Quoi de neuf dans le gras ? Techniques de lipoaspiration et lipofilling

7/21/2019 Quoi de neuf dans le gras ? Techniques de lipoaspiration et lipofilling

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\ugk fm bmuc flbs em

arls 7Vmhdbkqums fmekpglspkrltkgb mt ekpgeekba

Xtl fu ilrfk 03 ilk 0?


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&'(

#(V"$)*HV#$(

+#XV$"#\*!

#&$'X"'V#$(

#&$,##(- ms r.akgbs ems peus kipgrtlbtms pgur em

ekpgigfmelam

#bt.r/t smue gu mb hgipe.imbt fm elhdkrurakm

H$(H*X#$(


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&rge.iltkqum

\umeem mst el pelhm lhtumeem fm elekpglspkrltkgb mt fm el ekpgstruhturmmb hdkrurakm pelstkqum mt mstd.tkqum 7


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#(V"$)*HV#$(

l ekpglspkrltkgb .tlpm f.tmrikblbtm flbs e.8geutkgb fm el hdkrurakm

mstd.tkqum6

8.rktlemimbt shuepturlbtm arhm el ilktrksm fms

tmhdbkqums fm ekpglspkrltkgb supmrhkmeem1 el ekpglspkrltkgb l hgbstktu. pgur el hdkrurakm mstd.tkqum

ubm 8.rktlem PMSGE]VKGB flbs ems lbbms 4?

m ekpgigfmelam ' r.8geutkgbb. ems prltkqums fm hdkrurakm mstd.tkqum mt

rmhgbstruhtrkhms6

&mrimt lu4gurfduk fm rmigfmemr hgrrkamr mtpmrcmhtkgbbmr tgutms ems ;gbms fu hgrps6


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+#XV$"#\*!+kstgrkqum fm eutkeksltkgb fu tkssu lfkpmu> hgiim prgfukt fm hgiemimbt mb hdkrurakm pelstkqum

'6 :g4leele 1 5696 ,g%ltkmr 'bblems fm hdkrurakm pelstkqum mstd.tkqum 2 O0??2L 2 hgiim prgfukt fmhgiemimbt mb hdkrurakm pelstkqum mt mstd.tkqummst lbhkmb mt l clkt eg4mt fm bgirmusms .tufms6

,kb fu lutgegaum mst

rlppgrt. pgur el prmikrm cgks6

ms kf.ms mt ems tmhdbkqums gbt cgrtmimbt .8geu. lu

hgurs fu skhem fmrbkmr el fmshrkptkgb fm el kpgstruhturmF fm Hgemilb

mb


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+kstgkrm fm el hdkrurakm fm elskedgumttm

)mpuks el b fu M#Mm skhem1

mluhgup fm hdkrurakmbs crlbClks gbt hgbtrku. e.8geutkgb fm el hdkrurakm pelstkqum fm elskedgumttm6

#bbg8ltkgbs trs ilrqulbtms kb8mbtkgb fms kipelbts iliilkrms agbAlems plr +69

-6 'rkgb

l hdkrurakm fu rmigfmelam arlkssmu> r.8geutkgbb. plr

el ekpgsuhhkgb fD69-6 #eegu;6 l hdkrurakm fm em>hs hutlb.K6

m rmigfmelam hgipemt fm el skedgumttm plr trlbscmrtfm arlkssm 7

k8kt.KcrlbClksm mb hdkrurakm fm el skedgumttm ,rmbhd hrmltk8kt% kb gf% hgbtgurkba

le 'bblems fm hdkrurakm pelstkqum mstd.tkqum O0?


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#&$'X"'V#$(

l ekpglspkrltkgb tgurblbt dkstgrkqum flbs e.8geutkgb fm el hdkrurakm pelstkqum

mt mstd.tkqum6

&mrimt em>trlhtkgb f.bktk8m fms surhdlrams

arlkssmusms eghleks.ms sgus el pmlu6 &euskmurs fms ;gbms lutrmcgks hgbskf.r.ms hgiim tlgu

sgbt pr.smbt lhhmsskems fmpuks qum el ekpglspkrltkgbmst fm8mbum supmrhkmeem mt hkrhuelkrm6

l ekpglspkrltkgb pmrimt mb a.b.rlbt el r.trlhtkgb hutlb.m1

fkikbum el egbaumur fms hkhltrkhms fm el peuplrt fmskbtmr8mbtkgbs fm hdkrurakm mstd.tkqum

gu8rm el 8gkm lu> ekpgshuepturms clhklems mt hgrpgrmeems6


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Hm quk hmst clkt

ms hlbuems trlbhdlbtms

m elsmr

ms uetrlsgbs


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Hm quk hm clkt

l ekpglspkrltkgb supmrhkmeem mthkrhuelkrm

l ekpglspkrltkgb lsskst.m plrlpplrmke igtgrks.

ms hlbuems rgtltk8ms

ms ekpglspkrltkgbs l hlbuems8krlbtms


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ms pmrspmhtk8ms fl8mbkr

@GF[-NMV bgu8meem itdgfm fm ekpglspkrltkgbquk hgbskstm kb4mhtmr fu

srui pdyskgegakqumlfr.blekb. sgus prmsskgb

qumequms ikbutms lprs1 lspkrmr el arlkssm quk mst f.tlhd.m plr ub4mt d.ekhgfle quk f.ekiktm ub h%ekbfrm fm arlkssm6

Hmttm tmhdbkqum mst bmttmimbt peus fguhm &mu gu pls fmhhd%igsms1

!eem grm el8lbtlam .alemimbt fubm peus arlbfm shurktpgurems ekpglspkrltkgbs kipgrtlbtms puksqumeem fkikbum cgrtmimbt emslkabmimbt6

@GF[VKVM Hm prgh.f. lssghkm1 lprs kbetrltkgb fm s.rui pd%skgegakqum1elspkrltkgb el rlfkgcrqumbhm6

#e sm prgfukt ub .hdlumimbt tkssuelkrm quk clkt cgbfrm el arlkssm1clhkektlbt elspkrltkgb ilks lussk ekiktlbt cgrtmimbt ems slkabmimbts6


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l ekpglspkrltkgb lu elsmr Obgu8meem a.b.rltkgb fmelsmrL

sgus el pmlu ubm rm sgupem .imttrkhm fm fmu>clkshmlu> elsmr1 rmspmhtk8mimbt 02 mt J=blbgitrms6

'8mh el prmikrm egbaumur fgbfm ubm ekpge%sm1 plrtkhuekrmimbt dgigabm puksqum e.bmrakm

lttmkbt m>heusk8mimbt ems hmeeuems hkems1 slbs fgiilams lu>tkssus 8gkskbs6

l smhgbfm cr.qumbhm mst lsgr.m plr ed%pgfmrim mt em fmrim pgur prg8gqumr

ubm hgbtrlhtkgb tkssuelkrm6


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"!P$*V#$( 7

l r.8geutkgb fm el

ekpglspkrltkgb bmr.skfmrlkt meem pls flbs emekpgigfmelam 7

l ekpglspkrltkgbshuepturlbtm


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,lt arlctkba l hktltkgb lble%sks gc tdm smikblelrtkhems6

&elst "mhgbstr Xura -eg $pmb6 0? puek.s sur emtrlbscmrt fm arlkssm flbs el ektt.rlturm i.fkhlem flbs ems 0=

fmrbkrms lbb.ms1 #bfkhltkgb fm sl pgpuelrkt. hrgksslbtm6

(girmusms qumstkgbs rmstmbt slbs r.pgbsm1 mt ke b[% l pls fmhgbsmbsus sur el tmhdbkqum gptkilem6

m ut fm e.tufm .tlkt fm r.leksmr ubm lble%sm kekgi.trkqumfms lrtkhems ems peus hkt.s flbs em trlbscmrt fm arlkssm6

:.tdgfms )lbs em hlfrm fu m gc Xhkmbhm1 tgus ems lrtkhemsrmeltkcs el armm fm arlkssm gbt .t. kfmbtk.s flbs empelstkqum rmhgbstruhtk8m mt fm el ektt.rlturm6


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".suetlts (girm fm hktltkgbs 8lrklkmbt fm N= N3N mt em plpkmr

em peus hkt. plr Xkfbm% Hgemilb l .t. puek. flbs em

&"X6 ms !tlts9*bks gbt prgfukt 23^ fms lrtkhems ems peus

hkt.s1 mt e[*bk8mrskt. fm Hlekcgrbkm l .t. e[kbstktutkgb elpeus prgekqum6

0< lrtkhems l>.s sur ekpgeekba fu 8kslam tlbfks qum fgbt gb sm sgu8kmbt em peus6


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#&$,##(-

ms fk.rmbtms ;gbms trlktmr mtelssghkltkgb el hdkrurakmtrlfktkgbbmeem

Hdkrurakm fu 8kslam

Hdkrurakm fluaimbtltkgb iliilkrm

Hdkrurakm fms cmssms


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kpgeekba fu 8kslam

m ekpgigfmelam fu 8kslam l hgbbu ub mssgr flbs ems lbb.ms0??? lssghk. lu H,

#bt.r/t fm elppgrt mt fm el rmstlurltkgb fms 8geuim fm el clhm6

)lbs em hlfrm fu 8kmkeekssmimbt

Hekbkhle mvleultkgb gc struhturle clt tkssum arlct (Ekpgstruhturm) kb vgeuitrkqum clhkle rmstlurltkgbwktd clhm-ekct. L`gut


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Vdm kpg9,lhmekct :mrakba tdm ,lhm9kct lbf kpgshuepturm!kadt Dmlrs !>pmrkmbhm lbf l &rmekikblr% $smr8ltkgble Xtuf%

(6 &leeul U V6 getmr 'mstd &elst Xura O0?


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".suetlts m kpg9,lhmekct f.igbtr. fms r.suetlts trs sltksclkslbts6

-gbAmimbt kbktkle mt fms mhhd%igsms gbt .t. gsmr8.s lkbsk qumfmu> hls fm trguems fm el hkhltrksltkgb1 ilks luhubmkbtmr8mbtkgb hdkrurakhlem gu r.8kskgb .tlkt b.hmsslkrm6

ms r.suetlts igbtrmbt ubm li.ekgrltkgb furlem fm el qulekt. fmel pmlu mt ubm lpplrmbhm 4mubm6

Hgbheuskgb

m kpg9,lhmekct hgrrkam el pmlu ek.m e[am mt X:'X hdlbam lkbskqum el ekpgf%strgpdkm ek.m e[am1 li.ekgrm el hkrhueltkgbslbaukbm fm el pmlu mt fm rm8ktleksltkgb fm el pmlu1 mt cgurbkt ubr.suetlt furlem mt blturme6

l qulekt. fm el pmlu r.suetlbt fm ekpgeekba skiuetlb.m pmut /trm

m>pekqu.m plr e[li.ekgrltkgb fm e[lbakgambsm mb rlksgb fmclhtmurs fm hrgksslbhm trlbsc.r.s flbs em ekpglspkrlt6

)m peus1 el fk.rmbhkltkgb fms hmeeuems prga.bktrkhms fmsrgelstms mt el prgfuhtkgb lhhrum fm hgeelabm hgbtrkum elpmlu peus cmrim6


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ogbms fm fkuskgb fu arls flbs elr.akgb ilelkrm


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kpgeekba mt luaimbtltkgb iliilkrm'ppgrt fu ekpgigfmelam m>trl aelbfuelkrm flbs ems kipelbtltkgbs iliilkrms 8ks.m mstd.tkqum !6 'uhelkr

'bblems fm hdkrurakm pelstkqum mstd.tkqum O0??L =21 2keelkrm mb

pgsktkgb p.rkiushuelkrm1 rmtrg clhklem mt ubekpgigfmelam fm el r.akgb fu Y f.hgeemtt. W lb fmrmhgu8rkr em pem sup.rkmur fm ekipelbt6

'ppekqu.m 2J pltkmbtms1 el tmhdbkqum l fgbb.sltksclhtkgb flbs tgus ems hls1

Xlbs hgipekhltkgb kii.fkltm Hgbstktum ubm letmrbltk8m kbt.rmsslbtm ekipelbtltkgb

r.trgiushuelkrm hdm; ems pltkmbtms ikbhms l%lbt pmu fmaelbfm iliilkrm6


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kpgeekba mt rmigfmelamcmsskmr

".akgb cmsskrm lble%sm s.ikgegakqum mtlppekhltkgb pgur em rmigfmelam plr ekpgeekbaXmikgega% cgr aeutmle rmigfmekba % ekpgeekba H6+g \ugh l1_11 '6 :g4leele 'bblems fm hdkrurakm

pelstkqum mstd.tkqum O0?


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Pakgb cmsskrm ! lbleysm sikgegakqum mtlppekhltkgb pgur em rmigfmelam plr ekpg"eekba

luaimbtltkgb fm 8geuim fm el r.akgb cmsskrm mst ubm fmilbfm mb

cgrtm hrgksslbhm6 ms tmhdbkqums dlktumeems utkeksmbt ems kipelbts mb ame fm skekhgbm6 !eems

fgbbmbt fms r.suetlts kbt.rmsslbts1 ilks bm pmrimttmbt pls fgtmbkrub rmigfmelam fm tgutm el cmssm mt sgbt pgur8g%musms fub tlu> bgbb.aekamlem fm hgipekhltkgbs

mssgr fms trlbscmrts arlkssmu> lu bk8mlu fu smkb mt fm el clhm smiem/trm ubm letmrbltk8m hdkrurakhlem flbs em rmigfmelam aeut.le6

m rmigfmelam fms r.akgbs aeut.lems sm clkt mb prltkqum smegb ubmtmhdbkqum ik>tm

el ekpglspkrltkgb fms ;gbms arlkssmusms mb m>hs lssghk.m el armm fm tkssulfkpmu> flbs ems r.akgbs aeut.lems6

l rmf.bktkgb fm embsmiem fms hgbtgurs lkbsk gtmbum mst ub hgbhmptmssmbtkme pmrimttlbt eli.ekgrltkgb mstd.tkqum fms cmssms6

m ut fm hm trl8lke mst fm f.hrkrm elble%sm s.ikgegakqum fm el r.akgb aeut.lemlb fm f.bkr ubm tmhdbkqum stlbflrfks.m pgur em rmigfmelam fm el r.akgbaeut.lem6


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lble%sm s.ikgegakqum fm el r.akgb aeut.lem smstls.m sur ubm rm8um m>dlustk8m fm el ektt.rlturm6

lble%sm elbltgikm fms fmu> cmssms1 emurs hgbtgurs1

mt emurs rlppgrts l8mh ems r.akgbs lf4lhmbtms Ofgs1hukssms1 p.rkb.mL6

lble%sm s.ikgegakqum rmpgsm sur qultrm .e.imbtscgbflimbtlu> fm el r.akgb aeut.lem

ems sgus9ubkt.s mstd.tkqums1 el cgrim fm el r.akgb aeut.lem1

ems 8geuims mt hgbtgurs aeut.lu>1

el el>kt. hutlb.m6

!bb1 bgus l8gbs .tufk. em ekpgeekba pgur em rmigfmelamaeut.le1 mt el rm8um fm el ektt.rlturm l pmriks fm pgsmr emslsms fm el fmshrkptkgb s.ikgegakqum aeut.lem6


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ms qultrm hrktrms s.ikgegakqumskipgrtlbts fm el r.akgb aeut.lem sgbt ems 1

el cgrim fm el r.akgb aeut.lem1

ems 8geuims mt hgbtgurs aeut.lu> f.bksslbtems ;gbms fm trlbsktkgb mbtrm ems hgiplrtkimbtsarlkssmu> mt el struhturm gst.giushuelkrm1

el el>kt. hutlb.m f.bksslbt em fmar. fm ptgsm6

Hdlqum .e.imbt s.ikgegakqum mst f.tlkee. lbfm hgiprmbfrm ems kbfkhltkgbs fu ekpgeekba pgureli.ekgrltkgb mstd.tkqum aeut.lem6


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lble%sm s.ikgegakqum fm el r.akgb aeut.lemmst kbfkspmbslem fm8lbt tgutm hdkrurakm fm

rmf.bktkgb fm el skedgumttm6 ms sgus9ubkt.s mstd.tkqums1 el cgrim1 em

8geuim1 ems hgbtgurs mt el el>kt. hutlb.msgbt fms .e.imbts rmhdmrhdmrs%st.iltkqumimbt pgur f.bkr ems g4mhtkcspr.hks fm eli.ekgrltkgb mstd.tkqum aeut.lem6

l ekpgshuepturm cmsskrm mstd.tkqum1 flbs

ems gbbms kbfkhltkgbs1 smiem /trm ubmtmhdbkqum lem mt blturmeem flbs egptkqumfub rmigfmelam aeut.le6


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Pmigfmelam cmsskmr mstdtkqum plr trlbscmrtarlkssmu#

#btrgfuhtkgb li.ekgrltkgb mstd.tkqum fm el r.akgb cmsskrm mst ubm fmilbfm hrgksslbtm hdm; ems

pltkmbtms6

ms tmhdbkqums helsskqums fluaimbtltkgb aeut.lem utkeksmbt ems prgtdsms l8mh fmsr.suetlts kbt.rmsslbts ilear. ub rksqum bgb b.aekamlem fm hgipekhltkgbs pgtmbtkmeems6

mssgr fms trlbscmrts arlkssmu> rmpr.smbtm ubm letmrbltk8m hdkrurakhlem flbs emrmigfmelam aeut.le6

'ssghk. el ekpg9lspkrltkgb fms ;gbms arlkssmusms mb m>hs1 em ekpgeekba aeut.le pmrimt elrmf.bktkgb fms hgbtgurs fm el skedgumttm6

m ut fm hm trl8lke mst fm f.hrkrm emur m>p.rkmbhm flbs em rmigfmelam cmsskmr plr trlbscmrtarlkssmu>6

&ltkmbtms mt i.tdgfms .tufm prgspmhtk8m sur ubm lbb.m pgrtlbt sur 02 hls fm pltkmbtms sgudlktlbt ub

rmigfmelam cmsskmr plr ekpgeekba Oflbs ems ;gbms I mt 3L mt ekpg9 lspkrltkgb fms ;gbmsarlkssmusms mb m>hs lb fli.ekgrmr el cgrim aeut.lem6

m bgirm fm hls1 eam ig%mb mt ekbfkhm fm ilssm hgrpgrme fm el pgpueltkgb gbt .t.r.pmrtgrk.s6

m 8geuim arlkssmu> ig%mb trlbsc.r. plr pltkmbtm l .t. bgt.6

l tge.rlbhm fu ekpgeekba l .t. .8leu.m Okbcmhtkgb1 d.igrrlakm1 migekm arlkssmusm1s.rgim1 f%smstd.skmsL6

m r.suetlt l .t. .8leu. plr em hdkrurakmb mt 4ua. plr el pltkmbtm smegb qultrm hrktrms trsgb1 gb1 ig%mb1 kbsu`slbt


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".suetlts am i.fklb l .t. fm 2N lbs ON?E3=L mt ekbfkhm fm ilssm hgrpgrme l .t. fm

0?12 O plr pltkmbtm l .t. fm 0I? hiN O


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!( H$(H*X#$(

l8gkskmr mb kim

Y "kmb bm sm pmrf1 rkmb bm sm hr.m1tgut sm trlbscgrim W


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(gu8meem cgriuem 7

'8mh el arlkssm

$ gb b&lppgrtm rkmb' gbbm (mttm rkmb tgut mstigfmelam) *


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Nm vgus rmimrhkm.

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Quoi de neuf dans le gras ? Techniques de lipoaspiration et lipofilling