{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:38Z","timestamp":1747186478788,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Orthostatic hypotension (OH) is a major obstacle to standing liposculpture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the feasibility of a novel \"interactive standing liposculpture\" procedure under local anesthesia to avoid possible general anesthesia\u2010related complications and overcome standing\u2010associated OH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 68 subjects undergoing IsLipo were divided into three groups: Individuals with normal body weight (18\u00a0\u2264\u00a0BMI\u00a0&lt;\u00a023, n\u00a0=\u00a021, Group 1), overweight or mildly obese subjects (23\u00a0\u2264\u00a0BMI\u00a0&lt;\u00a030, n\u00a0=\u00a029, Group 2), and those with moderate\u2010to\u2010severe obesity (BMI\u00a0\u2265\u00a030, n\u00a0=\u00a018, Group 3). A 4\u2010area liposculpture technique was adopted with alternate change in position from recumbent to standing for each area. Subjects with symptoms of OH (ie, dizziness or\/and nausea) were allowed to rest in a supine position before resuming the procedure. Incidence of OH and duration of liposculpture for each area were recorded and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of OH was 15 (four subjects experienced two episodes during the same procedure). All OH episodes occurred in Group 3 subjects. The total liposuction time significantly increased from Group 1 to Group 3 (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). The IsLipo time in Group 3 was also substantially longer than that in Group 1 and Group 2 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Mean arterial blood pressure dropped and heart rate increased significantly in all subjects experiencing OH without fluctuation in arterial oxygen saturation. All subjects with OH recovered after a 10\u2010minute rest and resumed the IsLipo procedure. Successful liposculpture were performed in all subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Orthostatic hypotension associated with interactive standing liposculpture, which predominantly occurred in subjects with moderate\u2010to\u2010severe obesity, could be resolved with an intraoperative resting strategy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.13336","type":"journal-article","created":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T11:30:06Z","timestamp":1583926206000},"page":"3000-3006","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Overcoming the Achilles\u2019 heel of orthostatic hypotension during interactive standing liposculpture"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1231-8924","authenticated-orcid":false,"given":"Kinman","family":"Chong","sequence":"first","affiliation":[{"name":"Department of Plastic and Anesthetic Surgery Nanfang Hospital of Southern Medical University Guangzhou China"},{"name":"City Idol Aesthetic Clinic Kaohsiung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2524-9684","authenticated-orcid":false,"given":"Cheuk\u2010Kwan","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine E\u2010Da Hospital Kaohsiung Taiwan"},{"name":"School of Medicine College of Medicine I\u2010Shou University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4254-0673","authenticated-orcid":false,"given":"Yong","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Anesthetic Surgery Nanfang Hospital of Southern Medical University Guangzhou 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