[Insulin-induced lipohypertrophy treated by liposuction].
The incidence of insulin-dependent diabetes mellitus increase permanently, with early diagnosis. Insulin is the treatment of this pathology. Insulin therapy is associated with complication such as lipodystrophies at injection sites leading functional and aesthetics disorders (pain, reduction of treatment efficiency, haematomas and oedemas). Our report two cases to illustrate the effectiveness of the suction-assisted lipectomy (SAL) on these lipodystrophies. We present two cases of insulin dependent diabetics patients with lipodystrophies of thighs, abdomen, and shoulders treated by SAL. The various analyzed parameters are: aesthetic aspect, efficiency of insulin treatment, ease injection, and pain reduction. We observe a significant reduction of insulin dose necessary to obtain a normoglycemia half time. This treatment allow a better control of pain, control of haematomas and oedemas at the injection sites and an aesthetic improvement. The lipoaspiration is thus a simple and effective treatment of lipodystrophies due to insulin.
Brun
A
A
Service de chirurgie plastique reconstructrice et esthétique, centre des brûlés, centre hospitalier Saint-Joseph et Saint-Luc, 20, quai Claude-Bernard, 69365 Lyon, France. abrun78@free.fr
Comparin
J-P
JP
Voulliaume
D
D
Chekaroua
K
K
Foyatier
J-L
JL
Perrot
P
P
D000273:Adipose Tissue / Q000473:pathology* / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000139:chemically induced / Q000473:pathology / Q000601:surgery; D007004:Hypoglycemic Agents / Q000009:adverse effects*; D007328:Insulin / Q000009:adverse effects*; D015187:Lipectomy / Q000379:methods*
D007004:Hypoglycemic Agents; D007328:Insulin