar (22303435)Fatima Saoud Al-Mohannadi (17945279)Rami A. Mesk (22303438)Khaled E. Elzawawi (22045253)Ayman A. H. Asnaf (22303441)Sherouk Essam Elnefaily (22303444)Muath A. Shraim (11753789)Gaffar Abbas (22303447)Abeer Alsherawi (17945291)Biomedical and clinical sciencesClinical sciencesLiposuctionComplicationsAesthetic proceduresTechniques<h3>Background</h3><p dir="ltr">Liposuction has emerged as one of the most common cosmetic procedures globally, increasing by more than two-fold since 1997. While different liposuction techniques exist, each with distinct advantages and potential sequelae, a comprehensive comparative analysis of complication rates across various techniques in purely aesthetic cases remains unexplored. We aimed to (1) systematically review the literature on complications of distinctliposuction techniques, and (2) compare complication rates between different techniques.</p><h3>Methods</h3><p dir="ltr">PubMed, EMBASE, and Web of Science databases were searched for studies reporting on complications of isolated cosmetic liposuction techniques in specific anatomical regions. Complication rates were pooled, and heterogeneity was assessed using the I² statistic. Publication bias was evaluated using the Luis Furuya-Kanamori index and Doi plot.</p><h3>Results</h3><p dir="ltr">Twenty-three studies were included. Laser-assisted liposuction (LAL) demonstrated the lowest overall complication rates for hemorrhage, infection, seroma formation, thermal injury, and cutaneous necrosis (all 0.13%). Power-assisted liposuction (PAL) exhibited the highest rates for hemorrhage (0.72%), infection (1.34%), and cutaneous necrosis (0.72%). Radiofrequency-assisted liposuction (RFAL) showed the highest rates for seroma formation (3.93%) and thermal injuries/blistering (1.64%). Suction-assisted liposuction (SAL) presented the highest rate of cutaneous irregularities (3.36%). Heterogeneity varied widely across complication types and techniques, with I² values ranging from 0 to 91.4%.</p><h3>Conclusions</h3><p dir="ltr">This study provides the first comprehensive comparison of complication rates across different liposuction techniques in aesthetic cases. LAL demonstrated superior safety profiles, while PAL and RAL showed higher rates for specific complications. These findings can inform surgical decision-making and patient counseling.</p><h3>Level of Evidence</h3><p dir="ltr">Not gradable.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Plastic Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00238-024-02268-0" target="_blank">https://dx.doi.org/10.1007/s00238-024-02268-0</a></p>2025-01-16T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00238-024-02268-0https://figshare.com/articles/journal_contribution/Comparison_of_complications_in_isolated_aesthetic_liposuction_procedures_across_different_techniques_a_systematic_review_and_meta-analysis/30197797CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/301977972025-01-16T09:00:00Z
spellingShingle Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
Mohamed Badie Ahmed (10223510)
Biomedical and clinical sciences
Clinical sciences
Liposuction
Complications
Aesthetic procedures
Techniques
status_str publishedVersion
title Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
title_full Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
title_fullStr Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
title_full_unstemmed Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
title_short Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
title_sort Comparison of complications in isolated aesthetic liposuction procedures across different techniques: a systematic review and meta-analysis
topic Biomedical and clinical sciences
Clinical sciences
Liposuction
Complications
Aesthetic procedures
Techniques