title: Postoperative Granulomas at Liposuction Incision Sites.
abstract: Since most liposuction incisions heal uneventfully, difficult healing in such incisions must be investigated. In the cases of two gynecomastia liposuction patients in which a water-based lubricating gel was used on the liposuction incisions, the incisions failed to heal. For both patients, workup uncovered palisading granulomas at the lateral inframammary fold incision sites several months after otherwise successful surgeries. These two cases are presented and the previous literature is reviewed, with consideration given to the etiology and prevention of such granulomas. LEVEL OF EVIDENCE 5: Risk.
authors.affiliation: Dr Weniger is a plastic surgeon in private practice in Bluffton, SC. Dr White is a dermatopathologist in private practice in Ridgeland, SC. Mr Barrero Castedo is an undergraduate student at Duke University, Durham, NC.
authors.forename: Frederick G
authors.initials: FG
authors.lastname: Weniger
authors.affiliation: Dr Weniger is a plastic surgeon in private practice in Bluffton, SC. Dr White is a dermatopathologist in private practice in Ridgeland, SC. Mr Barrero Castedo is an undergraduate student at Duke University, Durham, NC.
authors.forename: Peter F
authors.initials: PF
authors.lastname: White
authors.affiliation: Dr Weniger is a plastic surgeon in private practice in Bluffton, SC. Dr White is a dermatopathologist in private practice in Ridgeland, SC. Mr Barrero Castedo is an undergraduate student at Duke University, Durham, NC.
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Barrero Castedo
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy; D002482:Cellulose / Q000009:adverse effects / Q000031:analogs & derivatives*; D005990:Glycerol / Q000009:adverse effects*; D006099:Granuloma / Q000139:chemically induced* / Q000175:diagnosis; D006177:Gynecomastia / Q000601:surgery*; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects*; D054327:Lubricants / Q000009:adverse effects*; D008297:Male; D010710:Phosphates / Q000009:adverse effects*; D011409:Propylene Glycols / Q000009:adverse effects*; D012965:Sodium Chloride / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: C042973:K-Y jelly; D054327:Lubricants; D010710:Phosphates; D011409:Propylene Glycols; D012965:Sodium Chloride; D002482:Cellulose; D005990:Glycerol