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Semin Plast Surg 1999; 12(1): 45-59
DOI: 10.1055/s-2008-1080204
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© 1999 by Thieme Medical Publishers, Inc.

Large-Volume Ultrasound-Assisted Lipoplasty

M. Bradley Calobrace
  • Surgeon in Private Practice, Calobrace Plastic Surgery Center; Clinical Faculty, Division of Plastic Surgery, Department of Surgery, University of Louisville School of Medicine, Louisville, KY
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Publication History

Publication Date:
19 June 2008 (online)

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ABSTRACT

With the introduction of the tumescent technique, the removal of large volumes of fat during a single liposuction procedure has increasingly been reported. Ultrasound-assisted lipoplasty (UAL) offers a new approach to large-volume liposuction. The selectivity of ultrasonic energy for fat cells limits blood loss, effectively treats difficult fibrous regions of the body, provides excellent control in contouring, and minimizes surgeon fatigue. This report reviews patient selection, preoperative preparation, choice of anesthesia, fluid management, and lidocaine administration. The three stages of UAL are reviewed, including the infiltration of wetting solution, application of ultrasonic energy, and fatty emulsion evacuation. Special emphasis is placed on techniques to avoid complications in large-volume UAL.

Keywords

Ultrasound - liposuction - volume

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