• Eric Swanson


Ideal body proportions call for a low (0.70) waist-to-hip ratio in women. Liposuction remains the gold standard for treatment of body disproportion and provides a lasting improvement in body contours. On average, the fat thickness is reduced 45.6% after liposuction and two-thirds of the swelling is gone in 1 month. It takes about 3 months for the swelling to completely resolve. Today, many patients elect to have buttock fat transfer, reducing the role of thermal systems to dissolve fat cells.

Ultrasound scans are used to detect abdominal wall defects and avoid penetration of the abdominal wall with the cannula. A superwet infusion (1:1 infusion-to-aspirate ratio) is recommended to avoid overhydration. Patients are positioned supine and then turned from side to side to perform the infusion, avoiding prone positioning. The sequence is repeated for liposuction. The number of incisions is minimized. The abdomen is cross-hatched, while the patient is on her side to most effectively treat the upper abdomen. The arms and axillary areas are frequently included. Many patients (30%) undergo simultaneous facial or breast cosmetic surgery. Aspirate volumes rarely exceed 5 L.

Women drop an average of 1.7 dress sizes after liposuction. Men lose, on average, 1.4 in. at the waist. The average time off work after liposuction is 5.7 days. The mean pain rating is 6.1 on a scale of 1–10. Patients feel “back to normal” and return to exercising 1 month after liposuction, on average. Patient satisfaction is 82.5%, and 93.5% of patients would recommend liposuction to others.


Liposuction Ultrasonic Superwet Tumescent Infusion Aspirate Contours Cannulae 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Eric Swanson
    • 1
  1. 1.Swanson CenterLeawoodUSA

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