Muscle Delimitation by Segmental Liposuction: A New Anatomical Approach.

BACKGROUND

Liposuction has shifted from empirical practice to anatomically guided surgery. Ultrasound and adipose compression enhance safety by preserving the Scarpa fascia and tailoring techniques to each region.

METHODS

A retrospective cohort study included 615 patients (461 women, 154 men; aged 18-60 y) treated in Bogotá (2021-2024). Exclusion criteria included smoking, body mass index greater than 30 kg/m2, and major comorbidities. Variables included demographics, surgical details, complications, and satisfaction (analog visual scale, 0-10). Statistical analysis included measures of central tendency, SD, and the Shapiro-Wilk test.

RESULTS

Mean age was 35.4 years, body mass index was 24.6 kg/m2, and mean volume aspirated was 3.4 L. Complications included 3 seromas (0.49%), 2 hematomas (0.32%), and 1 infection (0.16%).

CONCLUSIONS

Segmental liposuction with ultrasound and Scarpa fascia preservation provides safe contouring, low morbidity, and high satisfaction. Mastery of 3-dimensional adipose anatomy is essential for reliable, natural outcomes.