Background: Lipoplasty techniques have evolved over
the last century passing through several points of transmission
and advancement from primitive curetting techniques to highdefinition
sculpting; this path has been aided by the advent
of the tumescent technique and VASER technology. VASER
Assisted High Definition Liposculpting (VAHDL) has achieved
an advanced three dimensional aesthetic results with minimal
complication rate. Seroma formation is one of the most
common complications that should be prevented to preserve
sculpting results. There is nearly a consensus in literature
about the active role of the surgical drainage in preventing
this complication; however the type of this surgical drainage
remains an issue of dispute that is still subjected to literature
evaluation. Most of the previous studies have depended on
the open drainage with many regards about the need for
frequent dressing change.
Aim of Work: This study was designed to do an appraisal
on the closed active drainage as a more convenient substitute
for torso HDL patients.
Methods: From April 2016 to March 2019, a prospective
case series study was carried out on 120 VAHDL patients
presented with limited torso areas of fat accumulation. All
patients were operated for the sculpting purpose by selecting
those who presented with good muscle tone, BMI less than
35, and without excessive skin laxity.
Results: The age of the patients ranged from 21 to 45
years; with female predominance (75 cases) representing
62.5% and BMI from 25 to 35. Overall satisfactory result has
been achieved in 105 patients representing 87.5% with higher
satisfactory rate among male patients. Complication rate was
25.8% (31 cases) with unequal distribution among variety of
possible lipoplasty complications.
Conclusion: Closed active drainage in spite of the problem
of the clogged drain, still has the ability to achieve many
advantages regarding effective prevention of seroma formation,
elimination of the need for frequent dressing change, accurate
drainage volume recording, less post-operative pain, ecchymosis,
time needed for wearing compression garments, rapid
recovery of post-operative edema and unmasking of sculpting
aesthetics.