title: Diabetic lipohypertrophy treated with suction-assisted lipectomy.
abstract: OBJECTIVE
  To investigate the effectiveness of liposuction as treatment for lipohypertrophy in insulin-treated diabetic patients.
  
  
  METHODS
  Open clinical study.
  
  
  METHODS
  Norwegian National Hospital, Oslo.
  
  
  METHODS
  Five consecutive diabetic patients operated on for insulin-induced lipohypertrophy.
  
  
  METHODS
  Syringe-assisted liposuction under local anaesthesia.
  
  
  METHODS
  Change in contours assessed by pre- and postoperative photographs, and by the patients' and surgeon's evaluations according to a four-point graded scale.
  
  
  RESULTS
  Good or excellent results were obtained in all patients. Small surface irregularities were seen in two patients who had large volumes of fat removed from the proximal anterior thighs. Apart from this no side-effects or complications occurred.
  
  
  CONCLUSIONS
  Insulin-induced lipohypertrophy ('insulin tumours') can be treated successfully with liposuction.
authors.affiliation: Department of Plastic Surgery, Norwegian National Hospital, Oslo.
authors.forename: F
authors.initials: F
authors.lastname: Samdal
authors.forename: P F
authors.initials: PF
authors.lastname: Amland
authors.forename: M
authors.initials: M
authors.lastname: Sandsmark
authors.forename: K I
authors.initials: KI
authors.lastname: Birkeland
mesh_terms: D000273:Adipose Tissue / Q000187:drug effects / Q000473:pathology*; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D007328:Insulin / Q000009:adverse effects*; D015187:Lipectomy; D008297:Male; D016896:Treatment Outcome
chemical_list: D007328:Insulin