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请注明名称（个人，公司，学会等等）: KOL APYX Medical (USA) and Solta Med (USA)

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这项工作没有任何直接或间接的资金支持。由作者自己承担责任。 there is no financial support but one of the products used to enhance results will be announced and its disclosure also as a first slide

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Objectives: Recently, mommy makeover and other combined procedures have become more popular among patients who desire maximum impact and fewer procedures, lower cost, and minimal psychological stress and convalescence. This has raised questions about the definition of combined procedures regarding anatomic area, type of operation, and operation time.

Introduction: Concerns were also raised about complication rate, pain relief, recovery time, and rate of late correction. Because of the number of deaths that have occurred after aesthetic plastic surgery in the past few years after combined and extensive high-risk and non-combined procedures, it is crucial to define certain standards and regulations: safety management routines for patient selection, preoperative assessment, performance of the procedures, operation time, extent of surgery, and postoperative recovery.

Materials / method: We retrospectively examined our medical records of combined procedures performed at our clinic for 10 years. Relevant parameters were extracted: operation time, preoperative medication, perioperative sedation, postoperative pain relief, convalescence, complication rate, and correction rate. Comparison was made to determine whether the combination of 2 procedures improved/shortened the duration of the operation and lessened the amount of anesthesia used. A total of 178 (6.2%) patients were culled from 2867 procedures. During the past 2 years, the number of combined procedures increased by 11%.

Results: The number of breast combinations was highest in 85 patients, followed by combination liposuction (n=84), combination facial procedures (n=77), combination fat grafting (n=68), and combination abdominal (n=41) procedures. The lowest number was seen in combination genital procedures (n=19). The longest operating time with combination breast-abdomen was 260 min; Complications occurred in 7 patients (4%): swelling (n=1), infection (n=4), fistula (n=1), and nausea (n=1). Correction rate was 2 times higher. Pain control consisted of paracetamol, paracetamol/codeine, opioids, and dexamethasone.

Conclusion: The number of combined procedures performed doubled in the past 2 years. The rate of correction rate was higher for combined procedures. Larger dissection areas, longer operation time, and loss of a large amount of liquids/blood should be avoided. By rigid selection of patients, limiting operation time to less than 4 hours, use of TIVA sedation and lipotumescent infiltration, adequate pain control, and early mobilization, the combined procedures could be advantageous for both the patients and clinics regarding cost, psychiatric rehabilitation, and environmental aspects.

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Objectives: The aim of this lecture is to cast light on the shadows of error in high-definition liposuction, revealing the seven deadly sins that jeopardize both results and patient safety. We seek to impart a deeper understanding of these pitfalls, cultivating a skill set that marries technical prowess with ethical practice.

Introduction: In the nuanced world of aesthetic enhancement, the journey of learning never ceases. This lecture delves into the complexities of modern body contouring, a procedure where art meets science, and even the slightest misstep can have profound consequences. It serves as a beacon, guiding practitioners through the treacherous waters of common errors and ethical dilemmas.

Materials / method: Our exploration is based on a series of case studies, each illustrating a specific 'sin': Ignorance of anatomy, Sloth in comprehensive care, Deception in patient expectations, Lust for new technologies, Gluttony in fat removal, Recklessness against individuality, and Arrogance: being too proud too learn. These examples serve as a mirror, reflecting the nuances and intricacies inherent in the procedure.

Results: The journey through these sins reveals a range of outcomes, illustrating the varied impacts of each misstep. These narratives highlight the crucial balance between ambition and ethical practice in high-definition liposuction, emphasizing the importance of striving for excellence while maintaining humility and respect for the inherent complexities of the human form.

Conclusion: In conclusion, the lecture crystallizes into a set of guiding principles, akin to commandments, for the practitioner of high-definition liposuction. These principles emphasize respect for the natural anatomy, holistic patient care, honesty in patient communication, judicious use of technology, moderation in fat removal, appreciation of individual uniqueness, and careful, tailored treatment planning. By adhering to these tenets, surgeons will not only avoid the seven deadly sins but will also elevate their practice to an art form, ensuring safety, ethical integrity, and aesthetic excellence.

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