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Postoperative Granulomas at Liposuction Incision Sites.
Frederick G Weniger1, Peter F White1, Carlos E Barrero Castedo1
1Dr Weniger is a plastic surgeon in private practice in Bluffton, SC. Dr White is a dermatopathologist in private practice in Ridgeland, SC. Mr Barrero Castedo is an undergraduate student at Duke University, Durham, NC.
Aesthetic Surgery Journal
|December 10, 2015
Summary
Difficult liposuction healing can occur. A water-based lubricating gel used on gynecomastia liposuction incisions led to non-healing and palisading granulomas in two patients.
Area of Science:
- Plastic Surgery
- Dermatology
- Wound Healing
Background:
- Most liposuction incisions heal without complications.
- However, challenging cases of difficult wound healing necessitate further investigation.
Observation:
- Two gynecomastia liposuction patients experienced incision healing failure.
- A water-based lubricating gel was applied to the affected liposuction incisions.
- Palisading granulomas were identified at the incision sites months post-surgery.
Findings:
- The use of water-based lubricating gel correlated with non-healing liposuction incisions.
- Palisading granulomas were the histopathological finding in these cases.
- Etiology and prevention of granulomas secondary to surgical lubricants are discussed.
Implications:
- Clinicians should be aware of potential complications associated with surgical lubricants.
- Further research is needed to understand the mechanism of gel-induced granuloma formation.
- This highlights the importance of careful material selection in plastic surgery to ensure optimal wound healing.
