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The Energy a Plastic Surgeon Expends during Liposuction
Hector César Durán Vega1, Alejandro Lopez Echaury2, Emanuel Flores3
1From the Private Practice, Merida, Yucatan, Mexico.
Plastic and Reconstructive Surgery. Global Open
|May 30, 2023
Summary
Liposuction demands significant surgeon energy, with 160 calories expended per cubic centimeter of fat removed. This study quantifies the physical exertion involved in the procedure.
Area of Science:
- Plastic Surgery
- Surgical Technology
- Human Physiology
Background:
- Liposuction is recognized as a physically demanding surgical procedure.
- Quantifying surgeon energy expenditure during liposuction is crucial for understanding procedural demands.
- Existing data lacks precise measurements of energy consumption in liposuction.
Purpose of the Study:
- To measure the energy expenditure of surgeons during liposuction procedures.
- To correlate energy consumption with fat volume removed and other surgical variables.
- To establish a quantitative understanding of the physical effort in liposuction.
Main Methods:
- A prospective case series involving three plastic surgeons across three centers.
- Surgeons utilized Apple Watches to record energy expenditure during liposuction procedures.
- Data collection occurred between April 2022 and November 2022.
Main Results:
- An average of 6.14 cm³ of fat was obtained per kilocalorie (kcal) of energy expended.
- Approximately 160 calories were required to remove 1 cm³ of fat.
- Statistically significant correlations were found between fat volume and surgeon's average pace, heart rate, surgical time, and distance covered.
Conclusions:
- Liposuction is an energy-intensive surgical procedure.
- This study quantifies the energy expenditure required for standard liposuction.
- Liposuction demands approximately three times more energy compared to other single surgical procedures.

