It should be made clear that no matter which technique is used, none is superior in terms of results. It is often suggested that some techniques are better for the patient, but this is not true. Advocating “lunchtime” liposuctions is denying the healing process that sets in, once fat has been removed, be it by a suctioning or a fat melting device. The injury needs to heal over time .
a new technique with distinct advantages for patient and surgeon.
Method : A suctioning pump is connected to a hose to a hollow metal tube (canula). The fat is slowly suctioned out of the area though a small incision. Canulas with a diameter of 1-6 mm are used, depending on the area.
The smallest canulas ( 1mm.) are used in the face and are connected to a syringe rather than a pump.
Liposculpture is referring to ultrasound fat removal or fat removal with a syringe instead of a pump. Liposuction is not a better version of liposuction, it is just a different name.
It consists of injecting large amounts of fluids into the area, in order to prepare it for liposuction and is almost always done before starting lipo.It contains a certain amount of adrenaline to make the blood vessels contract.It also facilitates the passage of the canula
The classical approach is very much alive and survived many innovations which – when looked upon more closely – had also disadvantages. It is still the preferred method in case of large lipos, in the range of 1,5-3 litres and more.
Smaller canulas are used than before. The increase in time in performing the treatment is compensated by a much better control of the contour.
Fat is first liquefied by ultrasonic sound waves, produced with solid rods that are introduced under the skin. Once the fat is liquid, it can be liposuctioned with a hollow canula.
This technique is as good as the classical one. It has been superseded now by laser liposuction, which is based on the same principle. The only problems encountered where burn wounds that could occur at the insertion points of the rods and when used too close to the surface, sometimes burning the deep dermis from the inside.For the patient , there are no advantages in using this technique over another.
A small laser beam introduced under the skin destroys fat cells.The technique is applicable to smaller amounts of fat .The typical use is in small depots of fat on the abdomen. The limitations in volume are due to the resorption of the liquefied fat, which in large amounts can be toxic to the liver.
Some manufacturers even apply two wavelengths, one to coagulate the small vessels, the other to liquefy the fat. It certainly is a fast and elegant technique, but not necessarily a better one compared to a classical approach. The price of this type of lip is much higher due to the depreciation of devices which cost up to euro 150.000
A study of the Clinics of plastic surgery (2009) points to the positive aspects of laser liposuction
A article in the Plastic and Reconstructive surgery (2006) indicates possible dangers
A movie about laser lipo :
For smaller areas of fat one can choose between a classical lipo with small canulas or for ultrasound and laser liposuction.
For larger amounts, the classical or ultrasound lipo remains te gold standard