|The tumescent technique is the traditional liposuction. It has some complication with the severe bruising, severe pain, the irregularity of the skin after surgery and the fat embolism. This technique does not work for the dense fibrous fatty tissue, such as the male breast, and frank or some atheistic body builder.
The new liposuction techniques
1. Water-Jet Liposuction (WAL)
Water -Jet using the high pressure of the water to wash out the fat from the surrounding tissue, and suck the fat out at the same time.
2. VASER Liposuction
The VASER Liposuction or called VASER Liposelective uses the ultrasonic probe to generate ultrasonic beam to destroy the fat cell specifically, and without any harmful to the nerve or blood vessel. This technique helps to suck the fat out easily after it makes the fat becomes liquid.
3. Smart Lipo
The Smart Lipo uses the laser to melt the fat without any fat suction.
What is the areas that the VASER works best?
VASER can be used all over the body, but I have found it works best for three areas. All of these areas share the characteristic of having dense, tough, fibrous fatty tissue that is hard for other types of liposuction to treat.
#1 area that I like to use the VASER is to treat male breasts with Gynecomatia.
#2 is flanks or love handles, especially in thinner patients, men, and Asian women who tend to have more fibrous fat that is difficult to suck the fat with other methods.
#3 is any area that has previously been treated with any other types of liposuction. It is best treated for the second time with VASER Liposuction. It is very good to dislodge fat from the scar of the initial procedure
#4 the buttock , frank or waist
Why SmartLipo is the worst choice?
SmartLipo and CoolLipo use a laser to destroy the fat cells, allowing them to be removed by liposuction. My problem with these techniques is that, first of all, as a scientist and doctor I am offended when false claims of benefit are made, and that because the lasers will burn whatever you point them at, I worry that your nerves, blood vessels, muscles, and skin may be injured by the laser.
Bottom line (and in my opinion)- there is no benefit to these devices, they are expensive (meaning that the cost to you, the patient, will be higher as well), and the risks are higher.
The smart lipo is benefit for the small area such as the neck or face or the arm , it can dissolves the fat about 100-200 cc for maximum in 1 session without suction any fat from the body , it need to take time for absorb the melting fat by the lymphatic drainage. The SmartLipo will much less effective to the large area such as the abdomen or tummy or thigh.
Why VASER Liposuction is the best choice?
VASER Liposuction can be get more muscle expression or can get more well defined of the six-pack to see immediate result. After surgey,without the exercise or work out, you will have the six-pack that you want by using a technique called VASER Hi Definition.
VASER Liposuction involves an additional step, in which the fat (after injection of fluid but before suction is applied) is treated with ultrasound energy. Unlike the laser filaments used in SmartLipo and the other devices mentioned above, the VASER probe is blunt and the ultrasound energy it uses is much more specific for fat, so that the risk of injury to the blood vessels and nerves, as well as the muscles and skin are much lower. This is seen in the patient experience of reduced swelling and bruising.
The skin tightening effect from VASER
The VASER and the smart lipo have the skin tightening effect after surgery
VASER Liposelection has recently been shown in a 2010 medical study to tighten skin. VASER Liposelection was performed on one leg in 20 female patients and traditional liposuction was performed on the other leg. There was a 53% improvement in skin tightening on the leg that had VASER Liposelection compared to the other leg.
I routinely perform VASER and have done over 1,000 cases with this technique. I have personally seen more skin tightening with VASER than traditional liposuction. I feel that areas such as the arms, abdomen, and inner thighs can better be done with VASER even if the skin is a little loose. This is because the VASER will result in more skin tightening.
The water-Jet and tumescent techniques, theses two techniques use no heat formation during the surgery, so there is no any skin tightening effect after surgery.
Fat Cell Usage
Fat can be use from liposuction to re-inject to any part of the body. The fat from Water -Jet and the tumescent techniques can be use for the reinjection. It can be injected to any part of the patient body , such as the breast , buttock , or cheek area, the fat survival rate is more than 50-70 % after one year.
The fat from the VASER and SmartLipo is not recommend for the melting fat from these two techniques to re-inject to the body , it will has fat absorbsion about 80 % which will disappear after 6 months after the injection, and the fat survival rate is 20% only.
The Side Effect
The Tumescent liposuction may have some complication, such as severe bruising , severe pain , long recovery time, swelling about 3-5 months , unevenness of skin , and seroma(pocket of clear serous fluid).
The SmartLipo has more reports of burned skin of patients from the heating formation by the fiber optic. The dark spot of the scar opening of the skin can happen too.
VASER Liposuction is an extremely safe procedure. Side effects are rare. Some of the common after effects include swelling which can last up to 3 months. Numbness in the area which had liposuction can last 6-8 weeks, but usually resolves. In my practice, I have not seen any burns on the skin, but this is sometimes reported as a side effect after VASER Liposelection.
I have also not seen any infection after VASER. I, however, leave many of the skin port holes open to drain. This seems to prevent infection and fluid collections from forming under the skin. Unevenness or area of skin irregularities is also rare after VASER Liposuction and is much more common with traditional liposuction.
Read WAL Liposuction
Read Vaser Liposuction