Facelift- and circum-occipital incision placement for fat extirpation of the neck in Madelung's disease - A two-case report

Gabriel Hundeshagen, Gregor Hundshagen, Khamidulla F. Assadov, Fred Podmelle

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Benign symmetric lipomatosis (Madelung's disease) is a rare disorder of fat metabolism that is characterized by progressive symmetrical formation of unencapsulated and painless excess fat masses around the neck and trunk that result in cosmetic disfiguration and functional impairment. Since the disorder is incompletely understood and causal therapy is unavailable, surgical removal of fatty masses is the mainstay of treatment. In this paper the authors describe their use of the classical facelift incision placement as well as a horizontal circum-occipital incision to approach and excise excess fat of the anterior and posterior neck in two patients. This method yielded satisfying results with a combination of good access to fat masses, smooth trimming and redraping of redundant skin, in addition to fairly inconspicuous scarring post-operatively. After removal of 1.5 kg of fat from each patient and a period of uncomplicated wound healing, both patients showed no signs of relapsing fatty growth. Although more challenging than most conventional approaches, the authors' technique has shown good outcomes in those treated with this condition.

Original languageEnglish (US)
Pages (from-to)175-179
Number of pages5
JournalJournal of Cranio-Maxillofacial Surgery
Volume42
Issue number2
DOIs
StatePublished - Mar 2014
Externally publishedYes

Fingerprint

Multiple Symmetrical Lipomatosis
Rhytidoplasty
Neck
Fats
Lipomatosis
Cosmetics
Wound Healing
Cicatrix
Skin
Therapeutics
Growth

Keywords

  • Benign symmetric lipomatosis
  • Facelift
  • Madelung
  • Madelung's disease
  • Rhytidectomy

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery
  • Medicine(all)

Cite this

Facelift- and circum-occipital incision placement for fat extirpation of the neck in Madelung's disease - A two-case report. / Hundeshagen, Gabriel; Hundshagen, Gregor; Assadov, Khamidulla F.; Podmelle, Fred.

In: Journal of Cranio-Maxillofacial Surgery, Vol. 42, No. 2, 03.2014, p. 175-179.

Research output: Contribution to journalArticle

Hundeshagen, Gabriel ; Hundshagen, Gregor ; Assadov, Khamidulla F. ; Podmelle, Fred. / Facelift- and circum-occipital incision placement for fat extirpation of the neck in Madelung's disease - A two-case report. In: Journal of Cranio-Maxillofacial Surgery. 2014 ; Vol. 42, No. 2. pp. 175-179.
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