...What liposuction technique do you use, and what do you think of any new technologies out there or coming in the future (i.e. laser lipo)?
I currently use 2 main techniques: tumescent liposuction, and ultrasonic liposuction.
Tumescent liposuction is the standard. It employs a wetting solution that aids fine contouring, reduces bleeding and swelling, and helps with post-operative comfort. It is the most common technique I utilize. The ultrasonic technique is useful for 'tougher' areas, where the fat is difficult to remove, for example, love handles, back rolls, the male breast, or areas that have been previously treated with liposuction. 'Laser' liposuction has recently been introduced. I think it is very similar to ultrasonic liposuction and will find it's place in the spectrum of treatments we have for fat. We are also experimenting with 'external ultrasonic' liposuction whereby ultrasound waves are utilized to liquefy fat without having to make any incisions. Stay tuned.
Dr. Jerome Edelstein Toronto Plastic Surgeon www.plastic-surgery.yourmd.com
SAL (Suction assisted liposuction), PAL (Power assisted liposuction) and sometimes UAL (Ultrasonic assisted liposuction). As with all new technology, it is best to wait until there is a track record of safety and benefit prior to offering these modalities to patients.
Dr. Derek Ford Toronto Plastic Surgeon www.fordplasticsurgery.com
We use small calibre liposuction cannulas, or power assisted cannulas for our lipo patients Combined with same day Accent RF tightening and postop Accent to give as good or often better results than Vaser, or Smart Lipo. Accent/Lipo is one of our commonest procedures.
Dr. Anthony Lockwood Winnipeg Plastic Surgeon www.thefirstglance.ca
Currently use ultrasonic assisted liposuction and tumescent or wet liposuction. Excited about the future of liposuction and more specialized techniques - not sure of effectiveness and safety of the newest options, willing to wait a little and see which techniques stand the test of time.
Dr. Leslie Kerluke Vancouver Plastic Surgeon www.drkerluke.com
I use all the well-established techniques: sal, ual, and pal, always with superwet infiltration. I believe that the skill and experience of the surgeon are far more important than the specific technique that is used. I believe that the supposed advantages that are claimed for the various techniques generally do not exist (superior skin contraction, etc.). My opinion of smartlipo is the same opinion I have regarding any new technique: the initial wave of enthusiasm will give way to a more realistic assessment of the technique, and the likelihood is that the technique will not stand the test of time and will ultimately be dropped. I do not adopt a procedure until it has been around long enough to demonstrate its effectiveness and safety.
Dr. Eric Pugash Vancouver Plastic Surgeon www.vancouvercosmeticsurgery.ca
I use tumescent liposuction.
Dr. Ronald Levine Toronto Plastic Surgeon www.breastimplantstoronto.ca
I use standard tumescent liposuction and Smartlipo laser liposuction.
Dr. Sean Rice Toronto Plastic Surgeon www.doctorseanrice.com
I most often use the tumescent technique when performing liposuction. With this approach, anesthetic solution is injected into the areas to be treated. This liquid causes the compartments of fat to be more easily aspirated with the suction cannula device. It also helps reduce postoperative discomfort, bruising and swelling as compared to traditional methods.There are an ever increasing number of new and highly marketed adjuncts or techniques for liposuction. Most of which claim faster recovery and less chance of complications. However, my personal approach is to use the technique (i.e., tumescent technique) which has been used for years, is the most studied technique in the scientific literature and has been widely proven to be safe, reliable and effective. Many newer techniques, in my opinion, have not been through the rigours of investigation necessary to be proven techniques.
Dr. Kyle Wanzel Toronto Plastic Surgeon www.plasticcosmeticsurgery.ca
We use tumescent liposuction for most patients, in most areas. We do the procedure under both general and twilight anaesthesia. For certain situations, we use Ultrasonic Liposuction. These include: Gynecomastia, Fat deposits on the back or flanks, and for patients who have had liposuction previously, and now they need more work done in the same areas.
Dr. Walter Peters Toronto Plastic Surgeon www.drpeters.ca
Our office uses the Ultrasonic method of liposculpture or liposuction. Sound waves are used to liquify the fat, suction to remove it. This new technology allows us to access areas that were previously difficult to improve with the standard liposcuction technique. This minimally invasive procedure leads to less discomfort and less recovery time to the patient.
Dr. David Ward Vancouver Plastic Surgeon www.drdavidward.com
I generally use the tumescent technique for liposuction. It is safe, proven and predictable. Newer techniques such as "smart lipo" and laser lipo may have some benefit in certain patients but their longterm safety and results are still unknown.
Dr. Mitchell Brown, Toronto Plastic Surgeon www.torontoplasticsurgery.com
For primary liposuction procedures I use power assist liposuction. For secondary procedures and gynecomastia (male breast reduction) I use ultrasonic liposuction.
Dr. Robert Sleightholm Brampton Plastic Surgeon www.bramptoncosmetic.com
I use the tumescent liposuction technique which involves the injection of saline solution mixed with local anesthetic into the tissues to allow the fat to be removed more evenly and with minimal blood loss. There are constant improvements in the technology which we use for all of our surgical procedures, but my approach to liposuction continues to be conservative using proven techniques that are safe and give the best results.
Dr. Wayne Carman Toronto Plastic Surgeon www.drcarmanplasticsurgery.com
Liposuction remains one of the most requested operations in my practice. I most frequently combine traditional tumescent liposuction and ultrasound assisted techniques tailored to the needs of each patient. Recent improvements have led to smaller incisions and shorter recovery times. Despite the claims by some doctors and companies that certain technologies are better; proper patient selection, surgical experience and expertise are critical to achieving the safest and best results.
Dr. Mathew Mosher Vancouver Plastic Surgeon www.drmosher.com
I typically use superwet technique for liposuction, and I will be following the progress of laser liposuction closely, in order to better assess its indications, risks and benefits before adopting it into my practice. In general, I am not usually the "first surgeon on the block" to try a new technology, and tend to only apply newer technologies to my practice once there has been sufficient experimental evidence available to support its use and delineate its potential complications.
Dr. Howard Silverman Ottawa Plastic Surgeon www.ottawaplasticsurgery.com
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