Figs. 19-A, 19-B, and 19-C A patient who was managed with suction lipectomy to recontour a bulky graft. Options for revision include sharp lipectomy, recontouring, and suction lipectomy. Fig. 19-A The patient presented with a substantial soft-tissue loss and orthopaedic injury requiring free-tissue transfer. Figs. 19-B and 19-C The flap was originally a little bulky in size, so the patient underwent suction lipectomy for contouring, with a good long-term cosmetic result.