To ensure early detection and an individually outlined follow-up, the committee advised the use of a minimum data set of (repeated) measurements of waist circumference, circumference of involved limbs, body mass index (BMI) and scoring of the level of daily practice and psychosocial distress. ", Its important to realize that theres no cure for lipedema, so even after surgery, patients will need to work closely with their doctor to manage their condition. J Plast Reconstr Aesthet Surg. Panniculectomy/apronectomy when criteria are not met; Suction lipectomy, for indications other than lipedema and lymphedema. Indian J Plast Surg. When combined with post-operative weight loss, surgical repair of buried penis can greatly benefit patients by improving urinary and sexual function in addition to their mental and psychological well-being. They had the contacts and the knowledge to press for coverage for me. . Removing these nodules is what truly allows us to treat lipedema." Grabin S, Antes G, Bjorn Stark G, et al. Even when you meet all the criteria of your insurer, they may only cover part of the cost of the lipedema reduction surgery. A healthy diet thats low in refined carbohydrates is an important part of lipedema treatment., This type of diet reduces inflammation, which is thought to play a role in lipedema. 2017;32(3):152-159. Most insurance companies cover lipedema surgery. File for pre-authorization before you have surgery. 2020;8(1):150-157. How long your recovery takes will depend on how many areas were treated and how much fat was removed. Aetna considers breast reduction surgery cosmetic unless breast hypertrophy is causing significant pain, paresthesias, or ulceration (see selection criteria below). Abdominal hernias. We are proud to be a part of helping women regain their function, reduce their pain and live fulfilling lives with their families and friends. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. And as the condition worsens, people with lipedema become less mobile. Despite the emergence of laser-assisted liposuction, to-date, it has not been clearly evaluated combined with abdominoplasty. Available at: http://www.emedicine.com/med/topic2703.htm. Physical decongestive therapy could be either omitted (22.4 % of cases) or continued to a much lower degree. In addition to morbid obesity, a buried penis can result from other etiologies, such as HS, iatrogenic causes such as elective surgeries, infections, LS, penoscrotal lymphedema, and traumatic events. First Dutch guidelines on lipedema using the international classification of functioning, disability and health. Plast Reconstr Surg. Levesque AY, Daniels MA, Polynice A. Outpatient lipoabdominoplasty: Review of the literature and practical considerations for safe practice. 2018;141(6):1395-1407. Patients that want insurance coverage for lipedema to be approved must document very carefully that they have completed the steps. Insurers continue to cover lipedema! ON: Canadian Agency for Drugs and Technologies in Health (CADTH); June 2019. Systematic review and meta-analysis. 2014;38(1):49-56. The mean follow-up times for the 1st post-operative follow-up and the 2nd post-operative follow-up were 16 months and 37 months, respectively. The incidence of recurrence was not systematically reported and ranged from 5.2 % to 13 %. An assessment of surgery for lipedema by the Canadian Agency for Drugs and Technologies in Health (CADTH, 2019) (Peprah and MacDougall, 2019) reached the following conclusions: "Evidence of limited quality from five uncontrolled before-and-after studies suggests that liposuction may be effective in reducing the size of the extremities and complaints associated with lipedema such as spontaneous pain, easy bruising, sensitivity to pressure, impairment in quality of life, restrictions to mobility, edema, feeling of tension and general impairment. As with most insurers, having a cooperative employer or being in a regulated state can help us push Aetna to focus on quality of care regardless of whether the surgeon is in-network. Functional Impairment when all . Survey Outcomes of Lipedema Reduction Surgery, Liposuction Prevents Lipedema Progression, LIO Lipedema Updates for Lipedema Awareness, Misdiagnosis of Lipedema and Malnutrition, New Developments in Biomarkers of Lymphatic Malfunction, Manual Lymph Drainage and Complete Decongestive Therapy. Outcome analysis of combined lipoabdominoplasty versus conventional abdominoplasty. ANZ J Surg. Cell-assisted lipotransfer: A systematic review of its efficacy. 1997;23(12):1127-1129. The strength of the recommendations in the clinical guidelines and links to supporting evidence were not provided.. These conservative trialsinclude diet changes, daily medical-grade compression stocking use and/or compression with special wrapping techniques, andmanual lymphatic drainage, a gentle form of skin stretching and massage. Halk AB, Damstra RJ. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Over the past three years, we have helped almost 400 women get over 40 million dollars of lipedema surgery fully covered. The reverse abdominoplasty:A report of seven cases and a review of English-language literature. On average, cataract surgery costs about $5,000 per eye; however, in some places, this price can move up to over $10,000. This Coverage Policy addresses surgical treatments for lymphedema and lipedema. Dr. Byrd says, "There are two insurance companies that have been accepting coverage for Lipedema surgery and that is Blue Cross and Aetna. abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) [documentation required], Localized adiposity [abdomen] [documentation required], Erythema intertrigo [chronic, documentation required], Excessive and redundant skin and subcutaneous tissue, Separation of muscle, (non-traumatic) other site [diastasis recti], Other congenital malformations of abdominal wall [congenital diastasis recti], Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy, Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh, Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg, Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip, Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock, Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm, Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand, Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad, Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area, Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure), Suction assisted lipectomy; head and neck, Suction assisted lipectomy; upper extremity, Suction assisted lipectomy; lower extremity, Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area [Correction of adult acquired buried penis], Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra [Correction of adult acquired buried penis], Meatotomy, cutting of meatus (separate procedure); except infant, Circumcision, using clamp or other device with regional dorsal penile or ring block, Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less), Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age, A thinning out of the anterior abdominal wall fascia, Dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing. Wollina and associates (2014) noted that In advanced stages of lipedema, reduction of adipose tissue is the only available effective treatment. Liposuction in the treatment of lipedema: A longitudinal study. Roswell, Georgia 30075, Telephone: 770.587.1711 2014;133(5):1214-1221. Over the past three years, we have helped almost 400 women get over 40 million dollars of lipedema surgery fully covered. We know how to overcome the roadblocks to getting your insurance company to pay fairly for your medically necessary treatment. 2015;112(15):255-261. Wednesday: 8:30 am 5:30 pm 41. The high incidence of graft-related complications should be taken into account when counselling patients and AABP care should be centralized to high-volume centers. Laparoscopic repair of ventral hernia. Talk with your insurer about their requirements for coverage. Aetna also covers skin excisions along with liposuction, per their policy. Patient-reported outcomes of robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh: The PROVE-IT randomized clinical trial. Cooter R, Robinson D, Babidge W, et al. Acquired buried penis in adults: A review of surgical management. Aesthetic Plast Surg. I just got all my surgeries pre-approved with a Single Case Agreement thanks to the amazing help from coverlipedema.com., Read more of what our members say about us. Does Lipedema Fat Come Back After Surgery ? Individual must respond to at least three consecutive months of medical management. (Either of these options will increase your cost.). Expect to feel pressure, but no pain, while the fat is being extracted. Lipedema surgery involving liposuction is the most effective treatment to alleviate the painful symptoms that are caused by lipedema. Because of the higher pressure from the affected areas, vein disease and lymphatic problems often occur simultaneously. For liposuction for lymphedema, see. New method of abdominoplasty for morbidly obese patients. 2013;66(11):1557-1563. den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW. Lipedema surgery is a specialized procedure that uses liposuction to remove the deposits of excess fat that accumulate under the skin as a result of lipedema. Fax: 770.518.8810, Hours J Dtsch Dermatol Ges. 17. Cureus. Clin Plast Surg. Bridenstine JB. Group 3 underwent laser-assisted liposuction with abdominoplasty. Coverage Policy . Care must be taken when planning a surgical intervention, and support from plastic or general surgery may be required. Guiding principles for liposuction. Use of ultra-high frequency electrosurgery (radiosurgery) for cosmetic surgical procedures. Schmeller W, Hueppe M, Meier-Vollrath I. Tumescent liposuction in lipoedema yields good long-term results. 2015;64(12):1640-1649. J Plast Surg Hand Surg. Ollapallil J, Koong D, Panchacharavel G, et al. The authors concluded that tumescent liposuction was a highly effective treatment for lipedema with good morphological and functional long-term results. Graf R, de Araujo LR, Rippel R, et al. Koolen PG, Ibrahim AM, Kim K, et al. "Liposuction can give relief in size reduction, but it often doesnt make the lower extremities look much better," says Dr. Mats Hagstrom, a plastic surgeon in San Francisco. Hernia. According to Dr. Wright, all insurers also require a trial of three to six months of conservative treatment to manage symptoms. The authors concluded that a tailored approach may be useful in advanced lipedema and was applicable even in elderly patients with multiple co-morbidities. Sending too many or the wrong supporting documents. Though your treated areas will feel significantly better almost immediately after surgery, its important to have realistic expectations about how much cosmetic improvement you can expect with lipedema surgery. Hurvitz KA, Olaya WA, Nguyen A, Wells JH. eMedicine General Surgery Topic 2703. Aetna considers liposuction medically necessary in persons with pain and disability from lipedema who have failed to respond to three or more months of conservative management (compression or manual therapy) and who meet the following diagnostic criteria for lipedema: Pain and hypersensitivity to touch in lipedema affected areas; History of easy bruising or bruising without apparent cause in lipedema affected areas; Relative lack of effect of weight loss on lipedema affected areas; Lack of effect of limb elevation on reducing swelling; Disproportional fat distribution (e.g., lower body disproportionately large compared to upper body). Cardenas-Camarena L, Gonzalez LE. In the 57 studies, the majority of the fat tissues were obtained from the abdomen via liposuction of the 7 clinical studies, 4 were performed in patients requiring breast augmentation, 1 in a patient requiring facial augmentation, 1 in a patient requiring soft tissue augmentation/reconstruction and 1 in a patient requiring fat in their upper arms. Currently, the explanation for why adding ADSC to adipose tissues for transplantation allows improved grafting, compared with using adipose tissue only, remains to be elucidated. Ho TS, Gelman J. Youll be encouraged to be up and walking around by the day after lipedema surgery. Hematoma, a pooling of blood under the skin, Seroma, a pocket of fluid under the skin (a risk that can be reduced with a good compression garment), Thrombophlebitis, when blood clots form in the deep veins, Fat embolism, which occurs when a piece of fat separates and becomes trapped in a blood vessel, I Tried Renuva to Make My Hands Look More YouthfulHeres My Honest Review, 5 Famous Doctors on How Reality TV Affects Real Life, The Best New Clinically Proven Skin-Care Launches of 2023. Ann Plast Surg. Lipedema is a chronic, progressive disorder marked by the individual variability and unpredictability of its clinical course. Copyright Aetna Inc. All rights reserved. 2008;121(5):1821-1829. Apronectomy in combination with major gynaecological procedures. 2008;28(5):516-518. Kanjoor JR, Singh AK. Danilla S, Longton C, Valenzuela K, et al. The amount of money you will spend to have Coverlipedema.com advocate for you is the best money you will ever spend. Lipedema also often has an unusual texture within the fat that can feel like rice, peas, or walnuts beneath the surface of the skin. Medial thigh lift and partial lower abdominoplasty with minimal undermining were used to correct skin laxity and prevent intertrigo (intertriginous dermatitis). Adult acquired buried penis: A hidden problem in obese men. patients who underwent SG alone (SG); demographics, co-morbidities, and % EWL were examined. Tuesday: 8:30 am 5:30 pm The cohort was divided into 2 groups: Language services can be provided by calling the number on your member ID card. Patients who underwent minimally invasive SG at the University of Illinois Hospital and Health Sciences System from March 2008 to June 2015 were included in this study. Some insurerswill not coverlipedema if you have a BMI over a certainnumber, unless you have had bariatric surgery.". If you need cataract surgery in both eyes . There is no way I could have managed this on my own. However, with careful selection, surgical correction frequently resulted in significant improvement in function and QOL. 2016;40(2):309-318. The mean amount of lipoaspirate in the LPARSP group was 1,054 613.5 ml. The goal of the surgery is to take out as much fat and fibrous tissue as possible without further damaging the lymphatic system. Negative Stemmer sign. A total of 170 studies were identified and screened, and 21 studies (570 patients) were included. Patterson J. Outcomes of abdominoplasty. 2012;68(3):303-307. For larger volume fat removal procedures, some providers prefer a combination of either local and IV sedation or general anesthesia, so you'll be completely unaware of the surgery while it's being performed. Its perfect for grabbing the attention of your viewers. "The goal is often to help patients fit better into clothing. Patients with lipedema stage II and III showed better improvement compared with patients with stage I. Vastine VL, Morgan RF, Williams GS, et al. Expect significant swelling in the treated areas for the first few weeks after surgery. Furthermore, the LPARSP group presented with a decreased bulging rate (p = 0.05), and secondary refinement procedures were less frequently demanded (p = 0.02). No serious complications (wound infection rate 1.4 %, bleeding rate 0.3 %) were observed following surgery. Halk and Damstra (2017) noted that in 2011, the Dutch Society of Dermatology and Venereology organized a task force to create guidelines on lipedema, using the International Classification of Functioning, Disability and Health of the World Health Organization (WHO). All Rights Reserved. Pring CM, Tran V, O'Rourke N, Martin IJ. Your application will be reviewed within hours. Chou R. Subacute and chronic low back pain: Surgical treatment. Getting coverage for lipedema surgery is complicated. Mol Med Rep. 2016;13(2):1063-1069. Obes Surg. If youve been diagnosed with lipedema and are healthy enough to undergo surgery, youll likely be a good candidate for this procedure. ALT's dedicated insurance team, with over 40 years of experience, worked tirelessly to secure coverage for lipedema patients, at no cost to . Vous pouvez modifier vos choix tout moment en cliquant sur le lien Tableau de bord sur la vie prive prsent sur nos sites et dans nos applications. Group 1 underwent conventional liposuction with abdominoplasty, Group 2 underwent a mixture of conventional and laser-assisted liposuction with abdominoplasty, and. Larson GM. Azouz Plastic and Cosmetic Surgery includes two board-certified plastic surgeons recognized as top plastic surgeons in Dallas. Now many insurance companies have changed their coverage policies and consider it medically necessary when all criteria are met: The first step is to have an in- person evaluation so we can prepare your documentation for pre certification. Ann Chir Plast Esthet. Cohen et al (2021) stated that in adult men, buried penis occurs as an acquired condition most commonly caused by morbid obesity. Dadras M, Mallinger PJ, Corterier CC, et al. Monday: Closed The guidelines defined criteria to make a medical diagnosis of lipedema, a minimum data set of (repeated) clinical measurements that should be used to ensure early detection and an individually outlined follow-up plan, pillars on which conservative treatment should be based and recommendations on surgical therapeutic options. Aesthetic Plast Surg. 2017;14(3):2415-2423. 19STCV17131. Am I Overweight, Or Do I Have Lipedema Fat? The authors stated that the therapeutic effect of CAL in cosmetics and aesthetics remains controversial, most likely because of the lack of a standard method for isolating pure ADSCs. Br J Surg. Does Lipedema Fat Come Back After Surgery ? Depending on your skin's elasticity and the amount of fat extracted, you may be left with loose, sagging skin. They're typically worn 24/7 for the first 23 weeks, and then after that for up to 12 hours a day, even after your lipedema surgery recovery period. In: SAGES Primary Care Physician's Resource Center. In advanced cases of lipedema, lymphedema may occur. Papers were individually reviewed for their utility and applicability to the management of adult ABP. 2008;61(2):133-137. 2021;156(1):22-29. This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. 2012;46(3-4):139-144. Malformation - Medicare will cover plastic surgery to repair malformed body parts if deemed medically necessary. Your health care providers will then be able to assist you in providing documentation of your treatment and, if conservative measures don't work, why lipedema surgery is medically necessary for you. 2019;64(3):237-244. Cell-assisted lipotransfer: A critical appraisal of the evidence. With insurance coverage, the cost can be as low as your maximum out of pocket cost, which could be less than $5,000. Its easy to apply. The most common, effective, and least invasive treatment for lipedema is tumescent liposuction of the affected fat cells. Aboelatta YA, Abdelaal MM, Bersy NA. The LPARSP technique resulted in a lower positioned horizontal scar (p = 0.03). Heres what you can expect during recovery: RealSelf members tend to describe their recovery experience in similar ways. Does Lipedema Fat Come Back After Liposuction Reduction Surgery? Ann Chir Plast Esthet. ASERNIP-S Report No. Lipedema-associated complaints and the need for CDT were assessed for the pre-operative period and during 2 separate post-operative follow-ups using a VAS and a composite CDT score. 1999;42(1):34-39. Aetna Life Insurance Co. must face class claims that it wrongly failed to cover liposuction procedures for patients with lipedema after a California federal judge certified the case as a class action covering between 23 and 25 people. "Lipedema fat is different biologically from non-lipedema fat. Aesthet Surg J. Medicare covers mostly the acute conditions, the conditions that are quick to resolve. It gives coverage to most of the people who are above the age of 65 and some younger people too. Simply click here to complete an application online. Getting coverage for lipedema surgery is complicated. We know how to overcome the roadblocks to getting your insurance company to pay fairly for your medically necessary treatment. Buck DW 2nd, Herbst KL. The Pariser system was used to classify surgical procedures. Photographs must be submitted along with the findings. Am I Overweight, Or Do I Have Lipedema Fat? Less than three months post-op, one RealSelf member, JustformeKYFL, reported that she occasionally still had swelling, "but my legs are a million times better even on my worst days.". Assessment of risk of bias demonstrated a high-risk of bias across all studies. Promotion of a healthy lifestyle with individually adjusted weight control measures, graded activity training programs, edema reduction, and other supportive measures are pillars of conservative therapy. Endoscopic abdominoplasty with repair of diastasis recti and abdominal wall hernia. Medicare doesn't typically cover liposuction, since it's considered an elective cosmetic procedure. This prospective study aimed to evaluate the safety and effectiveness of laser-assisted liposuction relative to traditional liposuction combined with high-lateral-tension abdominoplasty. After six months, most people see 75% of their final improvement. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Aetna considers suction lipectomy cosmetic for indications other than lipedema and lymphedema. Some insurers will not cover lipedema if you have a BMI over a certain number, unless you have had bariatric surgery." According to Dr. Wright, all insurers also require a trial of three to six months of conservative treatment to manage symptoms. Lipoabdominoplasty: Liposuction with reduced undermining and traditional abdominal skin flap resection. Peled and co-workers (2012) stated that diagnosis of lipedema is often challenging, and patients frequently undergo a variety of unsuccessful therapies before receiving the proper diagnosis and appropriate management. Aetna is not a provider of health care services and therefore is not responsible for and does not guarantee any results or outcomes of the covered health care services and supplies you receive. Superior functional and aesthetic results paired with improved abdominal wall sensation were achieved compared to CA. Functional and therapeutic indications of liposuction: Personal experience and review of the literature. 2004;45(6):271-275. But because they're so thick and hard, they can't be removed by suction," says Dr. Schwartz. You should never have to borrow money or crowdsource to pay for your surgery. Don't be alarmed, though: leakage from incision sites is completely normal. When does your liposuction patient require an abdominoplasty? Best Practice Guidelines: The Management of Lipoedema. Thats why a correct diagnosis is crucial. The authors concluded that little consistent information concerning either diagnostics or therapy could be found in the literature. Quantitative and qualitative investigations, comparing the therapeutic effects of using pure ADSC and a mixture of ADSC with certain types of fat components or other components are needed to confirm the previous conclusion. If your provider is only using local anesthesia, you'll feel a pinching sensation as the tumescent solution is injected. Singapore Med J. I managed the pain with occasional acetaminophen, though, and within a week the bruising was fading," says Lipedema Lady, who had similar recoveries after two lipedema surgeries. 2008;(3):CD006438. Friday: 8:30 am 5:30 pm This study investigated 36 consecutive female patients who underwent high-lateral-tension abdominoplasty combined with liposuction of the upper central abdomen and both flanks. "Lipedema surgery truly is a life-changing treatment," says Dr. Schwartz. If present, morbid obesity should be therapeutically addressed prior to liposuction. Until recently, they did not approve at all, and considered it a cosmetic procedure. 2020;44(6):2147-2157. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. There is a dearth of literature examining weight loss outcomes in patients undergoing abdominal lipectomy post-sleeve gastrectomy (SG). Dont let the insurance process discourage you. Insurance companies now are much better at approving some patients. Atiyeh B, Costagliola M, Illouz YG, et al. Getting coverage for lipedema surgery is complicated. Until recently, they did not approve at all, and considered it a cosmetic procedure. 02/10/2023 More than ever, most women will need the assistance of an advocate. Aetna has covered lymph sparing liposuction for patients with lipedema before and this policy update makes it more likely that they will cover it in the future but there always be restrictions. 2018;107(20):1081-1084. Santa Monica, CA: Society of American Gastrointestinal Endoscopic Surgeons (SAGES); 2001. Studies have shown that the ADSC isolated from aged patients have reduced proliferation capacity and stability. The authors concluded that lipoabdominoplasty with rectus plication represented a safe approach for donor-site closure in selected patients undergoing abdominal-based free flap breast reconstruction. Aesthetic Plast Surg. In fact, liposuction has ceased to define a specific procedure and has become synonymous to a surgical technique or tool similar to the surgical knife, laser, electrocautery, suture material, or even wound-dressing products. 1998;102(5):1698-1707. Abdominoplasty with simultaneous laparoscopic umbilical hernia repair: A practical approach to preserve the umbilical vascularization. Liposuction for Lipedema is considered reconstructive and medically necessary to treat . Aesthetic Plast Surg. Micro-cannular laser-assisted liposuction of the upper legs and knees was performed under tumescent anesthesia. These investigators reviewed the current evaluation and surgical management of this rare and complex patient population. Bragg TW, Jose RM, Srivastava S. Patient satisfaction following abdominoplasty: An NHS experience. 2005;29(8):1080-1085. van Schalkwyk CP, Dusseldorp JR, Liang DG, et al. In our experience, Aetna has been one of the best for lipedema surgery coverage. Lorsque vous utilisez nos sites et applications, nous utilisons des, authentifier les utilisateurs, appliquer des mesures de scurit, empcher les spams et les abus; et. Swelling can occur from the hips down to the ankles, and the legs often look column-like. Most patients are pleased with the functional and aesthetic outcome following surgery. Furthermore, the abdominal wall sensation of the flanks was improved in the LPARSP group (p = 0.05), whereby patient-reported outcome measures did not differ between groups. UpToDate [online serial]. Examination of the patient, both standing and supine with an attempt to demonstrate the penis using digital compression of the surrounding skin and fat, should be performed to determine the extent of the problem and whether co-morbid conditions such as infection and LS are present. The classic presentation of lipedema is a woman with a small upper body and a disproportionately fatty lower bodyin fact, it's not unusual for someone with lipedema to be a size 4 top and size 14 bottom. Lack of influence of weight loss on disproporonate fat distribution; Sensitivity to pain and easy bruising in fat distribution; Sensivity to touch and fatigue in extremies; No reduction of pain when raising extremies. It's not a requirement, but compression helps prevent fluids from obstructing the susceptible lymphatic pathways. Learn more about our content standards. Lockwood T. Rectus muscle diastasis in males: Primary indication for endoscopically assisted abdominoplasty. The effectiveness and safety of combining laser-assisted liposuction and abdominoplasty.
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