{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T08:27:06Z","timestamp":1792484826328,"version":"4.5.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lipoplasty has undergone a series of refinements since its inception. It is now possible to apply superficial suction to enhance the outline of a muscle in order to improve the results of aesthetic lipoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to summarize the available evidence on the techniques and surgical outcomes of high-definition lipoplasty (HDL) in male patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search across PubMed MEDLINE, Web of Science, Ovid MEDLINE In-Process &amp; Other Non-Indexed Citations, and SCOPUS was performed in accordance with the PRISMA guidelines. Data regarding the surgical techniques, outcomes, and complications were extracted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen studies comprising 1280 patients fulfilled the inclusion criteria. The age of patients ranged from 18 to 71 years. The average BMI was 26.5 kg\/m2. The follow-up ranged from 2 weeks to 10 years. The liposculpting concepts reported were abdominal etching, high-definition, muscular sculpture, and dynamic definition. Four studies used conventional liposuction, 3 used VASER-assisted HDL, and 6 studies used power-assisted liposculpting. Eight studies reported the use of fat grafting. All studies reported the use of postoperative garments and a well-established wound treatment protocol. Overall satisfaction ranged from 84% to 100%. The most common complications reported were fluid collection, hyperpigmentation, contour irregularities, anemia, and port dehiscence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A wide variety of techniques are available to perform HDL with a variable degree of definition. Careful patient selection is critical for successful results because HDL is not suitable for every patient. Finally, proper training and adequate knowledge of abdominal anatomy is necessary to avoid complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjab300","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T10:00:12Z","timestamp":1627293612000},"page":"68-85","source":"Crossref","is-referenced-by-count":18,"title":["High-Definition Lipoplasty in Male Patients: A Systematic Review of Surgical Techniques and Outcomes"],"prefix":"10.1093","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8982-1950","authenticated-orcid":false,"given":"Joseph M","family":"Escand\u00f3n","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center , Rochester, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna S","family":"Vyas","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mayo Clinic , Rochester, MN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar J","family":"Manrique","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center , Rochester, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"issue":"5","key":"2022112401254350400_CIT0001","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1007\/s002669900131","article-title":"Abdominal etching","volume":"21","author":"Ersek","year":"1997","journal-title":"Aesthetic Plast Surg."},{"key":"2022112401254350400_CIT0002","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.amsu.2017.10.024","article-title":"A journey through liposuction and liposculture: review","volume":"24","author":"Bellini","year":"2017","journal-title":"Ann Med Surg (Lond)."},{"issue":"1","key":"2022112401254350400_CIT0003","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/BF01570678","article-title":"Surgical remodeling of the silhouette by aspiration lipolysis or selective lipectomy","volume":"9","author":"Illouz","year":"1985","journal-title":"Aesthetic Plast Surg."},{"issue":"431","key":"2022112401254350400_CIT0004","first-page":"35","article-title":"First surgical treatment for molding body\u2019s cellulite with three 5 mm incisions","volume":"53","author":"Fischer","year":"1976","journal-title":"Bull nt Acad Cosmet Surg."},{"issue":"4","key":"2022112401254350400_CIT0005","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/BF00451658","article-title":"Tumescent and syringe liposculpture: a logical partnership","volume":"19","author":"Hunstad","year":"1995","journal-title":"Aesthetic Plast Surg."},{"issue":"5","key":"2022112401254350400_CIT0006","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1097\/00006534-199610000-00024","article-title":"Circumferential liposuction of knees, calves, and ankles","volume":"98","author":"Ersek","year":"1996","journal-title":"Plast Reconstr Surg."},{"key":"2022112401254350400_CIT0007","article-title":"Lipoplasty of the calves and ankles","volume":"23(2):121-124","author":"Mladick","year":"2003","journal-title":"Aesthet Surg J."},{"key":"2022112401254350400_CIT0008","doi-asserted-by":"crossref","first-page":":29-51","DOI":"10.1007\/978-1-4613-9302-3_3","article-title":"Superficial liposculpture for total body contouring. 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