Combination excision and liposuction in a single-stage treatment of various skin disorders.

Objectives: The repair of skin defects resulting from the excision of large skin disorders is always challenging for surgeons as many methods have varied disadvantages. Therefore, we attempt to overcome frequent disadvantages of other surgical methods in repairing skin defects with the help of liposuction.

Methods: Before excision of skin disorders, liposuction was performed in regions where they were located followed by complete excision. The sliding flaps on both sides of the defect created by liposuction were pulled together to cover the defect. In our study, 40 skin disorders located on the upper arm, thigh, and trunk were treated by this technique.

Results: Forty skin disorders were excised and resulting skin defects were repaired in one stage by the surrounding sliding flaps without wound dehiscence, infection, incision edge necrosis, sensory deficit, or severe scar recurrence. The regions of liposuction presented a harmonious result and simultaneously the body contour was well-balanced.

Conclusion: Some large skin disorders at sites rich in subcutaneous fat can be treated in one stage by combining excision and liposuction with good functional and esthetic outcomes with few complications. Although the indications for this technique are limited, it is really a good option for appropriate cases.