Types & Methods of Liposuction
TYPE OF LIPOSUCTION:
1) TUMESCENT LIPOSUCTION:
The area of the skin which is to be suctioned is pumped with several litres of saline solution with a local anesthetic known as lidocaine and a vessel –constrictor known as epinephrine. Small suction tubes suck the fat. This is the most popular form of Liposuction.
2) DRY LIPOSUCTION:
Dry Liposuction does not use injections of Local Anesthesia into the fat before procedure and so it’s known as Dry. The tissue that was removed by Liposuction using the Dry technique, actually comprised of 30% blood. This method is seldom used today as there is higher risk of bruising and blood loss.
3) WET LIPOSUCTION:
The patient who is treated by this technique is given General Anesthesia only, no matter which area is being treated or how much liposuction they are having. The capillaries are restricted by the solution that is injected so that it minimizes bleeding of patients. The 15-20% of the tissue removed using Wet Liposuction,is actually the patient’s blood. This amount of blood loss is still substantially risky for patients and it can also require blood transfusion sometimes. Although wet Liposuction is safer than Dry Liposuction, it is still considered to be risky because of blood loss.
4) SUPER WET LIPOSUCTION:
Super Wet Liposuction or Lipoplasty, technique is much alike the Tumescent Liposuction where a solution is injected in the operation site this technique uses less fluid and also takes less time in getting completed. This fluid contains the anesthetic Lidocaine, a blood vessel constrictor(epinephrine) that helps in reducing bleeding and salt water. The surgeon inserts a cannula, a suction tool after the solution is injected which removes the excess fat from the asked area of the body by the patient.
METHODS OF LIPOSUCTION:
1) MANUAL LIPOSUCTION:
Manual Liposuction uses Manual force to break down connection between fat cells in the form of a fat layer by moving the cannula back and forth and rotating it.
2) ULTRASOUND ASSISTED LIPOSUCTION(UAL):
Ultrasound Assisted Liposuction also known as Ultrasonic Liposuction, makes use of sound waves to loosen up the fat gently. Here, the Ultrasound energy is used to melt fat and this fat is then removed by a thin tube called cannula. The cannula is energized by Ultrasound energy and due to that it vibrates rapidly. The Ultrasound vibrations burst the walls of the fat cells. This emulsifies the fat making it easier to suction out them.So performing Liposuction at areas having larger volumes and denser fats becomes easy by using this technique for removal of fat.
The Ultrasound can be administered either above the skin with a special emitter or below the surface of skin with an ultrasound cannula.
There are 2 types of Ultrasound cannulae:
1) A solid probe.
2) A hollow-core probe.
The solid probe collects emulsified fat and tumescent solution beneath the skin, which is then removed with a standard, suction type cannula. The hollow-core performs the role of both, of emulsifying fat and removing it.
UAL method is suitable for fibrous areas such as male breast, back and at areas where liposuction has already been done before.
VASER : This is the 4th generation UAL technology that has overcome some of the previous problems. The energy applied to the tissues is approximately one quarter that of previous devices and offers both continuous mode and pulsed mode. It reduces the heat generation too.
3) POWER ASSISTED LIPOSUCTION(PAS):
The Power Assisted Liposuction method uses a special, motorized cannula with a mechanized system which moves back and forth at very rapid speed over a distance of 3 to 5 millimeters. It removes 40% more fat per minute than manual liposuction and hence, this method takes less time to perform and get the same results like ML. Generally used by Plastic Surgeons as they get older to cause less fatigue to themselves and their joints.
4) LASER ASSISTED LIPOLYSIS(LAL):
Also known as Laser guided lipo, this method makes use of power and technology associated with medical laser beams to liquefy fat. It combines adipocyte disruption with laser beam and suctions out the dissolved fat with the help of different cannulae from the treated area. The neodymium-doped yttrium aluminium garnet(Nd:YAG) 2064 mm has been introduced as first laser for lipolysis.