Liposuction and Surgical Removal under Endoscopic Assistance for a Case of Multiple Symmetric Lipomatosis

Abstract

Multiple symmetrical lipomatosis (MSL) is a rare disease, characterized by the formation of multiple lipomas with a symmetrical distribution and sparing of distal arms and legs. The disease is more prevalent in males, and is associated with high ethanol intake.
We present a case of MSL treated with liposuction and surgical removal under endoscopic assistance. Due to the firmness of fat tissue and slow progress of aspiration, treatment with liposuction in the nuchal part is very difficult. On the other hand, we suggest that treatment by surgical removal under endoscopic assistance is very useful for a direct safety check through the monitor.