To treat body fat, reduction via liposuction is a no-brainer. But how do newer technology-based solutions easily fit into? The jury is still out in accordance with several skillfully developed. Into the March problem of plastic surgery Times (CST), Dr. Jane Petro, a 1. liposuction walnut creek ca plastic surgeon points out that “there clearly was relatively little evidence-based medicine concerning the varying liposuction devices found in cosmetic surgery today — particularly regarding the claimed benefits of one technology on the other.” Her recommendation to your industry at-large? To fill the void with comparative studies that work towards generating the evidence today’s cosmetic surgeons want to find the best liposuction devices for his or her practice.
To illustrate the challenge today’s surgeons face, there are several competing kinds of high-tech liposuction options available:
Which kind of liposuction is most beneficial for patient and physician? Without data comparison data among varying modalities, it is challenging, Dr. Petro told CST: “If you look at why is absolute clinical evidence regarded as true, the general history of medicine is full of what you will call ‘expert opinion.’ However, expert opinion may be subjective as well as in part is therefore thought to be a decreased standard of evidence,” she’s quoted as saying.
Another expert also weighed in: “I think that comparative multicentered studies are lacking regarding these newer technologies and their evolving indications. Those of us that are luckily enough to have multiple devices inside our office should conduct comparative studies and share that information because our hands are not tied. We purchase the devices, we might be users of the devices, but we are in addition to the companies.” That’s what Loma Linda, California-based surgeon Gordon H. Sasaki, MD, told CST.
Based on the Numbers
In accordance with the annual statistics reported by the American Society of Aesthetic plastic cosmetic surgery (ASAPS) for 2011, Liposuction may be the no. 1 procedure in the us. And there is good reason for the distinction: It’s safe and satisfactory when performed by a seasoned physician, in accordance with the experts. Here’s what they told CST exactly how the high-tech versions from 2. lifestyle lift san ramon ca equate to traditional liposuction:
Power Assisted Liposuction: Fat extraction is simpler, procedure time is shorter, and healing and recovery time is faster (Dr. Sasaki)1-3
Water Assisted Liposuction: Abdominal tissue tightening is equivalent (Dr. Sasaki)4
Laser Assisted Liposuction: Skin tightening and elasticity is greater with LAL (Dr. Sasaki; Smartlipo MPX – Cynosure)
“You can take out fat in the challenged lax-skinned patient by any liposuction method. However, until you have a mechanism that is going to coerce that skin to contract and accommodate to the volume loss, you’ll be left with flaccid skin. The LAL technique will not only remove fat, but additionally remodel the collagen for eventual skin tightening,” Dr. Sasaki explained to CST.
Give Fat A Chance
As fat transfer (liposuction followed closely by reinjection to manage or buttocks) is becoming more commonplace, liposuction technologies such as for instance water assisted and ultrasound assisted have found their niche. Specifically, Dr. Sasaki told CST based on his or her own study, UAL or VASER (Sound Surgical Technologies) can remove fat as they are gentle adequate to preserve it for fat grafting. “The selection of device is based on what the indication is actually for a certain patient and what you would like to produce. Device manufacturers today are refining their devices and wanting to create their very own special niche, i.e., liposuction plus fat harvesting or liposuction plus skin tightening,” he said.
Looking closer at VASER, one study “showed a clinically significant 53 percent improvement in skin retraction per cc of aspirate removed relative to the original SAL technique, and the average reduced amount of 26 percent in loss of blood compared to SAL,” reports CST.5
But to answer the question of what’s right for every single individual patient? CST quotes Dr. Sasaki as saying, “Final surgical outcomes can be equally centered on a careful patient selection and knowing exactly what your patients’ goals are, the surgeon’s artistic ability and procedure know-how, and finally the unit. The unit is a tool and achieving good outcomes to some extent relies on the method that you utilize it.”