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Possibilities, limits and particularities of plastic surgery treatment in HIV-associated lipodystrophy


Given the particularities of the Romanian HIV cohort, an important number of patients have received treatment with first-generation antiretroviral drugs and have developed an associated lipodystrophy. Nowadays HIV-infected patients can benefit from less invasive surgical treatments for lipodystrophy, to ameliorate their psychosomatic status.

Case report

We present 2 cases of patients with HIV-associated lipodystrophy. These patients underwent specific modern “closed” plastic surgery corrections: liposuction and lipo-redistribution. The patients were evaluated with a follow-up of 10 years (the first case) and respectively 6 months (the second case). In each case the possibilities and limits of these treatments were evaluated.


Treatment of HIV infection should be effective but it should also lead to an improvement in the quality of life. A multidisciplinary approach – infectious diseases physicians, plastic surgeons, anesthesiologists, histopathologists, psychologists etc. – can contribute to a psychosomatic improvement.

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Correspondence to Dana Jianu.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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Jianu, D., Streinu-Cercel, A., Filipescu, M. et al. Possibilities, limits and particularities of plastic surgery treatment in HIV-associated lipodystrophy. BMC Infect Dis 14 (Suppl 7), O37 (2014).

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