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Then the summery is that the recommended technique is:

Tumescent liposuction done by Power assisted Liposuction.



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What are the available techniques for Liposuction?

Basically, all the liposuction techniques have in common that a thin surgical instrument is used to loosen or disrupt the fat cells in the area, and then the applied suction removes the fat.

Dry Technique

Dry Technique is no longer used.

Wet Technique

The wet technique required the injection of approximately 100 milliliters of local anesthesia containing epinephrine.  Done only by few.

Super Wet Technique

The super wet technique requires the injection of a volume of dilute local anesthesia that is less than half the volume used for the tumescent technique. Surgical blood loss with the super wet technique is greater than the tumescent technique but significantly less than the wet technique.

Tumescent Technique

What is tumescent technique?
Tumescent Liposuction involves the pretreatment of the fatty tissues with a a fluids. This was a major advance approximately fifteen years ago because it substantially reduced blood loss and improved patient comfort.

What are the benefits of tumescent liposuction?

As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after surgery.

How much blood is lost during tumescent liposuction?

The tumescent technique is so effective at minimizing blood loss that the majority of patients lose approximately 50 – 100ml of blood during large volume liposuction. In the days before the advent of the tumescent technique, the biggest risk of liposuction was excessive loss of blood during surgery.

How does the tumescent technique reduce bruising after liposuction?

There is dramatically less bruising with tumescent liposuction totally by local anesthesia compared to other liposuction techniques under general anesthesia.

Because there is so little blood loss with the tumescent technique, there is almost no blood that remains beneath the skin to cause bruising after surgery.

The incisions are small (about 1.5 mm), the incisions do not require stitches.

Ultrasonic Assisted Liposuction (UAL):

Ultrasonic assisted liposuction (UAL) is a modified liposuction technique that transmits high-energy sound waves to fat cells, causing the cells to rupture. This liquefied fat is then removed through the basic suction-assisted technique.  External UAL delivers ultrasonic energy to subcutaneous fat by means of applying a paddle-shaped instrument directly to the overlying skin. Many cases of skin burns are reported. A.

The ultrasound is a high-energy system and is more likely to damage the adjacent tissues such as the skin (risk of full-thickness skin burns and severe scaring.)and nerves (prolonged numbness).

Power-Assisted Liposuction (PAL): The best of all techniques as of now:

Power Assisted Liposuction (PAL) devices have recently become available. PAL devices use power supplied by an electric motor or compressed air to produce either a rapid in-and-out movement or a spinning rotation of an attached liposuction cannula. The suction cannula vibrates while it suctions.

Power-assisted liposuction shakes the fat cells loose but the nerves; blood vessels and skin remain intact. The low-energy vibration is a very efficient way of removing unwanted fat deposits.

Laser Lipolysis:

Laser lipolysis is the latest, minimally invasive way of removing small localized fat deposits.This procedure is being performed only at select centers over the world and is still under evaluation as the long term results are not known.  Laser lipolysis generally removes no more than 500mls of fat, which is too little to be of significance.

The recommended technique:

Tumescent liposuction done by Power assisted Liposuction.