{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T08:44:37Z","timestamp":1776415477263,"version":"3.51.2"},"reference-count":22,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative compression has been widely used for over half a century to reduce lymphatic stasis, pain, and edema, while promoting healing and optimal skin redraping. However, most commercially available garments share similar designs, with little innovation in recent decades.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To present and evaluate a novel compression garment integrating an external lymphatic drainage system designed to enhance postoperative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on anatomical lymphatic pathways, we developed and patented a novel compression garment (Drain Lipo Panty\u00ae, DLP) incorporating skin-adherent silicone strips aligned with physiological drainage lines. Prototype garments were designed with unilateral silicone integration, allowing intra-patient comparison. This prospective, single-center study included patients undergoing lipoabdominoplasty and\/or lower-limb liposuction. Assessments were performed at postoperative days 0, 7, 15, 30, and 60 by an independent evaluator. Outcomes included objective edema measurements, standardized photographic analysis, and patient-reported comfort scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-two patients were included (mean follow-up: 2 months). The silicone-strip side showed faster edema resorption and improved skin recovery. In the lipoabdominoplasty group, edema reduction was significantly greater at day 30 (T1, P = .001; T2, P = .004). In the lower-limb liposuction group, mean circumference reduction was 8.68\u2005cm with the silicone garment vs 6.40\u2005cm with the standard garment (P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This novel compression garment with integrated silicone drainage strips demonstrated faster edema resolution, earlier ecchymosis recovery, and improved skin redraping, suggesting a beneficial role in postoperative lymphatic rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>: 3 (Therapeutic)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/asjof\/ojag010","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T12:29:40Z","timestamp":1769430580000},"source":"Crossref","is-referenced-by-count":0,"title":["A Novel Compression Garment With a Dynamic External Lymphatic Drainage System: A Proof of Concept Study"],"prefix":"10.1093","volume":"8","author":[{"given":"Ali","family":"Mojallal","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, H\u00f4pital de la Croix-Rousse, CHU de Lyon, Hospices Civils de Lyon From the , Lyon ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabien","family":"Boucher","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, H\u00f4pital de la Croix-Rousse, CHU de Lyon, Hospices Civils de Lyon From the , Lyon ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zmorda","family":"EI Messioui","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, H\u00f4pital de la Croix-Rousse, CHU de Lyon, Hospices Civils de Lyon From the , Lyon ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9a","family":"Cl\u00e9ment","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, H\u00f4pital de la Croix-Rousse, CHU de Lyon, Hospices Civils de Lyon From the , Lyon ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ha\u00efzam","family":"Oubari","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, H\u00f4pital de la Croix-Rousse, CHU de Lyon, Hospices Civils de Lyon From the , Lyon ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"2026041703425498900_ojag010-B1","author":"Haute Autorit\u00e9 de Sant\u00e9 (HAS). La compression m\u00e9dicale dans le traitement du lymph\u0153d\u00e8me. Recommandations de bonne pratique. Saint-Denis La Plaine: HAS; 2010"},{"key":"2026041703425498900_ojag010-B2","doi-asserted-by":"publisher","first-page":"239","DOI":"10.5999\/aps.2020.01823","article-title":"Manual lymphatic drainage guided by real-time indocyanine green lymphography in breast cancer-related lymphedema","volume":"48","author":"Ciudad","year":"2021","journal-title":"Arch Plast Surg"},{"key":"2026041703425498900_ojag010-B3","doi-asserted-by":"publisher","first-page":"3946","DOI":"10.1016\/j.bjps.2022.08.017","article-title":"A new indocyanine green fluorescence lymphography protocol for diagnostic assessment of lower limb lymphoedema","volume":"75","author":"Suami","year":"2022","journal-title":"J Plast Reconstr Aesthetic Surg JPRAS"},{"key":"2026041703425498900_ojag010-B4","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1007\/s00266-021-02365-6","article-title":"The global prevalence of seroma after abdominoplasty: a systematic review and meta-analysis","volume":"45","author":"Salari","year":"2021","journal-title":"Aesthetic Plast Surg"},{"key":"2026041703425498900_ojag010-B5","doi-asserted-by":"publisher","first-page":"1106e","DOI":"10.1097\/PRS.0000000000009114","article-title":"Changes in the pattern of superficial lymphatic drainage of the abdomen after abdominoplasty","volume":"149","author":"Bassalobre","year":"2022","journal-title":"Plast Reconstr Surg"},{"key":"2026041703425498900_ojag010-B6","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1097\/PRS.0b013e3181c82fb0","article-title":"Complication rates of lipoabdominoplasty versus traditional abdominoplasty in high-risk patients","volume":"125","author":"Samra","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"2026041703425498900_ojag010-B7","doi-asserted-by":"publisher","first-page":"e5293","DOI":"10.1097\/GOX.0000000000005293","article-title":"The use of postoperative compression garments in plastic surgery-necessary or not? A practical review","volume":"11","author":"Ormseth","year":"2023","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2026041703425498900_ojag010-B8","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/j.bjps.2014.10.047","article-title":"Lymphatic anatomy of the inguinal region in aid of vascularized lymph node flap harvesting","volume":"68","author":"Scaglioni","year":"2015","journal-title":"J Plast Reconstr Aesthetic Surg"},{"key":"2026041703425498900_ojag010-B9","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1007\/s00266-021-02272-w","article-title":"Influences of intermittent pneumatic compression therapy on edema and postoperative patient's satisfaction after lipoabdominoplasty","volume":"45","author":"Abdelhalim","year":"2021","journal-title":"Aesthetic Plast Surg"},{"key":"2026041703425498900_ojag010-B10","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.cps.2018.08.004","article-title":"Safety in body contouring to avoid complications","volume":"46","author":"Kokosis","year":"2019","journal-title":"Clin Plast Surg"},{"key":"2026041703425498900_ojag010-B11","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1177\/0269215519874107","article-title":"Kinesio taping versus compression garments for treating breast cancer-related lymphedema: a randomized, cross-over, controlled trial","volume":"33","author":"Pajero Otero","year":"2019","journal-title":"Clin Rehabil"},{"key":"2026041703425498900_ojag010-B12","first-page":"86","article-title":"Lymphedema: a practical approach and clinical update","volume":"32","author":"Bittar","year":"2020","journal-title":"Wounds Compend Clin Res Pract"},{"key":"2026041703425498900_ojag010-B13","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1177\/0268355518824524","article-title":"Compression therapy in lymphedema: between past and recent scientific data","volume":"34","author":"Mosti","year":"2019","journal-title":"Phlebology"},{"key":"2026041703425498900_ojag010-B14","first-page":"A4941","article-title":"Abdominal binders may reduce pain and improve physical function after major abdominal surgery\u2014a systematic review","volume":"61","author":"Rothman","year":"2014","journal-title":"Dan Med J"},{"key":"2026041703425498900_ojag010-B15","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1016\/j.jmv.2009.07.001","article-title":"[Adverse effects of compression in treatment of limb lymphedema]","volume":"34","author":"Vignes","year":"2009","journal-title":"J Mal Vasc"},{"key":"2026041703425498900_ojag010-B16","doi-asserted-by":"publisher","first-page":"220","DOI":"10.12968\/jowc.2024.33.4.220","article-title":"An innovative flat-knit compression garment for lymphoedema patients led to better outcomes: a multicentre study","volume":"33","author":"Hirsch","year":"2024","journal-title":"J Wound Care"},{"key":"2026041703425498900_ojag010-B17","doi-asserted-by":"publisher","first-page":"242","DOI":"10.3138\/physio.62.3.242","article-title":"The effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial","volume":"62","author":"Cheifetz","year":"2010","journal-title":"Physiother Can"},{"key":"2026041703425498900_ojag010-B18","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.ijnurstu.2016.07.017","article-title":"The effect of using an abdominal binder on postoperative gastrointestinal function, mobilization, pulmonary function, and pain in patients undergoing major abdominal surgery: a randomized controlled trial","volume":"62","author":"Arici","year":"2016","journal-title":"Int J Nurs Stud"},{"key":"2026041703425498900_ojag010-B19","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1093\/asj\/sjab300","article-title":"High-definition lipoplasty in male patients: a systematic review of surgical techniques and outcomes","volume":"42","author":"Escand\u00f3n","year":"2022","journal-title":"Aesthet Surg J"},{"key":"2026041703425498900_ojag010-B20","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1067\/maj.2003.16","article-title":"Lipoplasty of the calves and ankles","volume":"23","author":"Mladick","year":"2003","journal-title":"Aesthet Surg J"},{"key":"2026041703425498900_ojag010-B21","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1177\/000313480907500211","article-title":"The effect of abdominal binders on postoperative pulmonary function","volume":"75","author":"Larson","year":"2009","journal-title":"Am Surg"},{"key":"2026041703425498900_ojag010-B22","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1093\/asj\/sjac273","article-title":"Do compression garments prevent subcutaneous edema after abdominoplasty?","volume":"43","author":"Fontes de Moraes","year":"2023","journal-title":"Aesthet Surg J"}],"container-title":["Aesthetic Surgery Journal Open Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asjopenforum\/advance-article-pdf\/doi\/10.1093\/asjof\/ojag010\/66604448\/ojag010.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag010\/68100141\/ojag010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag010\/68100141\/ojag010.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:43:08Z","timestamp":1776411788000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojag010\/8442984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":22,"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojag010","relation":{},"ISSN":["2631-4797"],"issn-type":[{"value":"2631-4797","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"ojag010"}}