Friday, March 18, 2011

Dr. Loren Borud on Treating HIV Lipodystrophy

From Blogger Pictures


Plastic surgery expert Dr. Loren Borud delves into the utilization of reconstructive surgery to remedy the effects of the human immunodeficiency virus (HIV) on patients.

Increased fat deposits in certain areas of the body such as the abdominal area and the back of the neck have been observed among HIV patients. This effect, commonly referred to as HIV lipodystrophy, is a result prevalent among patients undergoing antiretroviral treatments that contain a certain amount of protease inhibitor. Besides fat accumulation, thinning of the arms, legs, and face have been observed.

From Loren Borud


Scientists have suggested that lipodystrophy may be caused by hormonal reactions, protease inhibitors interfere with fat metabolism, insulin resistance interferes with glucose metabolism, or HIV complications that surface after a long-period of living with the HIV infection.

From Dr. Loren Borud Photo Credit:


Dr. Loren Borud remarks that since the factors that contribute to the development of HIV lipodystrophy have not been identified and existing medicinal therapies have not proven to be 100% effective, surgical treatment remains to be the main recourse.

The surgical procedure uses fillers to re-vascularize the area to be treated. Although collagen, human cadaveric dermis and fascia, hyaluronic acid, and silicone have been commonly used, Dr. Borud recommends the autologous fat transplant (ATF) procedure. It utilizes the natural body fat of the patient and results have proven to be promising. Besides other fillers being inadequate in terms of the volume required, the amount of living fat that survives during the procedure has been permanent.

More information about Dr. Borud is available at www.borud.com.