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Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[10] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[11] UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.[12]
Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump. After inserting the cannula through a small incision, the plastic surgeon helps break up the fat by manipulating the cannula and injecting fluid into the area. Although it does carry some risks, traditional liposuction is very effective in taking out fat, and it is still one of the most popular forms of the procedure.
Facial liposuction is most often performed with a micro-cannula using a tumescent technique. In some cases, liposuction of the chin, neck, and jowls, as well as other facial liposuction procedures, can have better results in these problem areas than other surgical techniques. Liposuction can also be more desirable because it minimizes scarring when compared to other type of facial enhancement. This treatment is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.
Trying to eliminate pockets of excess fat that accumulate on the abdomen, flanks, thighs, and other areas of the body can be a frustrating process. Often, diet and exercise on their own are just not sufficient to the task. In such cases, many people who want to achieve more aesthetically pleasing body contours turn to liposuction, which has been one of the most popular plastic surgery techniques for more than three decades now. This safe, proven procedure has allowed millions of patients to improve their figures through the precise targeting and removal of isolated deposits of fat. Often combined with other plastic surgery procedures such as abdominoplasty ("tummy tuck" surgery) and breast augmentation, liposuction is a potentially ideal solution for anyone looking to refine and rejuvenate their contours.
Liposuction of the hips is generally successful in creating a more contoured figure. This type of liposuction is usually performed on women, as men are not as susceptible to retaining fat deposits in this area. Patients who undergo liposuction to improve the appearance of the hips may require additional procedures to attain the desired contour. The procedure is usually performed under general anesthesia. Liposuction of the hips may be performed with an extended tummy tuck.

Liposuction is not a weight loss procedure, and it cannot eliminate stretch marks and cellulite from the skin. The treatment can only remove small, localized concentrations of fat. In most cases, ten pounds of fat or less will be removed from the treated area. The ideal liposuction candidate is already close to or at a healthy weight but is interested in subtle body contouring.
Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior.
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