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Related Experiment Video

Updated: Mar 29, 2026

Human Subcutaneous Adipose Tissue Sampling Using a Mini-Liposuction Technique
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Minimal One-Quarter Incision and Four-Step (MOQIF) Excision Method for Subcutaneous Lipoma.

Seung Yun Oh1, Seokchan Eun2

  • 1Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC 3010, Australia.

Journal of Clinical Medicine
|March 28, 2026
PubMed
Summary
This summary is machine-generated.

The minimal one-quarter incision and four-step (MOQIF) technique safely excises lipomas using small incisions. This method offers excellent cosmetic results and high patient satisfaction for various lipoma sizes.

Keywords:
MOQIFMOTIFVancouver Scar Scalelipomaminimal incisionsubcutaneous neoplasm

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Area of Science:

  • Surgical Oncology
  • Dermatologic Surgery
  • Plastic Surgery

Background:

  • Lipomas are common benign subcutaneous tumors requiring surgical removal for cosmetic or symptomatic relief.
  • The established minimal one-third incision and four-step (MOTIF) technique offers good outcomes but leaves room for scar reduction.
  • Smaller incision techniques for lipoma excision remain understudied.

Purpose of the Study:

  • To evaluate the efficacy and safety of the minimal one-quarter incision and four-step (MOQIF) technique for lipoma excision.
  • To compare cosmetic outcomes and complication rates of the MOQIF technique across different lipoma sizes.

Main Methods:

  • Retrospective review of 82 patients who underwent lipoma excision using the MOQIF technique.
  • Lipomas were stratified into small-intermediate (<5 cm) and large (≥5 cm) based on preoperative measurements.
  • The MOQIF technique involves hydro dissection, superficial and deep dissection, and intact mass delivery through a quarter-axis incision.

Main Results:

  • Complete lipoma excision was achieved in all cases through significantly smaller incisions (1.69 ± 0.49 cm).
  • Low complication rates were observed, including seroma (10.98%) and hematoma (7.3%), with no infections or recurrences.
  • Vancouver Scar Scale (VSS) scores were comparable, and patient satisfaction was high (3.54 ± 0.53).

Conclusions:

  • The MOQIF technique is a safe and effective method for complete lipoma excision, yielding favorable cosmetic results.
  • This technique demonstrates feasibility across various lipoma sizes, emphasizing the importance of standardized technique and patient selection.
  • MOQIF offers a promising alternative for minimizing scarring in lipoma surgery.