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The Principles and Techniques of Liposuction

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Liposuction

Abstract

Liposuction is one of the most commonly performed aesthetic procedures worldwide and has caught the imagination of surgeons, patients and manufacturers alike during its brief history. The latter are now increasingly marketing direct to patients; however, liposuction is not a panacea for obesity and patients may not always fully appreciate this. On the other hand, eminently satisfactory outcomes are achievable with careful patient selection when undertaken by appropriately trained surgeons using optimally selected technologies. With such a range of techniques, technologies and recent advances, this chapter briefly reviews some of the pertinent scientific evidence.

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References

  1. http://www.plasticsurgery.org/news/plastic-surgery-statistics/2014-statistics.html. Accessed 12/1/16.

  2. http://baaps.org.uk/about-us/audit. Accessed 12/1/16.

  3. Schrudde J. Lipectomy and lipexheresis in the area of the lower extremities. Langenbecks Arch Chir. 1977;345:127–31.

    Article  CAS  PubMed  Google Scholar 

  4. Fischer G. First surgical treatment for modelling the body’s cellulite with three 5 mm incisions. Bull Int Acad Cosmet Surg. 1976;2:35–7.

    Google Scholar 

  5. Kesselring UK, Meyer R. Suction curette for removal of excessive local deposits of subcutaneous fat. Plast Reconstr Surg. 1978;62(2):305–6.

    Article  CAS  PubMed  Google Scholar 

  6. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases. Plast Reconstr Surg. 1983;72(5):591–7.

    Article  CAS  PubMed  Google Scholar 

  7. Klein JA. Tumescent technique for regional anaesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16(3):248–63.

    Article  CAS  PubMed  Google Scholar 

  8. Klein JA. Tumescent technique for local anaesthesia improves safety in large-volume liposuction. Plast Reconstr Surg. 1993;92(6):1085–98.

    Article  CAS  PubMed  Google Scholar 

  9. Zocchi M. Ultrasonic liposculpturing. Aesthetic Plast Surg. 1992;16(4):287–98.

    Article  CAS  PubMed  Google Scholar 

  10. Apfelberg DB, Rosenthal S, Hunstad JP, Achauer B, Fodor PB. Progress report on multicenter study of laser-assisted liposuction. Aesthetic Plast Surg. 1994;18(3):259–64.

    Article  CAS  PubMed  Google Scholar 

  11. Fodor PB, Vogt PA. Power-assisted lipoplasty (PAL): a clinical pilot study comparing PAL to traditional lipoplasty (TL). Aesthetic Plast Surg. 1999;23(6):379–85.

    Article  CAS  PubMed  Google Scholar 

  12. Paul M, Mulholland RS. A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction. Aesthetic Plast Surg. 2009;33(5):687–94.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Illouz YG. History and current concepts of lipoplasty. Clin Plast Surg. 1996;23(4):721–30.

    CAS  PubMed  Google Scholar 

  14. Toledo LS, Mauad R. Complications of body sculpture: prevention and treatment. Clin Plast Surg. 2006;33(1):1–11.

    Article  PubMed  Google Scholar 

  15. Rohrich RJ, Raniere Jr J, Kenkel JM, Beran SJ. Operative principles for optimizing results in circumferential body contouring with ultrasound-assisted lipoplasty. Clin Plast Surg. 1999;26(2):305–16.

    CAS  PubMed  Google Scholar 

  16. Markman B, Barton Jr FE. Anatomy of the subcutaneous tissue of the trunk and lower extremity. Plast Reconstr Surg. 1987;80(2):248–54.

    Article  CAS  PubMed  Google Scholar 

  17. Gasperoni C, Salgarello M, Emiliozzi P, Gargani G. Subdermal liposuction. Aesthetic Plast Surg. 1990;14(2):137–42.

    Article  CAS  PubMed  Google Scholar 

  18. de Souza Pinto EB. Morphologic analysis of fat tissue in areas treated with lipoplasty. Aesthet Surg J. 1991;22:513–8.

    Google Scholar 

  19. Rohrich RJ, Smith PD, Marcantonio DR, Kenkel JM. The zones of adherence: role in minimizing and preventing contour deformities in liposuction. Plast Reconstr Surg. 2001;107(6):1562–9.

    Article  CAS  PubMed  Google Scholar 

  20. Björntorp P, Ostman J. Human adipose tissue dynamics and regulation. Adv Metab Disord. 1971;5:277–327.

    Article  PubMed  Google Scholar 

  21. Borkan GA, Hults DE, Gerzof SG, Robbins AH, Silbert CK. Age changes in body composition revealed by computed tomography. J Gerontol. 1983;38(6):673–7.

    Article  CAS  PubMed  Google Scholar 

  22. Hetter GP. Optimum vacuum pressures for lipolysis. Aesthetic Plast Surg. 1984;8(1):23–6.

    Article  CAS  PubMed  Google Scholar 

  23. Zocchi ML. Ultrasonic assisted lipoplasty: technical refinements and clinical evaluations. Clin Plast Surg. 1996;23(4):575–98.

    CAS  PubMed  Google Scholar 

  24. Rohrich RJ, Morales DE, Krueger JE, Ansari M, Ochoa O, Robinson Jr J, Beran SJ. Comparative lipoplasty analysis of in vivo-treated adipose tissue. Plast Reconstr Surg. 2000;105(6):2152–8.

    Article  CAS  PubMed  Google Scholar 

  25. Maxwell GP, Ginggrass MK. Ultrasound-assisted lipoplasty: a clinical study of 250 consecutive patients. Plast Reconstr Surg. 1998;101(1):189–202.

    Article  CAS  PubMed  Google Scholar 

  26. Jewell ML, Fodor PB, de Souza Pinto EB, Al Shammari MA. Clinical application of VASER-assisted lipoplasty: a pilot clinical study. Aesthet Surg J. 2002;22(2):131–46.

    Article  PubMed  Google Scholar 

  27. de Souza Pinto EB, Abdala PC, Maciel CM, dos Santos Fde P, de Souza RP. Liposuction and VASER. Clin Plast Surg. 2006;3(1):107–15.

    Article  Google Scholar 

  28. Kloehn RA. Liposuction with “sonic sculpture”: six years’ experience with more than 600 patients. Aesthet Surg J. 1996;6(2):23–8.

    Google Scholar 

  29. Rohrich RJ, Beran SJ, Kenkel JM, Adams Jr WP, DiSpaltro F. Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg. 1998;101(4):1090–102.

    Article  CAS  PubMed  Google Scholar 

  30. Beckenstein MS, Grotting JC. Ultrasound-assisted lipectomy using the solid probe: a retrospective review of 100 consecutive cases. Plast Reconstr Surg. 2000;105(6):2161–74.

    Article  CAS  PubMed  Google Scholar 

  31. Fodor PB, Watson J. Personal experience with ultrasound-assisted lipoplasty: a pilot study comparing ultrasound-assisted lipoplasty with traditional lipoplasty. Plast Reconstr Surg. 1998;101(4):1103–16.

    Article  CAS  PubMed  Google Scholar 

  32. Zukowski ML, Ash K. Ultrasound-assisted lipoplasty learning curve. Aesthet Surg J. 1998;18(2):104–10.

    Article  CAS  PubMed  Google Scholar 

  33. Illouz YG. Complications of liposuction. Clin Plast Surg. 2006;33(1):129–63.

    Article  PubMed  Google Scholar 

  34. Hunstad JP, Aitken ME. Liposuction: techniques and guidelines. Clin Plast Surg. 2006;33(1):13–25.

    Article  PubMed  Google Scholar 

  35. Ablaza VJ, Gingrass MK, Perry LC, Fisher J, Maxwell GP. Tissue temperatures during ultrasound-assisted lipoplasty. Plast Reconstr Surg. 1998;102(2):534–42.

    Article  CAS  PubMed  Google Scholar 

  36. Blugerman G, Schavelzon D, Paul MD. A safety and feasibility study of a novel radiofrequency-assisted liposuction technique. Plast Reconstr Surg. 2010;125(3):998–1006.

    Article  CAS  PubMed  Google Scholar 

  37. Scuderi N, Paolini G, Grippaudo FR, Tenna S. Comparative evaluation of traditional, ultrasonic and pneumatic-assisted lipoplasty: analysis of local and systemic effects, efficacy and costs of these methods. Aesthetic Plast Surg. 2000;24(6):395–400.

    Article  CAS  PubMed  Google Scholar 

  38. Garcia Jr O, Nathan N. Comparative analysis of blood loss in suction-assisted lipoplasty and third-generation internal ultrasound-assisted lipoplasty. Aesthet Surg J. 2008;28(4):430–5.

    Article  PubMed  Google Scholar 

  39. Hoyos AE, Millard JA. VASER-assisted high definition liposculpture. Aesthet Surg J. 2007;27(6):594–604.

    Article  CAS  PubMed  Google Scholar 

  40. Apfelberg DB. Results of multicenter study of laser-assisted liposuction. Clin Plast Surg. 1996;23(4):713–9.

    CAS  PubMed  Google Scholar 

  41. Triana L, Triana C, Barbato C, Zambrano M. Liposuction: 25 years of experience in 26,259 patients using different devices. Aesthet Surg J. 2009;29(6):509–12.

    Article  PubMed  Google Scholar 

  42. Prado A, Andrades P, Danilla S, Leniz P, Castillo P, Gaete F. A prospective, randomized, double-blind, controlled clinical trial comparing laser-assisted lipoplasty with suction-assisted lipoplasty. Plast Reconstr Surg. 2006;118(4):1032–45.

    Article  CAS  PubMed  Google Scholar 

  43. McBean JC, Katz BE. A pilot study of the efficacy of a 1,064 and 1,320 nm sequentially firing Nd:YAG laser device for lipolysis and skin tightening. Lasers Surg Med. 2009;41(10):779–84.

    Article  PubMed  Google Scholar 

  44. Young VL. Power-assisted lipoplasty. Plast Reconstr Surg. 2001;108(5):1429–32.

    Article  CAS  PubMed  Google Scholar 

  45. Rebelo A. Power-assisted liposuction. Clin Plast Surg. 2006;33(1):91–105.

    Article  PubMed  Google Scholar 

  46. Scuderi N, Tenna S, Spalvieri C, De Gado F. Power-assisted lipoplasty versus traditional suction-assisted lipoplasty: comparative evaluation and analysis of output. Aesthetic Plast Surg. 2005;29(1):49–52.

    Article  PubMed  Google Scholar 

  47. Fodor PB. Power-assisted lipoplasty versus traditional suction-assisted lipoplasty: comparative evaluation and analysis of output. Aesthetic Plast Surg. 2005;29(2):127.

    Article  PubMed  Google Scholar 

  48. Lista F, Ahmad J. Power-assisted liposuction and the pull-through technique for the treatment of gynecomastia. Plast Reconstr Surg. 2008;121(3):740–7.

    Article  CAS  PubMed  Google Scholar 

  49. Scuderi N, Dessy LA, Tempesta M, Bistoni G, Mazzocchi M. Combined use of power-assisted liposuction and trans-areolar incision for gynaecomastia treatment. J Plast Reconstr Aesthet Surg. 2010;63(1):e93–5.

    Article  CAS  PubMed  Google Scholar 

  50. Roostaeian J, Jarrahy R, Kaufman MR, Rudkin GH. Power-assisted liposuction treatment of cervicodorsal fat pad in human immunodeficiency virus-associated lipodystrophy. Plast Reconstr Surg. 2008;121(3):135e–6.

    Article  PubMed  Google Scholar 

  51. Man D, Meyer H. Water jet-assisted lipoplasty. Aesthet Surg J. 2007;27(3):342–6.

    Article  CAS  PubMed  Google Scholar 

  52. Stutz JJ, Krahl D. Water jet-assisted liposuction for patients with lipoedema: histologic and immunohistologic analysis of the aspirates of 30 lipoedema patients. Aesthetic Plast Surg. 2009;33(2):153–62.

    Article  CAS  PubMed  Google Scholar 

  53. Araco A, Gravante G, Araco F, Delogu D, Cervelli V. Comparison of power water-assisted and traditional liposuction: a prospective randomized trial of postoperative pain. Aesthetic Plast Surg. 2007;31(3):259–65.

    Article  PubMed  Google Scholar 

  54. Ion L, Raveendran SS, Fu B. Body-contouring with radiofrequency-assisted liposuction. J Plast Surg Hand Surg. 2011;45(6):286–93.

    Article  PubMed  Google Scholar 

  55. Fournier PF, Otteni FM. Lipodissection in body sculpturing: the dry procedure. Plast Reconstr Surg. 1983;72(5):598–609.

    Article  CAS  PubMed  Google Scholar 

  56. Rohrich RJ, Sorokin ES, Brown SA. In search of improved fat transfer viability: a quantitative analysis of the role of centrifugation and harvest site. Plast Reconstr Surg. 2004;113(1):391–5.

    Article  PubMed  Google Scholar 

  57. Fodor PB. Editorial. Wetting solutions in aspirative lipoplasty: a plea for safety in liposuction. Aesthetic Plast Surg. 1995;19(4):379–80.

    Article  CAS  PubMed  Google Scholar 

  58. Matarasso A. Superwet anaesthesia redefines large-volume liposuction. Aesthet Surg J. 1997;17(6):358–64.

    Article  CAS  PubMed  Google Scholar 

  59. Rohrich RJ, Beran SJ, Fodor PB. The role of subcutaneous infiltration in suction-assisted lipoplasty: a review. Plast Reconstr Surg. 1997;99(2):514–9.

    Article  CAS  PubMed  Google Scholar 

  60. Courtiss EH. Suction lipectomy: a retrospective analysis of 100 patients. Plast Reconstr Surg. 1984;73(5):780–96.

    Article  CAS  PubMed  Google Scholar 

  61. Goddio AS. Skin retraction following suction lipectomy by treatment site: a study of 500 procedures in 458 selected subjects. Plast Reconstr Surg. 1991;87(1):66–75.

    Article  CAS  PubMed  Google Scholar 

  62. Matarasso A. Superficial suction lipectomy: something old, something new, something borrowed. Ann Plast Surg. 1995;34(3):268–72.

    Article  CAS  PubMed  Google Scholar 

  63. Gasparotti M. Superficial liposuction: a new application of the technique for aged and flaccid skin. Aesthetic Plast Surg. 1992;16(2):141–53.

    Article  CAS  PubMed  Google Scholar 

  64. Gasperoni C, Salgarello M. MALL liposuction: the natural evolution of subdermal superficial liposuction. Aesthetic Plast Surg. 1994;18(3):253–7.

    Article  CAS  PubMed  Google Scholar 

  65. Gasperoni C, Salgarello M, Gasperoni P. External ultrasound used in conjunction with superficial subdermal liposuction: a safe and effective technique. Aesthetic Plast Surg. 2000;24(4):253–8.

    Article  CAS  PubMed  Google Scholar 

  66. Toledo LS. Syringe liposculpture: a two-year experience. Aesthetic Plast Surg. 1991;15(4):321–6.

    Article  CAS  PubMed  Google Scholar 

  67. Grazer FM, Meister FL. Complications of the tumescent formula for liposuction. Plast Reconstr Surg. 1997;100(7):1893–6.

    Article  CAS  PubMed  Google Scholar 

  68. Grazer FM, de Jong RH. Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast Reconstr Surg. 2000;105(1):436–46.

    Article  CAS  PubMed  Google Scholar 

  69. Rohrich RJ, Muzaffar AR. Discussion – fatal outcomes from liposuction: census survey of cosmetic surgeons. Plast Reconstr Surg. 2000;105(1):447–8.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. The Institute of Cosmetic & Reconstructive Surgery, London Welbeck Hospital, 27 Welbeck Street, London, W1G 8EN, UK

    Miles G. Berry MS, FRCS (Plast)

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  1. Miles G. Berry MS, FRCS (Plast)
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Correspondence to Miles G. Berry MS, FRCS (Plast) .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

  2. Department of Plastic Surgery, Regional Hospital-Ancona, Ancona, Italy

    Alberto Di Giuseppe

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Berry, M.G. (2016). The Principles and Techniques of Liposuction. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_15

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  • DOI: https://doi.org/10.1007/978-3-662-48903-1_15

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