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Hydroliposculpture is a blending of the safest forms of liposuction fluid administration with specially designed non-ultrasonic liposuction cannula along with the latest (third) generation of ultrasonic liposuction cannulae. Hydroliposculpture is a procedure developed by and a term coined by the web site author. The non-ultrasonic cannulae developed by the web site author that are used in the process of hydroliposculpture are long, slender, highly flexible, and gentle on the patient’s tissues, as opposed to other liposuction cannulae that are rigid, stiff rods. The areas of fat to be treated in liposuction lie just below the skin and are bound within the natural curvatures of the skin. Therefore, long straight rod-like cannulae, whether ultrasonic or non-ultrasonic, tend to poke and jab at the surface skin because they cannot bend and thus undesirable forces (pokes) may result on the surface of the skin. The special cannulae designed by the web site author are highly flexible, yet gentle in nature to the underside of the skin, because they may curve predictably beneath the skin and are easily manipulated by the surgeon. Unlike the first two inferior generations of ultrasonic liposuction cannulae, the new third generation of ultrasonic cannulae may be used in alternating fashion with the flexible non-ultrasonic cannulae designed by the web site author. The result is a gentle tissue handling in hydroliposculpture. Dr. Klein’s simple original formula for tumescent solution is still the best and safest fluid formula in liposuction and thus plays an integral part in hydroliposculpture. As you may have seen on television, most cases of liposuction are performed with the surgeon grasping hard the handle of the liposuction cannula, while pushing very forcefully and rapidly back and forth into the patient’s tissues to be suctioned. Many patients are "turned off" by seeing videotapes or broadcasts of such events. With the process of hydroliposculpture, the surgeon can hold the liposuction cannula like a violin bow, between the index finger and thumb only, very lightly with very little pressure. The instruments used in hydroliposculpture are specially designed to move through fatty tissue so gently that very little force has to be applied. Thus the method the author uses is markedly more gentle. Many patients who have had previous liposuction comment that their earlier liposuction procedures performed elsewhere had created much more bruising than the one performed later by the web site author. In typical liposuction, when the surgeon encounters an area of fat that is thick, firm, or fibrous, the usual action by the liposuction surgeon is to batter the area with vigorous probing of the liposuction cannulae, be they traditional or ultrasonic. This forceful technique differs from the method of hydroliposculpture, wherein the area is approached as gently as possible, alternating the two different forms of cannulae (the third generation ultrasonic and then the modified high-flexibility cannulae developed by the web site author) until the firmer fat deposit is reduced appropriately. Much less trauma to the blood vessels, nerves, and fatty tissues is the result. Additionally, with the process of hydroliposculpture, cannulae of the smallest possible diameters that can efficiently carry out the process of the liposuction are chosen. Obviously, if the patient is obese, using tiny cannulae would be fruitless except in certain areas, e.g. the knees or some parts of the arms. Another benefit of hydroliposculpture is that the third generation of ultrasonic cannulae, used to carry out part of the procedure, are customarily used to "finish up" the liposuction in all the areas treated. Since this generation of ultrasonic cannula by design exudes a lot of sterile water, which is also rapidly suctioned back up into the cannula, with the vibration, it tends to cleanse the area of any remaining blood or fluid deposit that would normally build up in the tissues during the liposuction procedure. Interestingly, in the hundreds of hydroliposculpture procedures performed by the web site author using these methods, there has been no incidence of seromas (non-bloody persistent fluid collections – balls - which commonly occur after standard ultrasonic liposuction). The web site author has no explanation for this nice benefit. He does feel that it is possible that there are limitations for each patient and treatment site as to how much ultrasonic energy should be applied to remove fat. The meticulous blending between the traditional non-ultrasonic cannula and the ultrasonic cannula during hydroliposculpture may actually bring about the most desired and non-traumatic result, while reducing energy use. Although it is not proven, it could very well be that the incidence of seromas forming after standard ultrasonic liposuction is related to the amount of trauma (due to heat energy) that tissues receive. Ultrasonic liposuction in itself is somewhat traumatic, because the cannulae tend to become very hot due to molecular vibration. Ultrasonic waves tend to vibrationally damage and break apart tissue, thus freeing fat. It might, therefore, be that the tissue damage encountered by the surgeons who rely only on ultrasonic liposuction to remove fat is the cause of the seromas, which are still commonly seen in patients today following all generations of ultrasonic liposuction. This problem is somewhat alleviated in the third generation of ultrasonic cannula by the addition of the water flow to the tip of the cannula. By reducing ultrasonic heat trauma and by also using instruments which are not ultrasonic in nature and gently curve to the soft contours of the body, a novel, more artful form of liposuction that is distinct from the way liposuction is currently practiced may be achieved. Hydroliposculpture may represent a blending of the best technologies – the best medicines (Klein solution) used to prepare the liposuction treatment areas, and the best of non-ultrasonic as well as ultrasonic liposuction cannulae (equipment). Most surgeons and their staffs would be baffled by the sheer number of hoses and tubes that would be required to carry out two differing types of liposuctions, alternating, at the same time. The web site author has solved this problem by creating a form of "suspended liposuction," wherein sterile stainless steel clamps and wire rigging are tightly strung along the roof of the operating theater, which allows positioning along two axes. With this system any number of sterile lines or hoses can be positioned above the patient in any location in the surgical suite. This eliminates the problem of hoses touching non-sterile areas in the operating room and carrying germs onto the operating field. Thus suspended liposuction facilitates the process of hydroliposuction and makes it much more efficient. The first article regarding suspended liposuction has been accepted and is about to be published in a prominent journal in the national medical literature. The article was written by the web site author. Additionally, the web site author has developed tiny Teflon® inserts that are placed in the area where the liposuction cannulae enter the skin. Specially designed, easily manufactured slits keep the inserts in place while they reduce the skin friction trauma caused by all types of liposuction cannulae. The United States Patent Office has granted the web site author patented claims on this process and this type of insert.
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