Comparison of Different Techniques: Ultrasonic, Laser, and Traditional Liposuction with a Discussion on New Directions and the Future of Liposuction Techniques
DOI:
https://doi.org/10.12775/JEHS.2024.71.55957Keywords
liposuction, laser liposuction, ultrasonic liposuction, safety, effectiveness, surgical methods, body contouring, minimally invasive procedures, innovations in aesthetic surgeryAbstract
Liposuction is one of the most commonly performed procedures in aesthetic surgery, with an increasing variety of available methods that enhance both the effectiveness and safety of this treatment. The aim of this paper is to analyze and compare three primary techniques: ultrasonic, laser, and traditional liposuction, as well as to highlight potential directions for the development of this procedure. Based on available literature and research findings, both the effectiveness and potential risks associated with each of these methods will be assessed, allowing for the identification of optimal solutions tailored to the individual needs of patients.
References
Pelosi, M. A., 3rd, & Pelosi, M. A., 2nd (2010). Liposuction. Obstetrics and gynecology clinics of North America, 37(4), 507–viii. https://doi.org/10.1016/j.ogc.2010.09.004
Beidas, O. E., & Gusenoff, J. A. (2021). Update on Liposuction: What All Plastic Surgeons Should Know. Plastic and reconstructive surgery, 147(4), 658e–668e. https://doi.org/10.1097/PRS.0000000000007419
Cosmetic Surgery National Data Bank Statistics. (2018). Aesthetic surgery journal, 38(suppl_3), 1–24. https://doi.org/10.1093/asj/sjy132
Wu, S., Coombs, D. M., & Gurunian, R. (2020). Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleveland Clinic journal of medicine, 87(6), 367–375. https://doi.org/10.3949/ccjm.87a.19097
Comiskey, C. (2004). Cosmetic Surgery in Paris in 1926: The Case of the Amputated Leg. Journal of Women's History 16(3), 30-54. https://dx.doi.org/10.1353/jowh.2004.0059.
Klein, J. A. (1987). Tumescent technique for liposuction surgery. American Journal of Cosmetic Surgery, 4, 263-267. https://doi.org/10.1177/074880688700400403
Elsaftawy, A., Ostrowski, P., Bonczar, M., Stolarski, M., Gabryszuk, K., & Bonczar, T. (2024). Enhancing Buttock Contours: A Safer Approach to Gluteal Augmentation with Ultrasonic Liposuction, Submuscular Implants, and Ultrasound-Guided Fat Grafting. Journal of clinical medicine, 13(10), 2856. https://doi.org/10.3390/jcm13102856
Goldman, A., Schavelzon, D., & Blugerman, G. (2001). Laserlipolysis: liposuction using Nd-YAG laser. Revista Brasileira de Cirurgia Plástica, 17(1), 17-26.
Mélega, J. M. (2003). Liposuction using neodymium: yttrium-aluminum-garnet laser. Plastic and Reconstructive Surgery, 111(7), 2497.
Badin, A., Moraes, L., Gondek, L., Chiaratti, M., & Canta, L. (2002). Laser lipolysis: flaccidity under control. Aesthetic plastic surgery, 26, 335-339.
Neira, R., Arroyave, J., Ramirez, H., Ortiz, C. L., Solarte, E., Sequeda, F., & Gutierrez, M. I. (2002). Fat liquefaction: effect of low-level laser energy on adipose tissue. Plastic and reconstructive surgery, 110(3), 912-922.
Goldman, A., & Liposuktion, S. L. (2005). Klinishe Erfahrungen und Histologische Ergebnisse. Kosmetische Medizin, 3(5), 4-11.
Goldman, A., Kim, K., Geronemus, R., & Toledo, L. S. (2006). Lipoaspiração a Laser. Laserlipólise in Lipoplastia. DiLivros: Rio de Janeiro, Brazil.
Kim, K. H., & Geronemus, R. G. (2006). Laser lipolysis using a novel 1,064 nm Nd: YAG laser. Dermatologic surgery, 32(2), 241-248. https://doi.org/10.1111/j.1524-4725.2006.32041.x
Goldman, A. (2006). Submental Nd: Yag laser‐assisted liposuction. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, 38(3), 181-184. https://doi.org/10.1002/lsm.20270
Kunachak, S., Wongwaisayawan, S., & Leelaudomlipi, P. (2000). Noninvasive treatment of bromidrosis by frequency-doubled Q-switched Nd: YAG laser. Aesthetic plastic surgery, 24, 198-201.
Goldman, A., & Wollina, U. W. E. (2008). Subdermal Nd-YAG laser for axillary hyperhidrosis. Dermatologic surgery, 34(6), 756-762.
Klöpper, M., Fischer, G., & Blugerman, G. (2016). Laser-assisted suction of axillary sweat glands and axillary epilation. Liposuction: Principles and Practice, 487-499.
Brown, S. A., Rohrich, R. J., Kenkel, J., Young, V. L., Hoopman, J., & Coimbra, M. (2004). Effect of low-level laser therapy on abdominal adipocytes before lipoplasty procedures. Plastic and reconstructive surgery, 113(6), 1796-1804.
Ichikawa, K., Miyasaka, M., Tanaka, R., Tanino, R., Mizukami, K., & Wakaki, M. (2005). Histologic evaluation of the pulsed Nd: YAG laser for laser lipolysis. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, 36(1), 43-46. https://doi.org/10.1002/lsm.20118
Dang, Y. Y., Ren, Q. S., Liu, H. X., Ma, J. B., & Zhang, J. S. (2005). Comparison of histologic, biochemical, and mechanical properties of murine skin treated with the 1064‐nm and 1320‐nm Nd: YAG lasers. Experimental dermatology, 14(12), 876-882. https://doi.org/10.1111/j.1600-0625.2005.00371.x
Joob, B., & Wiwanitkit, V. (2012). Nd:YAG laser-assisted liposuction versus liposuction alone. Journal of cutaneous and aesthetic surgery, 5(1), 50–51. https://doi.org/10.4103/0974-2077.94325
Kaoutzanis, C., Gupta, V., Winocour, J., Layliev, J., Ramirez, R., Grotting, J. C., & Higdon, K. (2017). Cosmetic Liposuction: Preoperative Risk Factors, Major Complication Rates, and Safety of Combined Procedures. Aesthetic surgery journal, 37(6), 680–694. https://doi.org/10.1093/asj/sjw243
Hanke, C. W., Bernstein, G., & Bullock, S. (1995). Safety of tumescent liposuction in 15,336 patients. National survey results. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 21(5), 459–462. https://doi.org/10.1111/j.1524-4725.1995.tb00213.x
Triana, L., Triana, C., Barbato, C., & Zambrano, M. (2009). Liposuction: 25 years of experience in 26,259 patients using different devices. Aesthetic surgery journal, 29(6), 509–512. https://doi.org/10.1016/j.asj.2009.09.008
Grazer, F. M., & de Jong, R. H. (2000). Fatal outcomes from liposuction: census survey of cosmetic surgeons. Plastic and reconstructive surgery, 105(1), 436–448. https://doi.org/10.1097/00006534-200001000-00070
Chang K. N. (1994). Surgical correction of postliposuction contour irregularities. Plastic and reconstructive surgery, 94(1), 126–138. https://doi.org/10.1097/00006534-199407000-00013
Chang K. N. (2002). Long-term results of surgical correction of postliposuction contour irregularities. Plastic and reconstructive surgery, 109(6), 2141–2145. https://doi.org/10.1097/00006534-200205000-00055
Matarasso, A., Swift, R. W., & Rankin, M. (2006). Abdominoplasty and abdominal contour surgery: a national plastic surgery survey. Plastic and reconstructive surgery, 117(6), 1797–1808. https://doi.org/10.1097/01.prs.0000209918.55752.f3
Mendez, B. M., Coleman, J. E., & Kenkel, J. M. (2019). Optimizing Patient Outcomes and Safety With Liposuction. Aesthetic surgery journal, 39(1), 66–82. https://doi.org/10.1093/asj/sjy151
Mateu, L. P., & Hernandez, J. J. (1997). Cutaneous hyperpigmentation caused by liposuction. Aesthetic plastic surgery, 21(4), 230–232. https://doi.org/10.1007/s002669900115
Coleman W. P., 3rd (2000). Powered liposuction. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 26(4), 315–318. https://doi.org/10.1046/j.1524-4725.2000.99240.x
Apfelberg D. B. (1996). Results of multicenter study of laser-assisted liposuction. Clinics in plastic surgery, 23(4), 713–719.
Karcenty, B., & Flageul, G. (2003). Lipo-aspiration et liposculpture [Liposuction and liposculpture]. Annales de chirurgie plastique et esthetique, 48(5), 399–404. https://doi.org/10.1016/j.anplas.2003.08.006
Goldman, A., Wollina, U., & de Mundstock, E. C. (2011). Evaluation of Tissue Tightening by the Subdermal Nd: YAG Laser-Assisted Liposuction Versus Liposuction Alone. Journal of cutaneous and aesthetic surgery, 4(2), 122–128. https://doi.org/10.4103/0974-2077.85035
Apfelberg, D. B., Rosenthal, S., Hunstad, J. P., Achauer, B., & Fodor, P. B. (1994). Progress report on multicenter study of laser-assisted liposuction. Aesthetic plastic surgery, 18(3), 259–264. https://doi.org/10.1007/BF00449791
Apfelberg D. (1992). Laser-assisted liposuction may benefit surgeons, patients. Clinical laser monthly, 10(12), 193–194.
Prado, A., Andrades, P., Danilla, S., Leniz, P., Castillo, P., & Gaete, F. (2006). A prospective, randomized, double-blind, controlled clinical trial comparing laser-assisted lipoplasty with suction-assisted lipoplasty. Plastic and reconstructive surgery, 118(4), 1032–1045. https://doi.org/10.1097/01.prs.0000232428.37926.48
Araco, A., Gravante, G., Araco, F., Delogu, D., & Cervelli, V. (2007). Comparison of power water--assisted and traditional liposuction: a prospective randomized trial of postoperative pain. Aesthetic plastic surgery, 31(3), 259–265. https://doi.org/10.1007/s00266-006-0186-5
Zocchi M. (1992). Ultrasonic liposculpturing. Aesthetic plastic surgery, 16(4), 287–298. https://doi.org/10.1007/BF01570690
Cárdenas-Camarena, L., Andino-Ulloa, R., Mora, R. C., & Fajardo-Barajas, D. (2002). Laboratory and histopathologic comparative study of internal ultrasound-assisted lipoplasty and tumescent lipoplasty. Plastic and reconstructive surgery, 110(4), 1158–1166. https://doi.org/10.1097/01.PRS.0000021444.87257.0A
Teimourian B. (1997). Ultrasound-assisted liposuction. Plastic and reconstructive surgery, 100(6), 1623–1625. https://doi.org/10.1097/00006534-199711000-00062
Silberg B. N. (1998). The technique of external ultrasound-assisted lipoplasty. Plastic and reconstructive surgery, 101(2), 552.
Hoefflin S. M. (1999). The future of liposuction and fat. Plastic and reconstructive surgery, 104(5), 1585–1586. https://doi.org/10.1097/00006534-199910000-00078
Shiffman M. A. (2000). The future of liposuction and fat. Plastic and reconstructive surgery, 106(2), 505–507. https://doi.org/10.1097/00006534-200008000-00051
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Copyright (c) 2024 Paweł Nojek, Wiktoria Pawlik, Mariusz Zimonczyk, Monika Zawół, Gustaw Błaszczyński, Agnieszka Nowotarska
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