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A 7-Step Guide to High-Definition Liposuction

  • Original Article
  • Body Contouring
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Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

High-Definition (HD) Liposuction refers to the most advanced body contouring technique, offering an athletic and healthy body appearance. The latest available devices, the criteria of proper selection, and an expert surgeon's tips are highlighted in a 7-step guide approach.

Methods

A retrospective study of prospectively maintained database was conducted from 2015 to 2020. Demographic information, personal history, outcomes, complications were collected and analyzed from 568 patients who underwent the same surgical procedure.

Results

568 patients (247 male and 321 female) were included in the study with a mean BMI of 25.6 (range 21-29 kg/m2) and follow up time ranging from 1 to 48 months. The first 50 procedures represented the initial learning curve, during which most complications had occurred (14 patients/50 patients). Using the 7-step guide, we managed to minimize the overall complications to a rate of 3%.

Conclusion

The outlined steps have been simplified in a 7-step guide for plastic surgeons to understand, practice and refine HD liposuction in a contemporaneous, efficient, and reproducible manner.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

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References

  1. Illouz Y (1983) Body contouring by lipolysis: a 5-year experience with over 3000 cases. Plast Reconstr Surg 72:511

    Article  Google Scholar 

  2. Fischer G (1997) The evolution of liposculpture. Am J Cosmet Surg 14(3):231–239. https://doi.org/10.1177/074880689701400302

    Article  Google Scholar 

  3. Toledo L (1996) Syringe liposculpture. Clin Plast Surg 23(4):683–693. https://doi.org/10.1016/s0094-1298(20)32564-5

    Article  CAS  Google Scholar 

  4. Gasparotti M (1992) Superficial liposuction: a new application of the technique for aged and flaccid skin. Aesthet Plast Surg 16:141–153

    Article  CAS  Google Scholar 

  5. Zocchi M (1992) Ultrasonic liposculpturing. Aesthet Plast Surg 16:287–298

    Article  CAS  Google Scholar 

  6. Apfelberg D, Rosenthal S, Hunstad J, Achauer B, Bela Fodor P (1994) Progress report on multicenter study of laser-assisted liposuction. Aesthet Plast Surg 18(3):259–264. https://doi.org/10.1007/bf00449791

    Article  CAS  Google Scholar 

  7. Paul M, Mulholland RS (2009) A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction. Aesthet Plast Surg 33(5):687–694

    Article  Google Scholar 

  8. Jewell ML, Fodor PB, de Souza Pinto EB, Al Shammari MA (2002) Clinical application of VASER – assisted lipoplasty: a pilot clinical study. Aesthet Surg J 22:131–146

    Article  Google Scholar 

  9. Duncan DI (2019) Helium plasma-driven radiofrequency in body contouring. Intech open website; Available at https://www.intechopen.com/online-first/helium-plasma-driven-radiofrequency-in-body-contouring. Accessed May 17

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

    Article  Google Scholar 

  11. Lockwood TE (1991) Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg 876:1009–1018

    Article  Google Scholar 

  12. Mentz HA, Gilliland MD, Patronella CK (1993) Abdominal etching: differential liposuction to detail abdominal musculature. Aesthet Plast Surg 17:287–290

    Article  Google Scholar 

  13. Ersek RA, Salisbury AV (1997) Abdominal etching. Aesthet Plast Surg 21:328–331

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  15. Coleman SR (2001) Structural fat grafts: the ideal filler? Clin Plast Surg 28:111–119

    Article  CAS  Google Scholar 

  16. Mendieta CG (2003) Gluteoplasty. Aesthetic Surg J 23(6):441–455

    Article  Google Scholar 

  17. Scheflan M, Tazi H (1996) Ultrasonically assisted body contouring. Aesthet Surg J 16:117–122

    Article  Google Scholar 

  18. Saad AN, Pablo Arbelaez J, De Benito J (2020) High definition liposculpture in male patients using reciprocating power-assisted liposuction technology: Techniques and results in a prospective study. Aesthet Surg J 40(3):299–307

    Article  Google Scholar 

  19. Danilla S, Babaitis RA, Jara RP, Quispe DA, Andrades PR, Erazo CA, Albornoz CR, Sepulveda SL (2020) High-definition liposculpture: what are the complications and how to manage them? Aesthet Plast Surg 44(2):411–418

    Article  Google Scholar 

  20. Hoyos AE, Perez ME, Domínguez-Millán R (2021) Variable sculpting in dynamic definition body contouring: procedure selection and management algorithm. Aesthet Surg J 41(3):318–332

    Article  Google Scholar 

  21. Klein J, Jeske D (2016) Maximum safe dosages of tumescent lidocaine. Anesth Analg 122:1350–1359

    Article  CAS  Google Scholar 

  22. Cansancao AL, Condé-Green A, David JA, Cansancao B, Vidigal RA (2018) Use of tranexamic acid to reduce blood loss in liposuction clinical trial. Plast Reconstr Surg 141(5):1132–1135

    Article  CAS  Google Scholar 

  23. Del Vecchio D, Wall S Jr (2018) Expansion vibration lipofilling: a new technique in large-volume fat transplantation [published correction appears in Plast Reconstr Surg. 2018 Jul 142(1): 295]. Plast Reconstr Surg 141(5): 639e‐649e

  24. Mofid MM, Teitelbaum S, Suissa D et al (2017) Report on mortality from gluteal fat grafting: recommendations from the ASERF task force. Aesthet Surg J 37(7):796–806

    Article  Google Scholar 

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Funding

We have no disclosure of any commercial interest the subject of the study and the source of any financial or material support.

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Authors and Affiliations

  1. Athens Beverly Hills Medical Group, 96 Vouliagmenis Ave, 16675, Athens, Glyfada, Greece

    Athanasios Athanasiou, Maria Siozou, Nikolaos Maltzaris, Foteini Neamonitou & Georgios Rempelos

Authors
  1. Athanasios Athanasiou
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  2. Maria Siozou
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  3. Nikolaos Maltzaris
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  4. Foteini Neamonitou
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  5. Georgios Rempelos
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Correspondence to Athanasios Athanasiou.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent has been obtained and is attached for every patient.

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Athanasiou, A., Siozou, M., Maltzaris, N. et al. A 7-Step Guide to High-Definition Liposuction. Aesth Plast Surg 46, 2863–2879 (2022). https://doi.org/10.1007/s00266-022-02965-w

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  • DOI: https://doi.org/10.1007/s00266-022-02965-w

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