I want to thank Dr. Ersek for his kind words and respond to a very important point he has raised. This study and survey were approved by our institution's Institutional Review Board committee as an anonymous survey. Therefore, we could not code our questionnaires with an identifier to later correlate returned surveys with an aspiration volume. We also felt that asking patients on the survey about aspiration volume would not be practical, because most would not know or remember the volume aspirated, especially those patients who had had suction lipectomy in multiple areas. Admittedly, having this information would have been of interest, but the liposuction done for these patients was for body contouring and not for weight loss. Patients who maintained their weight (or lost weight) postoperatively by practicing a “positive lifestyle”1 presumably maintained their body contouring results and remained satisfied. For this reason, after a successful suction lipectomy, the volume aspirated is of little consequence to the patient's postoperative satisfaction, because the patient has the duty to maintain the contouring results. Our “roadmap” is a preoperative counseling tool (enhanced by preoperative nutrition and exercise information) that can be used to show the patient expected mathematical outcomes for their postoperative lifestyle choices.
George Broughton, II, M.D., Ph.D.
Department of Plastic Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, HX1.636, Dallas, Texas 75390-8820, [email protected]
1.Rohrich, R. J., Beran, S. J., and Kenkel, J. M. Ultrasound-Assisted Liposuction
. St. Louis, Mo.: Quality Medical Publishing, 1998.
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