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Cutis marmorata resemblance after liposuction.

Rogério Porto da Rocha1, Elke Lusmöller Porto da Rocha, Ewaldo Bolivar de Souza Pinto

  • 1Av. Ana Costa 120, Vila Mathias, São Paulo 11064-003, Brasil. rogerio@portodarocha.com.br

Aesthetic Plastic Surgery
|June 17, 2005
PubMed
Summary
This summary is machine-generated.

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Liposuction can cause persistent marbled skin patterns (cutis marmorata) due to trauma to the subdermal plexus. Preserving a 1 cm skin strip during superficial liposuction may prevent these cosmetic complications.

Area of Science:

  • Plastic Surgery
  • Dermatology

Background:

  • Liposuction is a common cosmetic procedure for body contouring, particularly effective for lipodystrophy.
  • Superficial and deep liposuction techniques aim to improve aesthetic results by aspirating fat from superficial and deep fascial layers.

Observation:

  • Patients undergoing abdominal, flank, and back liposuction developed a persistent marbled skin pattern (cutis marmorata).
  • This pattern, characterized by rosy-purplish and whitish stains, was observed immediately post-operation and persisted for at least one year.

Findings:

  • While thermal injury from liposuction cannulas is linked to cutaneous necrosis, mechanical trauma is also implicated in subdermal plexus damage.
  • The observed cutis marmorata may result from lesions to the subdermal vascular plexus caused by cannula manipulation during liposuction.

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Implications:

  • Maintaining a 1 cm superficial skin strip beneath the deep dermis is crucial during liposuction to preserve the cutaneous arterial plexus.
  • This technique may prevent the development of post-liposuction cutis marmorata and other subdermal vascular complications.