Which Type Of Lipo Do The Pros Prefer?

Looking into liposuction? You may be convinced that laser-assisted lipo and other up-to-the-minute techniques are the way to go, but your doctor doesn't necessarily think the latest methods are the greatest.

A recent member survey by the American Society for Aesthetic Plastic Surgery shows that traditional, tried-and-true approaches, especially suction-assisted lipectomy (SAL), are the preferred liposuction techniques among board-certified plastic surgeons.

Power-assisted liposuction (PAL) and ultrasound-assisted liposuction (UAL) are also popular, though not nearly as much as SAL, which is favored by over half of the ASAPS survey respondents.

Not surprisingly, SAL is the liposuction technique with which the vast majority of respondents-almost 93%-have experience. Little more than 12% have experience with laser-assisted liposuction (LAL), the latest invasive option, and less than 4% call it their preferred method.

Despite its current lack of popularity among ASAPS members, LAL is being request by patients more frequently; and according to most survey respondents, this is due to marketing. However, most of the doctors surveyed believe there is a disproportionately higher complication rate with LAL compared to SAL, PAL and UAL.

"Our survey found that ASAPS members tend to more frequently employ the fat removal methods that have the longest track records and the most data to support their efficacy and safety," explained survey author Jamil Ahmad, MD. "In the future, we may notice preferences shift as we see additional prospective data comparing techniques, and as we gain more experience with newer methods. These factors will also help us continue to improve safety-related standards of care."

Have you gotten liposuction? Which technique was used? Were you happy with the results? Tell us about your experience by leaving a comment below.
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8 comments | Post a comment
WHAT THE EXPERT SAYS:

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Dr. Richard Beil
Plastic Surgeon - Ann Arbor, MI
There are many options for suction assisted lipectomy as noted, but we have always felt that standard liposuction is the safest. Many of the newer options take longer to perform and don't always add value to the procedure. Also, some options are simply marketing gimics designed to bring in new patients, but don't always offer a substantial difference in the patient's outcome.
Posted March 31, 2011 6:23 AM EDT
1
melissa
Is slim lipo the best to remove the fat in the jowl part of the face? Should it be followed up with thermage?
Posted February 21, 2011 3:55 PM EST
2
Dr. Douglas L. Hendricks
In my hands laser lipolysis is a quite effective tool . By heating the skin from beneath the surface with the laser, significant changes in the structure and chemistry of the dermis are seen. There was one study published 5 or 6 years ago demonstrating lack of differences between the laser treated side and the power assisted liposuction side for patients undergoing liposuction. However, the laser that was used was 8 times weaker than the laser we use today. But unfortunately, that paper is repeatedly quoted by people who are opponents of laser lipolysis technology. In the last 12 months, several well conducted studies were published in our journal clearly demonstrating skin tightening as a result of laser lipolysis treatment in comparison to power assisted liposuction alone. To me this represents an exciting advance in our field, because the more I can tighten the skin from below , the less I need to snip and sew. Because the technology is complex and requires a few additional steps, it is not surprising that only a few doctors prefer it as their preferred method over “standard” liposuction alone to treat pockets of diet resistant fat.
Posted February 21, 2011 3:20 PM EST
3
WHAT THE EXPERT SAYS:

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Dr. Leslie Stevens
Plastic Surgeon - Beverly Hills, CA
Esti, I am sorry to hear of your negative experience with liposuction. Again, this just reinforces the premise that it is not fault of the technique but rather the fault of the technician.
Posted February 21, 2011 3:08 PM EST
4
G
I had lipo on my love handles twice . The first time I too was left with lumpy skin and not all of the fat was removed . I went a 2nd time to smooth things out . I also work out 5 times a week and am in very good shape but extremely embarrassed when my love handle region is exposed . It's very obvious that I have had something done and still I carry excess weight in this area .
Posted February 21, 2011 12:56 PM EST
5
anonymous
Esti-I am so sorry to hear of your unfortunate experience with lipo. Where are you located? I may be able to help. Please contact me at slim@azweightloss.com if you would like to chat about a non-invasive way to help smooth the damage lipo created. All the best-Amanda
Posted February 21, 2011 9:24 AM EST
6
Esti
I am a former esthetician who has worked for derms and cosmetic surgeons. I had lipo on my thighs twice by my employers who were considered good at what they do and had lots of experience. It wasn't emphasized the first time that the results wouldn't be smooth. My once-smooth legs were now smaller but lumpy. The second doctor's office manager said the tumescent lipo was much better and would smooth things out. It's actually worse. When I said something to the Dr. a month after surgery, he said "I don't do smooth." Great. So glad I went through all that. It's ironic that I work out more than most people I know but I never wear a bathing suit in public.
Posted February 21, 2011 6:52 AM EST
7
WHAT THE EXPERT SAYS:

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Dr. Leslie Stevens
Plastic Surgeon - Beverly Hills, CA
As this article makes clear, the demand for the "latest and greatest" liposuction techniques does not come from their overall superiority but rather from slick marketing campaigns by the manufacturers. As of today, there is no evidence that shows any advantage in using laser- assisted liposuction. When it comes to body contouring with liposuction the experience of your surgeon is far more important than the technique he or she uses. It's the magician not the wand so to speak.
Posted February 16, 2011 8:09 AM EST
8

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