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[libribook.com] Traumatic Scar Tissue Management 1st Edition
complication is present there is delayed healing and an increased risk ofpathological scarring, fibrosis and surface contour irregularities (Dixit & Wagh2013).A higher incidence of skin necrosis, as a result of damage to the subdermalplexus of vessels, is seen in chronic smokers and with excessive superficialliposuction. Aggressive liposuction of the abdomen along with fullabdominoplasty, large seromas or hematomas also increase the risk of skinnecrosis.Post-liposuction surface irregularities (waviness, dimpling) can be due to:• Too superficial or too much liposuction• Fibrosis and adhesions• Redundant skin.The scar-related problems from liposuction (aka body sculpting, lipoplasty)include:• Poor incision placement leading to visible scars• Depressed scars due to over-liposuctioning in the vicinity of the incision• Hyper-pigmented scars due to skin bruising following repeated passes by thesurgical instrument used• Hypertrophic or keloid scar development associated with surgical procedures• Skin necrosis and skin/muscle fibrosis associated with burns from overexposure to ultrasound energy (heat) emitted by the surgical instrument(liposuction cannula) (Dixit & Wagh 2013).
Neurological SequelaeHypoesthesia is common after liposuction. Long-standing hyperesthesia canoccur due to damage to the phospholipids in the myelin sheath leading todepolarization of the cutaneous sensory nerves.Chronic pain is rare and may be due to a neuroma or to injury to underlyingfascia.
- Page 501 and 502: following burn injury,bacterial col
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Neurological Sequelae
Hypoesthesia is common after liposuction. Long-standing hyperesthesia can
occur due to damage to the phospholipids in the myelin sheath leading to
depolarization of the cutaneous sensory nerves.
Chronic pain is rare and may be due to a neuroma or to injury to underlying
fascia.
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