Metabolic and clinical studies of liposuction in obesity

Abstract

The author’s concern regarding liposuction for obesity was the short-term and long-term consequences of this remodeling operation, especially from the metabolic point of view, concerning the adverse prognostic impact of hyperglycemia or dyslipidemia in untreated obesity, as well as of hypertension or cardiovascular diseases in the obese. The author discusses studies that showed metabolic changes after liposuction. The author removed retroperitoneal and omental fat without metabolic effect. The metabolic and clinical parameters benefit from large-volume fat extraction and, on a mini-invasive surgical basis, require more extensive investigation and more of a joint effort with physiologists, epidemiologists, and diabetologists.