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51906 - Multiple Wedge Lipectomy

MBS service description:

LIPECTOMY - wedge excision of skin or fat - 2 OR MORE EXCISIONS (Anaes.) (Assist.)
Schedule Fee:
788
@85% Benefit Fee:
685.6
@75% Benefit Fee:
685.6
Last updated on
March 29, 2025

When is item code 51906 (Multiple Wedge Lipectomy) typically used?

The need for multiple wedge excisions of skin or fat through lipectomy in the oral and maxillofacial region emerges when patients have extensive or multifocal excess tissue that single excision cannot adequately address. This procedure is indicated for more complex cases—such as widespread scarring, multiple lipomas, or significant post-surgical redundancy—where removing tissue from two or more sites restores facial harmony, function, or health. Performed under anesthesia with assistance, it tackles larger or scattered areas that impact quality of life, requiring a more comprehensive surgical approach than a single excision.

Specific conditions driving this need include:

  • Extensive trauma: Multiple facial scars or fat deposits from accidents may cause disfigurement or restrict muscle movement, needing several excisions for correction.
  • Multiple lesions: Patients with numerous benign growths (e.g., lipomas) across the face or neck require staged or simultaneous removals to prevent recurrence or discomfort.
  • Reconstructive refinement: After major surgeries like jaw reconstruction, excess skin or fat at multiple sites might hinder aesthetics or function, warranting additional excisions.
  • Chronic irritation: Redundant tissue in multiple areas near the mouth or jaw can lead to hygiene issues or sores, especially in aged care patients.

For instance, a patient with burn scars across the chin and cheeks might need two excisions to smooth contours and improve jaw mobility, enhancing both appearance and speech. In hospital settings, this procedure can address tissue excess in patients with chronic conditions like obesity or lymphedema, where multiple sites contribute to complications. The use of assistance ensures precision across multiple incisions, reducing operative time and risk, making this service essential for restoring normalcy in more severe or widespread maxillofacial tissue issues.

Benefits to the patient

Surgeons opting for a lipectomy with two or more wedge excisions provide their patients with comprehensive benefits across multiple oral and maxillofacial areas. A primary advantage is the restoration of facial symmetry. Addressing several sites of excess tissue restores balance to the patient’s appearance, critical for surgeons searching 'correcting facial asymmetry.' It also removes multiple obstructions, enhancing the patient’s overall function by improving chewing or speaking capabilities—a boon for 'jaw function surgery benefits.' Furthermore, it boosts the patient’s comfort by relieving irritation from redundant tissue in various spots. Performed with assistance under anesthesia, surgeons achieve precision and efficiency, ensuring a streamlined recovery. For those exploring 'multiple lipectomy benefits,' this approach delivers patients refined aesthetics, enhanced functionality, and lasting relief, ideal for complex multi-site corrections.

Recovery considerations

Recovery of 2-3 weeks with swelling and suture care; multiple sites may prolong healing.

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