Abstract：
Liposuction is a surgical procedure used to remove localized excess adipose tissue. According to The Aesthetic Society\'s latest annual report, liposuction is the most commonly performed cosmetic procedure. Despite its popularity, the existing literature lacks a unified understanding of the risks associated with liposuction. The aim of this study was to measure complications of liposuction. A systematic review and meta-analysis was reported according to PRISMA guidelines and registered on the PROSPERO database (CRD42023471626). The primary outcome was overall complication rate. The absolute risk for individual complications was also assessed. From 2957 articles, 39 studies were selected for analysis. In total, 29,368 patients were included, with a mean age of 40.62 years and mean BMI of 26.36 kg/m2. Overall, the rate of any complication was 2.62 (95% CI, 1.78-3.84). The most common complication was contour deformity, with a prevalence of 2.35% (95% CI, 1.05%-5.16%). The prevalence of hyperpigmentation was 1.49% (95% CI, 1.12%-1.99%), seroma 0.65% (95% CI, 0.33%-1.24%), hematoma 0.27% (95% CI, 0.12%-0.60%), superficial burn 0.25% (95% CI, 0.17%-0.36%), allergic reaction 0.16% (95% CI, 0.050%-0.52%), skin necrosis 0.046% (95% CI, 0.013%-0.16%), generalized edema 0.041% (95% CI, 0.0051%-0.32%), infection 0.020% (95% CI, 0.010%-0.050%), venous thromboembolism 0.017% (95% CI, 0.0060%-0.053%), and local anesthesia toxicity 0.016% (95% CI, 0.0040%-0.064%). Liposuction is a safe procedure with low complications, of which contour deformity is the most common. Raising awareness of specific risks can enhance surgical outcomes and improve patient-physician understanding.
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摘要：
吸脂术是用于去除局部过量脂肪组织的外科手术。根据美学学会的年度报告，吸脂术是最常用的整容手术.尽管它很受欢迎，现有文献对吸脂术相关风险缺乏统一的认识.本研究旨在测量吸脂术的并发症。根据PRISMA指南报告了系统评价和荟萃分析，并在PROSPERO数据库（CRD42023471626）上注册。主要结果是总并发症发生率。还评估了个别并发症的绝对风险。从2,957篇文章中，选择39项研究进行分析。总的来说,包括29,368名患者，平均年龄为40.62岁，平均BMI为26.36kg/m2。总的来说,任何并发症的发生率为2.62[95%CI:1.78;3.84].最常见的并发症是轮廓畸形，患病率为2.35%[95%CI：1.05%；5.16%]。色素沉着的患病率为1.49%[95%CI:1.12%;1.99%],血清肿0.65%[95%CI：0.33%；1.24%]，血肿0.27%[95%CI:0.12%;0.60%],浅表烧伤0.25%[95%CI：0.17%；0.36%]，过敏反应0.16%[95%CI：0.050%；0.52%]，皮肤坏死0.046%[95%CI：0.013%；0.16%]，全身水肿0.041%[95%CI:0.0051%;0.32%]，感染0.020%[95%CI：0.010%；0.050%]，静脉血栓栓塞0.017%[95%CI:0.0060%;0.053%],局部麻醉毒性0.016%[95%CI:0.0040%;0.064%]。吸脂术是一种安全的手术，并发症少，其中轮廓畸形是最常见的。提高对特定风险的认识可以提高手术效果并改善患者与医生的联盟。
