Widespread Subcutaneous Emphysema After J-Plasma Therapy

Abstract

Subcutaneous emphysema refers to the abnormal presence of free gas within the subcutaneous tissue. Its cause can be broadly classified into 3 main causes: (1) infection by gas-forming microorganisms, (2) visceral perforation of luminal organs, and (3) spontaneous alveolar rupture. We report a case of a 48-year-old lady who developed extensive subcutaneous emphysema after undergoing VASER-assisted liposuction and J-Plasma® therapy at a local cosmetic clinic. The patient was admitted to our tertiary plastic surgery department where she was managed conservatively and discharged at day 3 without any complications. Subcutaneous emphysema is a known but rare complication of liposuction. While subcutaneous emphysema is usually self-limiting, fatal complications can occur. As such, patients considering these procedures should be informed of its risks and benefits to allow them to make an informed decision. This report highlights the importance of meticulous surgical technique in liposuction and its postoperative assessment.