ArticleAesthetic surgery journal. Open forum2025
Real- vs High-Definition Ultrasound-Assisted Liposuction in Men: Long-Term Outcomes and the Role of Helium Plasma Skin Tightening.
Article in Aesthetic surgery journal. Open forum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Safety and clinical outcomes of contemporary liposuction techniques: evidence from a systematic review.Frontiers in surgery · 2026Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Male body contouring has evolved from conventional debulking to high-definition liposuction (HDL) etching and, more recently, a "real-definition" c (RDL) approach emphasizing natural contours. The role of helium-plasma skin tightening (HPST) as an adjunct remains uncertain. Objectives: To compare long-term patient-reported outcomes, complications, and revision rates between RDL and HDL in men undergoing ultrasound-assisted liposuction (UAL), and to evaluate the selective role of HPST in improving skin quality. Methods: A retrospective analysis was performed on 743 male patients who underwent primary UAL between 2008 and 2024. Patients were grouped by era: conventional (2008-2011), HDL (2011-2014), RDL (2015-2019), and RDL with HPST (2019-2024). Outcomes included BODY-Q satisfaction, complication severity, and revision rates. Regression, mediation, and propensity-score matching analyses were applied to identify predictors of durable satisfaction and recommendation. Results: Mean satisfaction improved across eras: 59.3 (2008-2011), 57.7 (2011-2014), 66.8 (2015-2019), and 73.8 (2019-2024). HDL patients showed the lowest durable scores despite high early ratings and were most associated with self-reported "fake abs," which correlated with reduced BODY-Q domains. RDL produced more stable outcomes, particularly in men with BMI ≤25 and ≥4 exercise sessions/week. Sports frequency predicted higher satisfaction directly and indirectly via lower body mass index (BMI). Clinically meaningful complications declined from 15.4% to 4.6% across eras. Helium-plasma skin tightening was offered mainly to older, higher-BMI men and, after adjustment, was not independently associated with improved skin quality. RDL was linked to a lower revision risk (odds ratio (OR) 0.32, Conclusions: Real-definition liposuction provided natural, durable outcomes and fewer revisions than HDL. Over-etching increased unnatural contours and dissatisfaction. Careful patient selection-BMI ≤25, consistent exercise, and weight stability-is critical, while HPST may be reserved for older men with mild laxity. Level of Evidence 3 Therapeutic:
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