Body liposuction

Dr. Mark Mandell-Brown
"Triple Board Certified Plastic Surgeon"
Facial Plastic Board Certified and Body Cosmetic Surgeon

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Liposuction has become one of the most popular procedures in plastic surgery. This procedure was originally developed in France, by a gynecologist in the 1970's. According to the American Academy of Cosmetic Surgery, liposuction is the number one
requested cosmetic procedure in the United States.

What is liposuction? Traditionally, small metal cannulas are attached to high vacuum and inserted in areas of fatty deposits through small incisions. The fat is then vacuumed into a canister and the overlying skin shrinks to the new contour.

As techniques have improved, small cannulas are used, making scars more inconspicuous and creating less surface irregularities. Tumescent Liposuction utilizes the injection of a combination of anesthetic agent (Lidocaine) with a blood vessel constrictor (Epinephrine) mixed in Intravenous Fluid. This mixture is then injected through small cannulas into the areas that will be suctioned. The tumescent liposuction procedure improved the surgeon's ability to suction more body areas safely and comfortably. Liposuction can now be used on the following areas: thighs, abdomen, flanks, breasts, legs, chin, neck, and chest.

Ultrasound Assisted Liposuction (UAL) has been more recently publicized. With this technique, ultrasound or sound waves are transmitted through a probe or cannula to break up or melt the fat. The liposuction instruments are then used to suction the treated fat. Originally met with great optimism, UAL is just one tool used for liposuction. The tumescent liposuction still remains the mainstay of treatment. Ultrasound assisted liposuction requires more expensive machinery, can potentially affect local tissue besides the fat, and can create skin burns from the heated probe. The UAL is sometimes useful
in areas of thicker and more fibrous fatty deposits such as the male breast and chest.

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