|
|
TRADITIONAL
LIPOSUCTION
(also includes the wet method) |
TUMESCENT METHOD
AND VARIATIONS INCLUDING HYDROLIPOSCULPTURE |
GENERATIONS I
& II of ULTRASONIC LIPOSUCTION
(Internal Type; Generations I & II, still unfortunately
see use.
|
III GENERATION
ULTRASONIC LIPOSUCTION
Please see Chapter 33 - Three
Generations of Ultrasonic for information on Generation
III)
|
|
PAIN
CONTROL |
Usually
general anesthesia - gas, sometimes IV
sedation. |
Local
anesthetic (numbing)+/-IV sedation. Occasionally general in special
mild combination(see anesthesia chapter). |
General
or local |
General
or local |
|
COST |
Expensive |
Variable
but usually with cost savings if in office based. |
Expensive.
Still in wide use, as conversion to newer equipment is very costly for
doctors. |
Expensive only 100 - 200 units in the U.S.
now |
|
RISKS |
Higher
complication rate |
Lowest
rate of complications documented in the medical literature. Greatest patient
satisfaction documented in the medical
literature |
Vibrations
weaken cannulae. Cannulae breaking into pieces inside of patients has been
reported. Perforations of kidney and gallbladder have occurred. "End hits"
and seroma formation. Cannulae are moved slowly. Burning hot cannula tip
may cause long-lasting nerve damage, seromas. |
Significant improvement over generations I & II.
Safe only in experienced hands. |
|
EXPECTATIONS |
Moderate
improvement |
Desired
improvement with greater proven safety. |
Large bulky
cannulae cannot be bent to create a customized
approach. |
Best when used as part of
hydroliposculpture. |
|
BLEEDING |
Significant
blood loss often requiring transfusion |
Minimal
blood loss, a patient usually loses more blood during a blood test than with
these procedures. |
Varies
with method of numbing, general or local. |
Minimal when used as part of
hydroliposculpture. |
|
LENGTH OF
SORENESS |
NO long-lasting
pain relief. Requires immediate and significant pain-killers after
surgery. |
Long-lasting
pain relief up to 24 hours following surgery. Usually only minimal oral analgesia
needed to ease discomfort. |
Varies
with method of numbing, general, local, tumescent or wet
methods. |
Same as tumescent when used as part of
hydroliposculpture. |
|
IV
FLUID NEEDS |
NOT a tumescent
technique, misleading if stated so. Need IV fluids to replace what is
lost |
As seen
on Dateline and 20/20 news shows. The replacing fluid has already been in
the patient in the form of the Tumescent Solution. No extra IV fluids are
needed. |
Variable. |
Same as tumescent when used as part of
hydroliposculpture. |
|
RECUPERATION |
Easier
on surgeon's schedule, possibly harder on patient's
recuperation |
Faster
recuperation time, walk-in-walk-out surgery may be done as an in-office
procedure |
Variable. |
Same as tumescent when used as part of
hydroliposculpture. |
|
RETURN
TO WORK |
Return
to work in days to weeks. |
Usually
can return to work the next 1-4 days depending on the treatment
size. |
Depending
on cannulae size, usually days to weeks. |
Same as tumescent when used as part of
hydroliposculpture. |
|
SPECIALISTS
PRACTICING |
Primary
users: most plastic surgeons, some general
surgeons |
Primary
users: Dermatological surgeons and Facial Plastic
surgeons |
Many
liposuction experts are unimpressed with this method. A particular specialty
gravitated. |
Dermatologists, Plastic surgeons, Facial Plastic
surgeons |
|
INVENTING
SPECIALTIES |
Invented
by Italian OB-GYNECOLOGIST |
Invented
by: Dermatologists |
Several
companies in development of machinery. Some out of business
now. |
Dr. Parisi (Italian) |
|
SUCTION
CANNULA SIZE |
Larger
instruments mean greater skin irregularities |
Smaller
cannulae (instruments) leave minimal surface changes Hydroliposculpture variant
(see section) |
Complex
cannulae currently available only in larger sizes. Cooling water circulation
through the cannulae not perfected. |
Larger - complex cooling fluid has been improved much
over prior generations. |
|
OPERATIVE
SUITE |
Usually
hospitals; Sometimes surgical center; Less office
based |
Usually
in an office suite. Sometimes in a surgical center. Can be performed in a
hospital if desired. Should receive general anesthesia
medicines. |
Usually
hospital; Sometime surgical center; Less
office-based. |
Usually
hospital or surgical center; Less office-based. |
