J Korean Soc Plast Reconstr Surg.
2000 Jul;27(4):349-352.
Comparative Analysis of Subcutaneous Thickness of Each Compartment of Abdomen & the Selection of Cannula Insertion Site in Liposuction
- Affiliations
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- 1Department of Plastic & Reconstructive Surgery, College of Medicine, Ewha Womans University. chyoonps@mm.ehwa.ac.kr
Abstract
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The thickness of the abdominal subcutaneous tissues is discussed in the data obtained in 40 middle-aged
female patients(the range of the age 31 to 60 years) examined on a modern computed tomographic system.
The authors have shown that the superficial fascia, which separates the superficial and deep layers of
subcutaneous fat, forms a continuous circumferential fascial plane. We have analyzed cross-sectional CT
images at the umbilical level in a middle ged women. The authors have made several linear measurements
of the thickness of the superficial and deep fat compartments at various reference points around the trunk
in order to demonstrate the regional distribution of the deep fat compartment. Our data shows the mean,
standard deviation(SD) concerning the thickness measurements of the superficial and deep fat compartments
around the abdomen in the 40 women. From these observations, we concluded that the thickness of
subcutaneous tissue of superficial layer is relatively constant and the thickness of subcutaneous
tissue of deep layer is greatest at posterolateral region with decrements in thickness at anterior,
lateral region respectively. And such pattern is same as the total subcutaneous tissue thickness,
therefore, relatively safe parts for much amount of liposuction around the abdomen are paralumbar
region and anterior abdomen. Such study result could offer the appropriate depths for cannula insertion,
that is, 18.8mm at anterior, 16.9mm at lateral and 32.5mm at posterolateral region. Such knowledge could
offer a guide to the necessary depth of cannula insertion when performing of the SAL (suction-assisted
lipectomy). It is deemed desirable to place the tip in the middle of the deep compartment.