External Ultrasound-Assisted Liposuction Workup

  • Author: Christian N Kirman, MD; Chief Editor: Al Aly, MD, FACS   more...
 
Updated: Jul 7, 2011
 

Laboratory Studies

  • Basic blood chemistry evaluations (eg, CBC count, prothrombin time/activated partial thromboplastin time) and a sequential multiple analysis of 20 chemical constituents should be performed so that any preexisting renal, hematologic, or hepatic problems can be recognized and accounted for before the procedure.
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Other Tests

  • A thorough preoperative evaluation should be performed to address any medical condition and determine the patient's ability to safely undergo a surgical procedure.
  • An ECG should be performed if indicated on thorough preoperative evaluation.
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Histologic Findings

In 2000, Lawrence and Cox examined histologic specimens from 19 patients who underwent external ultrasound-assisted liposuction (UAL) and found that the fat membranes were not disrupted and the adipocyte lobules were intact.[12] No differences were noted between the tumescent liposuction aspirated fat pretreated with external ultrasound and that of control samples.

In 2008, Ferraro et al demonstrated that, at 1 MHz, external UAL did not alter the cellular architecture of fat cells, but, at 2 and 3 MHz, massive adipose cellular destruction ensued.[4]

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Contributor Information and Disclosures
Author

Christian N Kirman, MD  Resident Physician, Department of Plastic and Reconstructive Surgery, Wake Forest University Baptist Medical Center

Christian N Kirman, MD is a member of the following medical societies: North Carolina Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

Gaurav Bharti, MD  Resident Physician, Department of Plastic and Reconstructive Surgery, Wake Forest University Baptist Medical Center

Gaurav Bharti, MD is a member of the following medical societies: American Medical Association, American Medical Student Association/Foundation, and Phi Kappa Phi

Disclosure: Nothing to disclose.

Joseph A Molnar, MD, PhD, FACS  Director, Wound Care Center, Associate Director of Burn Unit, Associate Professor, Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine

Joseph A Molnar, MD, PhD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Parenteral and Enteral Nutrition, American Society of Plastic Surgeons, North Carolina Medical Society, Peripheral Nerve Society, Undersea and Hyperbaric Medical Society, and Wound Healing Society

Disclosure: KCI, Inc. Honoraria Speaking and teaching; Integra Life Sciences Honoraria Speaking and teaching; Clincal Cell Culture Grant/research funds Co-investigator; KCI, Inc Wake Forest University receives royalties Other

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Alan Matarasso, MD, FACS, PC  Clinical Professor of Plastic Surgery, Albert Einstein College of Medicine; Immed Past President of New York Regional Society of Plastic and Reconstructive Surgery

Alan Matarasso, MD, FACS, PC is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons US Section, New York Academy of Medicine, New York County Medical Society, Pan American Medical Association, and Pan-Pacific Surgical Association

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS  Clinical Professor of Plastic Surgery, University of California, Irvine, School of Medicine

Disclosure: Ethicon Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Angiotech Consulting fee None

Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous authors Noah S Scheinfeld, MD, JD, FAAD, and Marc S Zimbler, MD, FACS, to the development and writing of this article.

References

  1. Heymans O, Castus P, Grandjean FX, Van Zele D. Liposuction: review of the techniques, innovations and applications. Acta Chir Belg. Nov-Dec 2006;106(6):647-53. [Medline].

  2. Mendes FH. External ultrasound-assisted lipoplasty from our own experience. Aesthetic Plast Surg. Jul-Aug 2000;24(4):270-4. [Medline].

  3. Rosenberg GJ, Cabrera RC. External ultrasonic lipoplasty: an effective method of fat removal and skin shrinkage. Plast Reconstr Surg. Feb 2000;105(2):785-91. [Medline].

  4. Ferraro GA, De Francesco F, Nicoletti G, Rossano F, D'Andrea F. Histologic effects of external ultrasound-assisted lipectomy on adipose tissue. Aesthetic Plast Surg. Jan 2008;32(1):111-5. [Medline].

  5. D'Andrea F, Ferraro GA, Nicoletti GF, De Francesco F. External ultrasound-assisted lipectomy: effects on abdominal adipose tissue. Plast Reconstr Surg. May 2008;121(5):355e-356e. [Medline].

  6. Rohrich RJ, Ha RY, Kenkel JM, Adams WP Jr. Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg. Feb 2003;111(2):909-23; discussion 924-5. [Medline].

  7. Fischer A, Fischer GM. First surgical treatment for molding body's cellulite with three 5-mm incisions. Bull Int Acad Cosmet Surg. 1976;3:35.

  8. Scuderi N, De Vita R, D'Andrea F. Nouve prospettive nella liposuzione: La lipoemulsificazione. G Chir. 1987;2:1-10.

  9. Zocchi M. Ultrasonic liposculpturing. Aesthetic Plast Surg. Fall 1992;16(4):287-98. [Medline].

  10. Silberg BN. The technique of external ultrasound-assisted lipoplasty. Plast Reconstr Surg. Feb 1998;101(2):552. [Medline].

  11. Lawrence N, Coleman WP 3rd. Ultrasonic-assisted liposuction. Internal and external. Dermatol Clin. Oct 1999;17(4):761-71. [Medline].

  12. Lawrence N, Cox SE. The efficacy of external ultrasound-assisted liposuction: a randomized controlled trial. Dermatol Surg. Apr 2000;26(4):329-32. [Medline].

  13. Cardenas-Camarena L, Cardenas A, Fajardo-Barajas D. Clinical and histopathological analysis of tissue retraction in tumescent liposuction assisted by external ultrasound. Ann Plast Surg. Mar 2001;46(3):287-92. [Medline].

  14. Hughes CE 3rd. Patient selection, planning, and marking in ultrasound-assisted lipoplasty. Clin Plast Surg. Apr 1999;26(2):279-82; ix. [Medline].

  15. Shi B, Li WZ, Li XY, Chen SZ. [500 cases of external ultrasound-assisted liposuction]. Zhonghua Zheng Xing Wai Ke Za Zhi. Mar 2004;20(2):86-9. [Medline].

  16. Zhang XH. [Application of external ultrasound-assisted tumescent liposuction in upper legs]. Di Yi Jun Yi Da Xue Xue Bao. Nov 2004;24(11):1331-2. [Medline].

  17. Gadsden E, Aguilar MT, Smoller BR, Jewell ML. Evaluation of a novel high-intensity focused ultrasound device for ablating subcutaneous adipose tissue for noninvasive body contouring: safety studies in human volunteers. Aesthet Surg J. May 1 2011;31(4):401-10. [Medline].

  18. Johnson DS, Cook WR Jr. Advanced techniques in liposuction. Semin Cutan Med Surg. Jun 1999;18(2):139-48. [Medline].

  19. Mann MW, Palm MD, Sengelmann RD. New advances in liposuction technology. Semin Cutan Med Surg. Mar 2008;27(1):72-82. [Medline].

 
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VASER probes with grooved tips.
VASER ultrasonic liposuction machine including tumescent infiltrator, ultrasound generator, and suction with some aspirate in container.
Surgeon Vishal Kapoor, MD and a power-assisted liposuction cannula. © James C. Mutter / Vishal Kapoor, MD. Image courtesy of Wikimedia Commons.
 
 
 
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