Consistent diets and regular exercise successfully combat extra pounds. But it is difficult to endure restrictions; a forbidden piece of sweet beckons women exhausted by training, like a new toy for capricious children. Ladies break down and gain weight again. It also happens differently: a strict regime seems to help, volumes decrease and the skin tightens, but problem areas (stomach, thighs) are in no hurry to get rid of the fat deposits accumulated over the years. In both cases, clear contours of the body will be formed by ultrasonic liposuction.
Using this method, the doctor removes subcutaneous fat accumulations from any part of the body, including buttocks, legs, forearms, the perfection of which is difficult to achieve. The method is based on the cavitation effect: ultrasonic waves directed at fatty tissue form vacuum bubbles. The “balls” suddenly inflate and explode, and the cells die. Dissolved fat leaves the body naturally or with the help of a surgeon.
The underlying action gave the procedure a different name, but the concepts are identical: ultrasonic liposuction - cavitation. They are used with the same frequency.
External and internal liposuction – what to choose
It’s up to you to decide which type of liposuction will help you get rid of unnecessary wrinkles. Internal method– invasive – gets rid of fat immediately, external – non-invasive – you will be surprised by the results after 1-2 months. Each method has supporters and ardent opponents.
Non-surgical ultrasound liposuction will delight you with changes in body volume in a month
Features of invasive liposuction
In the traditional method, the emulsion obtained after cell crushing is removed during surgery. To do this, the doctor pierces the skin and inserts a thin titanium rod into the fatty tissue. The procedure takes place in several stages:
- computer silhouette modeling;
- marking areas of deposits on the body;
- general or local anesthesia;
- operation of an ultrasonic device;
- vacuum suction of dissolved fat through the rod.
At operational method fat emulsion is immediately removed from the body through punctures
Thanks to its widespread use in past years, surgeons have refined the technique to perfection, and now the operation does not last long, is accompanied by minor blood loss and rare complications.
Non-invasive liposuction
The service became available only recently, after the invention of special equipment, but the number of its adherents is constantly growing. The ardent love of patients is explained by the preservation of the integrity of the integument and the absence of pain. Anesthesia is not used, the skin is not cut, the entire procedure consists of the external influence of an ultrasound device on problem areas. Destroyed cells leave the body gradually, bypassing the lymphatic system and disintegrating in the liver.
In one session, remove all fat reserves using no invasive liposuction impossible, usually the doctor and the patient agree on a course of two or three procedures.
With unconventional liposuction, the skin remains intact, anesthesia is not used
How weight and body parameters change
After invasive liposuction, you will lose weight dramatically: the body will evenly lose one and a half liters of fat, the main dimensions will be greatly reduced. The skin will be amazed by its smoothness; there will be no unpleasant consequences in the form of pits and bumps.
Not invasive method will not please you with an instant miraculous transformation. Fat loss with it is more modest than with the traditional method - about 0.5 liters, initially the volumes will remain almost the same. Everything will change in a month, when fragmented body fat will leave the body: fullness will subside, skin unevenness will smooth out.
Ultrasonic liposuction of the abdomen: how to decide on the procedure
Exercising and counting calories in meals can help with a small belly. If it protrudes significantly or has formed after carrying a baby or sudden weight loss, radical methods are required. Non-surgical liposuction with ultrasound will remove a small belly; with an “apron” of decent size, you can decide on traditional surgery. Procedures on this part of the body are always fraught with subsequent sagging and stretching of the skin; often after liposuction, patients decide on a surgical tummy tuck. Therefore, you will act wisely by discussing all the nuances and consequences with your doctor in great detail. surgical intervention. Take your time with the final choice between the external and internal methods.
The procedure is especially effective on problematic “female” areas: abdomen, buttocks, thighs
How to maintain new body shapes after correction
Wise nature has limited the number of our fat cells. They are formed as a person grows, and after reaching adulthood they only increase in volume. Once you get rid of a fair amount of reserves, you can remain slim for the rest of your life, provided that your total body weight does not change.
This effective procedure relaxes slimmer women and creates the illusion of eternal thinness. Don't deceive yourself: insidious fat instantly reacts to your indulgences in your own body and is deposited in new places.
Securing the results of liposuction is both easy and difficult. The advice is simple: rational nutrition and exercise. But how difficult it is to follow them! To avoid falling under the influence of ultrasound again, limit your consumption of sweets and starchy foods, do not give up gymnastics, walking and swimming, and enjoy other weight-correcting procedures, such as massage (including lymphatic drainage) and pressotherapy.
The resulting new forms must be maintained with the help of gymnastics and diet.
Contraindications and delays for ultrasound fat removal
Liposuction is indicated healthy people, doctors categorically do not recommend doing it if there are problems:
- diseases of the cardiovascular system;
- diabetes;
- epilepsy;
- mental disorders;
- exacerbation of any disease;
- severe forms of allergies;
- oncological problems;
- bleeding disorders;
- thrombophlebitis;
- venous insufficiency;
- chronic hepatitis;
- infectious diseases;
- renal failure;
- severe diseases of internal organs;
- serious metabolic disorders;
- abdominal hernia;
- skin damage in the area of surgery: rash, tattoos, scars, wounds, burns, abrasions, etc.);
- metal structures in the body (pacemaker, artificial joint, etc.).
In some cases, it is better to postpone the procedure:
- for teenagers – until they reach adulthood;
- for pregnant and nursing mothers - before the baby grows up;
- immunity disorders - until health is restored;
- when taking hormonal medications, wait a month and a half after complete withdrawal;
- during menstruation.
Attention!
The procedure is not a weight loss method! Its goal is to correct your shape.
What is good about the method: effectiveness
Results of ultrasonic liposuction: fat deposits dissolved, skin tightened
Both ultrasonic liposuction techniques have many advantages:
- no blood loss;
- tissues and internal organs are not injured;
- loss of deposits is guaranteed;
- sensitivity is maintained in the treated areas;
- there are no hematomas or scars;
- skin color improves;
- wrinkles are smoothed out.
What dangers await you: consequences and complications
Unfortunately, even with excellent health and absence of diseases, the procedure does not always give the desired result. In addition, considerable experience in carrying out such operations confirms the risk of serious consequences:
- blood clots may form in blood vessels;
- peripheral nerves are damaged, causing some parts of the body to long time go numb;
- Sometimes completely healthy tissues and organs suffer.
Cost of the procedure: the price depends on several factors
The total cost of the procedure consists of several amounts:
- preliminary examination with tests;
- anesthesia - influenced by dosage, type (general or local);
- the procedure itself is traditional, much more expensive than a non-surgical one, the price varies for certain areas of the body;
- hospital stay after general anesthesia.
Also take into account the level of the clinic and the skill of the surgeon - metropolitan specialists are considered the most expensive.
Often the patient is forced to pay additional amounts - new services “pop up”, pre-agreed prices increase. This can only be avoided by drawing up an agreement with clearly fixed prices.
The ultrasonic liposuction procedure will not cause you discomfort and pain
Ultrasonic liposuction cannot be called a panacea; it cannot solve all the problems of people with fat accumulation. Services for getting rid of extra pounds are constantly expanding, appearing innovative techniques, new equipment is being developed and put into operation. But, despite the high risk of complications and a fair number of contraindications, the procedure remains popular. If you decide to have liposuction, listen to our recommendations. And let your figures always be associated with chiseled figurines!
One of the most promising types of liposuction is ultrasonic liposuction. This way - ultrasonic liposuction - non-surgical, This is its main advantage. With ultrasonic liposuction, the fat layer is destroyed by ultrasonic waves. There are two methods of ultrasonic liposuction - invasive (classical technique) and non-invasive.
With a non-invasive method, fat is crushed by ultrasound and initially remains in the body. But then, within a few weeks, the fat cells are eliminated from the body through the venous and lymphatic system. The non-invasive method is more gentle on the body. In one procedure, no more than 500 ml of fat will be destroyed and removed. And complete destruction requires several sessions.
The invasive method is traditional method. In this method, fat, after destroying fat cells with ultrasound, turns into an emulsion and is removed from the body using a vacuum. To do this, punctures with a diameter of less than two millimeters are made on the body (in places where fat accumulates). But it is important to know that ultrasonic liposuction in its classic form is rarely used today. It's connected with harmful effects ultrasound After all, ultrasound affects not only fat, but also internal organs, which can lead to irreversible consequences for the body.
Although, in principle, any type of liposuction is accompanied by injuries to the connective tissue, ruptures of small blood vessels and nerve fibers, but the invasive method of ultrasonic liposuction is the most traumatic.
Although ultrasonic liposuction is very popular in Russia, in Europe and America ultrasonic liposuction
prohibited.
This is due to the fact that with this method much serious consequences are possible - burns of muscles and internal organs. AND
most severe complication fat embolism (blockage of blood vessels by fat tissue).
But today new equipment has appeared for safe ultrasonic liposuction (in a non-invasive way). Wide
devices based on the cavitation effect are used, for example, RAH-MediCell from the Italian company BIOS. This method of ultrasonic liposuction is based on the use of cavitation - the creation of micro-bubbles inside the liquid. The cavitation effect is achieved by exposure to ultrasound with a frequency of 40 kHz. In this case, the impact and destruction of fat is achieved at a depth of up to 8-10 cm. As a result of exposure to ultrasound, fat cells undergo a process of cavitation and are destroyed. Thus, your body gets rid of excess fat. After the fat cells are destroyed, the remaining fat is excreted from the body through urine. Subsequently, fat is eliminated from the body using the lymphatic system, and small part fat is absorbed into the blood.
The doctor uses ultrasound on parts of the body where there is a fat layer. Bubbles formed during ultrasonic exposure lead to the destruction of only the fat layer.
Fat that is released from and eliminated from the body naturally. The effectiveness and consequence of this ultrasonic liposuction is that the destroyed fat cells are not restored. 
Advantages and consequences of ultrasonic liposuction.
- No operational impact;
- No anesthesia;
- Absence rehabilitation period;
- Absence negative effects- skin bumps, bruises, damage skin;
- Only 6-7 procedures are required (which is quite feasible in 2 months);
- The procedure is quite comfortable and effective.
- Body circumference can decrease by 2-6 cm in one procedure.
Contraindications for ultrasonic liposuction:
- pregnancy
- pacemaker,
- presence of metal prostheses
- abdominal hernia,
- Skin diseases in the affected area,
- poor blood clotting,
- chronic hepatitis,
The cost of ultrasonic liposuction is given in the article “Liposuction prices”.
Modern norms of the human body are based on the refinement of forms. This pushes people to constantly take measures to eliminate those extra pounds. One of the means of such opposition is liposuction. This procedure is endowed with advantages, has negative aspects, is varied in practicing methods, and is not always approved by patients.
Invasive or surgical types of liposuction - advantages and disadvantages, when used?
A considerable number of people choose non-surgical methods fight excess fat. One of the possible reasons is the lack of information among the population about what equipment is used during surgery, what is the algorithm for the procedure itself, what are the positive aspects and disadvantages in the extensive list of subtypes of liposuction.
Surgical liposuction involves making incisions on the patient's body through which fat is removed using suction equipment. The fundamental point of this treatment is the fragmentation of fat cells into molecules. The type of liposuction under consideration is divided into several subtypes, which were created based on the historical component:
- dry– traditional liposuction option. Excess fatty tissue is removed mechanically. For these purposes, cannulas with a large diameter are used, which are connected to an aspirator. Impregnation of body matter saline solution is not implemented. This subtype of classic liposuction is relevant if you need to work with tiny areas of the body, where the amount of excess fat is not so large; to neutralize the mistakes of previous liposuction. Negative factors include a large loss of blood by the patient and severe trauma. The fundamental aspects of the procedure under consideration are accuracy and complexity, which eliminates the inexperience and unprofessionalism of the operator. This subtype of liposuction is not so popular among those who have problems with deposits of fat mass, but on average its price ranges from $300-400 for 1 zone;
- wet– practiced frequently, characterized by low trauma. Before introducing the cannula into the area that is planned to be worked with, a certain amount of a substance is released, which includes an anesthetic and adrenaline. The first favors the liquefaction of fatty matter - the process of extracting fat emulsion is greatly facilitated. Through adrenaline, blood vessels decrease in diameter, which means blood loss will be minimal. The tiny presence of blood in the equipment used helps to extract a larger volume of fatty matter from the body (maximum 5 thousand ml of emulsion). This procedure will be more fruitful if combined with non-surgical liposuction;
- tumescent– is possible with a special solution, which will include an anesthetic, soda, saline, and adrenaline. After introducing a large volume of this solution into the patient’s body, the vessels regress in their diameter, which provides them with protection from ruptures. Fat cells are fixed in the solution, making their removal much easier. This subtype of surgical liposuction allows you to eliminate up to 10 thousand ml. emulsions.
If a person decides to undergo this type of liposuction, then one must be prepared for prolonged pain in the areas that were treated. You can forget about the smoothness of the skin in these areas, so cosmetic manipulations are additionally indicated. It is important to perform maneuvers during surgical liposuction in the forearms, on inside hips
It is impossible to answer the exact question of how much surgical liposuction costs, since it will depend on how many problem areas the patient has, which clinic and in which country was chosen for treatment. The average price for 1 zone (palm size) within the Russian Federation starts from 400-500 dollars.
Comment by Yaroslav Igorevich Sukhodolov, plastic surgeon:
You need to understand that liposuction is not a method of losing weight.
Chemical liposuction is used by cosmetologists, it works on very small volumes of fat (such as the chin, knee area) - it is extremely ineffective.
Dry liposuction is not used at all.
Tumescent is the most popular and working option (a regular cannula for liposuction is performed).
Laser and ultrasound are the same as tumescent, only special devices are used (advantages: the skin contracts more strongly than after classic liposuction).
After any liposuction, you need to wear compression garments for 1-2 months.
Non-invasive or non-surgical liposuction methods – pros and cons, how do they work?
By definition, it would be wrong to initiate liposuction as a non-surgical intervention, since the surgical aspect is an immediate component of the procedure in question. It would be more appropriate to call this phenomenon lipolysis: the elimination of fat cells is carried out thanks to the blood, lymphatic systems. There are several subtypes of this procedure:
- radiofrequency liposuction. Elimination of the integrity of a minimal particle of fat is carried out thanks to 2 electrodes and a generator. Pumped this way electricity collides with the cell and destroys it. At the start of this procedure, you need to connect one of the electrodes to the fatty tissue, which means piercing the skin. The second electrode should be fixed on the outside of the skin opposite the first. Destruction is carried out in a balanced manner, problems with skin unevenness are excluded, but it is possible. The procedure under consideration is fraught with disruptions in the functioning of internal organs and impaired blood flow.
The cost of radio wave liposuction varies depending on the problem
site, clinic. On average, you need to have 1200-1500 dollars to perform 1 session in 1 zone. But there is no 100% guarantee that radiofrequency liposuction will be successful, so it is advisable to consider alternative options;
- chemical– elimination of fat deposits with the assistance of a specific chemical. Relevant for small areas: chin, knees, etc. The negative point is the likelihood of allergies, weak visual effect. It is unlikely that it will be possible to get by with just one injection, but even in this case the procedure will have to be updated regularly. The price for 1 injection will depend on the substance used, on average it will be 50-150 dollars.
Since the skin does not look attractive in appearance, the effect is minimal, and the need for duplication is obvious, chemical liposuction cannot boast of a lot of positive reviews;
- ultrasonic liposuction. Among all the subtypes of non-surgical liposuction, this one has gained the greatest popularity. To eliminate extra pounds, they use special “tube in tube” equipment, when the problem area is exposed to ultrasonic waves. Fat cells are divided into microparticles, converted into a liquid state, and removed from the body. Such treatment will cost about $600/1 problem area.
The advantages of liposuction under consideration include:
- balanced separation of fat cells;
- no need for rehabilitation after surgery;
- elimination of cellulite;
- solving the problem in terms of excess weight;
- no pain is detected during the procedure;
- the ability to correct hard-to-reach areas.
There are many negative effects in this procedure:
- dehydration of materials;
- likelihood of inflammation of the gastric/pancreatic mucosa. This is explained by the destructive effect of low-frequency ultrasound waves on the pancreas. May be limited to loose stools;
- maintaining the unity of the skin is problematic. Often an external/internal burn is recorded.
Only a professional should carry out such a procedure. Otherwise, dysfunction of internal organs/systems may occur.
Minimally invasive laser liposuction method - advantages and disadvantages, possible side effects
This can be done by influencing fat cells, which are divided into microparticles and removed from the body. Through this procedure, you can get rid of excess fat and make the skin more toned. Anyone who wants to try this procedure on themselves needs to have at least $700 in their wallet. This is exactly the average amount for work with 1 problem area.
There are many advantages to this procedure:
- minimal injury. Explained by characteristics laser device, which is used during the procedure. The radius of the cannulas is 0.25 mm, the breakdown of fat particles is due to thermal effects;
- skin tightness is achieved by the ability to control the strength thermal effects. If there is a need for a strong tightening, the doctor can change the wavelength of the laser, which will provoke more thorough heating of the tissue;
- ability to eliminate errors in hard-to-reach areas. This can include the armpits, the area above the knees, the chin, etc. During surgical liposuction of a patient for a long time they will be in pain - the consequences of the laser procedure are fleeting;
There are several negative points:
After finishing the procedure, there is a need to use compression garments. At first, it must be worn regularly (up to 21 days), after that - as prescribed by the doctor;
for inelastic skin, duplication of the procedure is required, since one-time laser therapy will not be fruitful;
The peak effectiveness of the procedure will occur only after 3 months. It is then that the processes of skin contraction will be completed.
Real reviews about liposuction
Six months ago I had vacuum liposuction. At that time, I knew only superficially about this procedure; I learned about all the nuances later, including from personal experience. The procedure itself is very complicated, my recovery period lasted a month and a half. During this time there was such a thing that I lost consciousness. The skin at the suction site looks terrible: uneven, inelastic. You must definitely watch what you eat, when you eat, and exercise. If you don’t do this, then the most unexpected areas of your body will become overgrown with fat. The paradox of the situation is that only 400 grams of fat was removed. I heard that up to 5 liters can be removed from very obese people. To avoid incidents, consult with normal doctors, find out all the details and errors of the procedure. 
If you need to solve the problem of a bulging belly + tighten the skin, then I advise you to perform radio wave liposuction using the BodyTite device. A little expensive, of course: I paid 1200 dollars (face), but I don’t regret it
For as long as I know myself, I have been regularly involved in sports dancing. The figurine is beautiful. But the “ears” on the sides spoil the whole picture, especially if I wear low-waisted trousers! I tried to get rid of them using different methods: gymnastics, massages, saunas - but I just wasted my money. I decided to take a more serious step - radio wave liposuction. I liked that they included it here local anesthesia that it didn’t take much time to recover, they did a lift on my “ears”. I took a lot of tests. The procedure took me an hour of time. I wore the compression garment for a little over a month, and the results were worth it!
Not very long ago I had ultrasound liposuction of my thighs (outer side) using the OMNIKA device. The doctor prescribed me to undergo 7 procedures, I followed his recommendations. The good thing about this device is that it comes with attachments, thanks to which you can tighten the skin in the problem area. Between each procedure I paused for 7 days so that the melted cells could be completely removed from my body. There was no pain during liposuction, but the whistling sound of the operating device was present. After completing the procedure, I did not have to stay in the clinic - I left the building in a matter of minutes. As a result, my hips decreased by 6 cm.
I really liked radiofrequency liposuction using a special device (BodyTite, if I’m not mistaken). Before the treatment, my waist was 74 cm, after – 69 cm. Nothing happens for the first 6-7 days after the procedure, but then the result is amazing.
I had tumescent liposuction a year and a half ago in Moscow, it cost me $800. I was given general anesthesia, I fell asleep. When I came to my senses, the doctors were stitching me up. There is no need to be afraid - the body's sensitivity is zero due to painkillers, and you will not see this process. Elastic bandages for wounds, underwear put on top and that’s it. A friend came to pick me up, we went together to a sushi bar, then to a supermarket and home. While I was under the influence of the painkiller, I felt better than satisfactory. As soon as the medications stopped working, the pain overtook me. She was saved by ketanov. Three days later I started working, but I came to the clinic every day to get a dressing done. I thought that these terrible bruises would stay with me forever, but they went away within a few days. I also want to do laser liposuction - I’m looking for a normal clinic.
Two years ago I had laser liposuction in Minsk. I needed to adjust my waist, tighten my sides, and reduce my hips. I paid a lot of money, but the effect is only noticeable under a microscope. I regret that I didn’t have regular liposuction, and would have saved money and enjoyed the results.
I’m 54 years old, I decided to get rid of my belly, correct my figure around the hips, knees, and waist. My stomach especially bothered me: after menopause it increased even more. I visited many clinics, talked with many surgeons, until I finally found an adequate specialist. Initially I was set for laser liposuction, but the doctor dissuaded me. As he said, the laser procedure will cost twice as much as regular (junescent) liposuction, and it’s unlikely that laser lipo will help me in any way. I decided to undergo regular liposuction, spent 1 day in the clinic, they removed 870 ml of pure fat, and I paid a little more than 1 thousand dollars for all this.
I was always thin, but with age I got a belly. Hula hoop, abdominal pumping, and hunger strike were not successful, so I decided to have liposuction. Since I’m terribly afraid of pain, I settled on laser correction. Its essence lies in the fact that the stomach is pierced with small cannulas. The mark remained, but within a year everything disappeared. It is imperative to monitor your diet and lifestyle after this procedure, otherwise the eliminated fat will return very quickly.
About two weeks ago I had wet liposuction on my stomach and sides. I'm not complaining about the result. I’m especially happy with my sides. But during the procedure the pain was severe. It was possible to endure it, but I wouldn’t risk going through it again. They used local anesthesia and were allowed to go home the same day. A day later it was already working. Bruises and swelling are decreasing every day, and the result is visible.
Four months ago I had laser liposuction on my chin in Kyiv. I can’t say that it was too distinct for me, but it still spoiled my mood. I paid 650 dollars for this procedure. The effect made itself felt after 2 months. There is no sagging skin on the chin. In general, I am pleased with the result, despite the fact that the price is steep.
I had wet liposuction last summer. I turned to a trusted specialist (a friend recommended it) and he prescribed this procedure for me. I wanted to remove excess from the thighs - the outer side. The operation was performed under anesthesia, so I slept soundly while my fat was removed. When I woke up, I went to the toilet, got dressed and went home. The hematomas remained, but did not last long. The swelling also subsided quickly. You can’t go sunbathing for more than a month, but start working – at least the next day. The result was pleasing, but six months passed and wave-like irregularities began to appear on the legs. As the doctor explained to me over the phone, this is due to an unbalanced diet. They performed liposuction on me, but I didn’t eat less, which is what caused this effect. Now I’m on a kefir diet, and my legs seem to be returning to normal.
The MegaSon ® device (Eun Sung, Korea) is designed for correction and modeling of the figure through non-invasive, non-surgical removal of local fat deposits.
It is important that the ultrasonic liposuction procedure, unlike classical liposuction, takes place without damaging the skin, is painless and does not require a rehabilitation period. The method is based on the occurrence of a cavitation effect in fat cells (lipocytes) under the influence of low frequency ultrasound.
Cavitation - (from the Latin cavitas void) is the process of formation in a liquid of cavities (cavitation bubbles, or caverns) filled with gas, steam or a mixture of them. Cavitation can be hydrodynamic or acoustic. Further we will talk only about acoustic cavitation because V aesthetic medicine This is exactly what is used. As you know, ultrasound is an acoustic wave, and body cells contain a large number of liquids. Thus, the idea arose that cavitation effects could also occur in fat cells, and this idea turned out to be correct.
After numerous experiments, it was discovered that under the influence of low-frequency ultrasound with parameters of 25-70 KHz and a certain flux density of sound energy, a cavitation effect occurs in adipocytes overflowing with fat, i.e. microbubbles are formed. The higher the frequency, the smaller the bubbles, the lower the frequency, the larger the bubbles. The optimal frequency for adipose tissue was 31-43 kHz.
At this frequency, the maximum number of bubbles of the required size is formed. They increase in size, liquefy fat and displace it from adipocytes. Collapse of bubbles also occurs in adipose tissue, releasing a large amount of energy up to 100 kg per cm2.
When the bubbles collapse inside the fat cell, a hydrodynamic shock occurs, a kind of microexplosion. These micro-explosions damage cell membranes adipocytes. The membranes of the cells most filled with fat are damaged first, due to their greatest tension. The released triglycerides, which make up fats, are removed from the intercellular space through the lymphatic and venous systems.
At the same time, other cells and tissues (muscle fibrils, epidermal cells, vascular endothelium, etc.) are not damaged by cavitation, because are relatively durable and have a sufficient coefficient of elasticity. Many scientific research, which have proven the effectiveness and safety of cavitation.
I would like to note that cavitation is not treated with ultrasound. Ultrasound is used here not as a method of influence, but as a physical factor that causes the effect of cavitation in adipose tissue. In other words, it is not ultrasound itself that affects fat cells, but the formation of microbubbles and their collapse with the release of a large amount of energy, which it causes in fat cells.
Ultrasound with a frequency of 0.8-3 MHz, which has long been used in medicine and cosmetology, cannot cause a cavitation effect in cells and therefore cannot be effectively used to influence adipose tissue. As already mentioned, fat breakdown products and destroyed adipocytes are eliminated from the body in natural ways - mainly through lymphatic drainage. Therefore, after the cavitation procedure, it is necessary to carry out lymphatic drainage. This complementary effect of different physiotherapeutic factors allows you to achieve excellent results. Moreover, the effect is not limited only to the subcutaneous fat layer, but also includes tightening the skin on thinning areas of the body.
A pronounced cavitation effect, for clarity, can be observed when low-frequency ultrasound (43 kHz) is applied to egg yolk.
Indications:
- Fibrous and dense cellulite;
- Local fat deposits;
- Elimination of consequences after surgical liposuction (irregularities and asymmetry).
Contraindications:
- presence of active implants (artificial pacemakers);
- cancer, diabetes, neurological diseases (epilepsy);
- pregnancy and breastfeeding;
- osteoporosis;
- cardiovascular diseases in the stage of decompensation;
- open skin lesions;
- immunodeficiency states;
- herpes (in the acute stage);
- hypo- and hyperthyroidism;
- sharp and chronic diseases liver ( fatty degeneration, hepatitis, etc.) and the gallbladder (cholecystitis, cholelithiasis), pancreas and kidneys;
- chronic skin diseases (psoriasis, vitiligo);
- general obesity;
- keloid scars and skin atrophy.
The pictures show the areas of local fat deposits where classic invasive liposuction procedures are most often performed.
The treated area of skin may turn pink. An internal sensation of warmth and tingling will appear. Hyperemia at the end of the procedure should not be too strong and should not last more than 60 minutes. The slower the movement of the working handle, the stronger the heating of the deep layers of tissue.
Recommendations:
To avoid any complications during and after the procedure, it is necessary to consult with a general practitioner to determine whether there are any contraindications to this procedure.
The procedure for non-surgical low-frequency ultrasound liposuction should be performed no more than once a week. This is necessary so that fat breakdown products have time to be completely eliminated from the body. Otherwise, the load on the liver will increase, which can lead to undesirable consequences and a deterioration in the condition of the body as a whole.
The number of procedures is calculated depending on the thickness of the subcutaneous fat layer. In one procedure, up to 1-1.5 cm of fat layer is removed. A course usually requires 3-8 procedures.
One procedure should not cover large area effects so as not to increase the load on the liver and excretory organs due to the entry of a large amount of fat cell breakdown products into the blood and lymph. During one procedure, only two symmetrical areas should be treated, each with an area of one palm (for example: the breeches area on both sides, the inner thigh on both sides, etc.).
Between sessions and for 1 (one) week after the last session, various lymphatic drainage activities are recommended: lymphatic drainage massage(manual, vacuum), lymphatic drainage wraps, pressotherapy, etc. It is also possible to carry out mesotherapy with lymphatic drainage drugs.
For better and faster removal of fatty tissue breakdown products from the body, it is recommended to follow a drinking regime, namely consumption of up to 3 liters of liquid per day.
It is recommended to move more, walking long distances is especially useful.
Like any course of procedures to get rid of unwanted fat deposits, non-surgical liposuction involves following a diet consisting of low-fat foods and foods of predominantly plant origin.
Result:
Reduction in the volume of adipose tissue after the first procedure. Increasing effect of weight loss during a course of procedures.
Lasting results due to physiological characteristics adipose tissue.
Possibilities:
Non-surgical correction of the most problematic areas of the body that do not respond to diets and grueling sports training.
Effective fight against:
fibrous and dense cellulite;
local fat deposits;
elimination of consequences after surgical liposuction (irregularities and asymmetries).
Also, cavitation procedures can be used as an additional method in the treatment of general obesity.
Advantages of the cavitation lipolysis method:
- Non-invasive use;
- Efficiency with complete safety, without pain;
- Speed of implementation - 15~20 minutes;
- Duration of the achieved result.
Efficiency:
Two advanced handpieces with ergonomic handles generate high-power ultrasonic energy sufficient to reliably destroy fat cells.
Synergism The presence of an additional function in the maniples - red photochromotherapy - enhances the lipolytic effect of cavitation ultrasound and helps improve elasticity and appearance skin in treatment areas.
Safety and painlessness:
A new method of selective destruction of adipose tissue is based on the influence of special low-frequency ultrasound.
The cavitation effect that occurs in fat cells leads to the destruction of lipocytes, and fats and their breakdown products are then eliminated from the body naturally. In this case, the surrounding tissues and organs are not damaged, and the reduction in volume is achieved solely due to fat mass.
It is important that the ultrasonic liposuction procedure, unlike classical liposuction, takes place without damaging the skin, is absolutely painless and does not require a rehabilitation period.
Areas of use:
Reduction of local fat deposits in problem areas:
Waist and belly area
Side surfaces
Buttocks
Hips, riding breeches area
Back, back of necks
Shoulders, arms
Above the knee area
Advantages of the MegaSon device:
- two ergonomic working handles for processing different areas
- additional function of red photochromotherapy in the handpieces
- good power reserve for efficient work
- complete safety for the patient and operator
- a large number of preset settings for ease of use.
| Posted by: | Karitsky Alexander Viktorovich |
| Source: |
Liposuction is an effective method for removing local fat deposits in patients who do not suffer from general obesity. These accumulations of fatty tissue most often form in certain parts of the body in both men and women. Removing these deposits using liposuction allows you to correct the contours of the patient's body and make them more attractive.
Since the first presentation of the technique of removing subcutaneous fat deposits using a blunt cannula and a vacuum aspirator in 1982, many technical and technological innovations have been used in liposuction. The traditional procedure of suctioning adipose tissue began to be combined with ultrasound, vibration, laser, radio frequency and other techniques. Each of them has its own advantages and is associated with certain complications.
All available to the patient today. The goal of the most modern of them is not only to remove excess fatty tissue, but also to simultaneously tighten the skin. Ideally, liposuction should provide several effects at once. First, effectively remove excess fat tissue. Secondly, to provide tightening of soft tissues in the area of removed fat deposits. Thirdly, it must be safe and used under local infiltration anesthesia. And fourthly, rehabilitation after liposuction should be short with a minimum number of bruises and swelling. To date, none of the liposuction methods demonstrate results in skin tightening that are superior to those of analogues.
As for the indications for liposuction, they traditionally include fat deposits that naturally form during the aging process and various pathologies.
Modern technologies of invasive liposuction
Traditional liposuction
In the late 70s and early 80s of the last century, many surgeons worked on the technology that today we call traditional liposuction. Initially, surgeons used sharp curettes, which led to many complications, including bleeding, uneven body contours, insufficient skin contraction, seroma formation, and even sometimes necrosis. In 1977, the Fischer brothers first described the technique of removing subcutaneous fat deposits using a vacuum aspirator. Using a sharp instrument connected to a suction device, the Fishers improved the effectiveness of the procedure for removing excess fat tissue. However, the number of complications remained high, so this technology was not widely used.
Ulrich Kesserling tried the same technology, but inserted a surgical instrument deep into the fatty tissue, just above the muscle fascia. Kesserling also selected young, healthy women with good skin elasticity for operations, which allowed him to obtain significantly better results and became the reason for the renewed interest in liposuction.
The main contribution to the development of liposuction was made by Kesserling’s colleague, Yves-Gerard Illouz. He modified the sharp curette, essentially turning it into a blunt-tipped cannula, which, unlike its predecessor, made it possible to easily penetrate fatty tissue and remove it without damaging the integrity of the adjacent soft tissue. The use of a blunt cannula has not only led to a dramatic reduction in the number of complications after liposuction, but has also allowed surgeons of varying degrees and experience to perform this procedure safely. Then, curved cannulas of various lengths and diameters appeared. However, they all had two general features: Rounded end and side opening. Initially, cannulas with a diameter of 10 mm were used for extensive fat deposits, 8 mm for the knees, elbows, abdomen and arms, and 5 mm for the face. Modern cannulas for liposuction of the body rarely exceed 5 mm in diameter, for the face - 2.4 mm. In addition, today's cannulas have multiple holes, which allows for more efficient removal of fatty tissue.
Ultrasonic liposuction
Ultrasonic liposuction is a liposculpture method that uses ultrasound energy to target fat deposits. The method proposed by Zocchi includes two stages: ultrasonic stimulation of lipolysis and subsequent removal of split adipose tissue traditional way using a vacuum aspirator. Lipolysis of fat cells occurs during exposure to ultrasonic vibrations, which create negative pressure in adipose tissue and trigger the process of cavitation, which leads to rupture of cell membranes.
One of the advantages of ultrasonic liposuction is that the aspirate obtained in its process is a homogeneous emulsion of viable adipocytes, which can be used for lipofilling.
The advantages of ultrasonic liposuction, namely cavitation of adipose tissue before its removal, are also called a reduction in blood loss and duration of operation, a decrease in the number of bruises and discomfort for the patient after the procedure, combined with better contour correction results even in places with an abundance of connective tissue, for example, on back and chest. The results of some studies confirm the effectiveness of ultrasonic liposuction as a complement to traditional liposuction, as well as for the removal of fat deposits on the sides and chest in men.
The most modern devices for ultrasonic liposuction of the third generation, for example, VaserTM Lipo, allow you to correct body contours using pulsed ultrasound with less energy consumption.
Among the disadvantages ultrasonic technology They call it high cost, invasiveness and the risk of thermal burns. In general, the popularity and market share of ultrasonic liposuction devices are declining, including due to the factors mentioned above, as well as due to the emergence of safer and less traumatic techniques that do not require such high qualifications of the surgeon.
The first vibration liposuction device to receive FDA approval in 1998 quickly became very popular among plastic surgeons. The indications for use of the device, developed by MicroAire Surgical Instruments, were “removal of tissue and fluids... including suction lipoplasty for aesthetic correction of body contours.” The first generation devices operated using medical nitrogen or compressed air. The vibrating cannula performed 2-4 thousand vibrations per minute with an amplitude of 2 mm. The surgeon could independently control the vibration speed. In subsequent generations of devices, quieter electrical vibration sources were used instead of compressed gas.
The advantages of vibroliposuction include its greater efficiency in destroying adipose tissue than traditional liposuction. Many surgeons consider this technology less labor-intensive than traditional technology, which reduces operating time.
Among the disadvantages of vibration liposuction are its high cost, the requirement for highly qualified surgeons, the vibrations transmitted to the hand of the operating doctor and the noise produced by the device.
Laser liposuction
The laser liposuction technique was described in 1994 by Apfelberg et al. This group of scientists first tested the technology of combined use of a neodymium laser and a surgical cannula. However, despite the success of the first experiments, this technique did not receive FDA approval. Since then, many specialists have tried using lasers of different wavelengths to stimulate adipocyte lysis and reduce blood loss during surgery and minimize bruising and improve body contouring results after surgery.
The operating principle of laser liposuction is based on selective photothermolysis, which leads to lysis of adipocytes, but does not affect adjacent tissues. Laser waves of different lengths have different effects on subcutaneous structures such as collagen, fat, vascular system, hemoglobin and water. Laser liposuction destroys adipocytes, causes photocoagulation of small blood vessels and reduction of collagen fibers in the skin.
For laser liposuction, three types of lasers are most often used: neodymium with wavelengths of 1064 nm and 1064/1320 nm and diode with a wavelength of 980 nm. The first is the most studied, and its safety and good tolerability by patients have been proven in many studies. The 980nm diode laser is more powerful and allows you to achieve better results in areas of large accumulations of fat deposits, for example, in the thighs or abdomen. Neodymium laser 1064/1320nm has the most intense effect on collagen, which provides the best result in skin tightening and stimulates neocollagenesis. In addition, the 1320nm laser is better suited for highly vascularized areas because it converts hemoglobin into methemoglobin, which can have a positive effect on hemostasis.
Disadvantages of laser liposuction include the risk of thermal burns, the high cost of equipment and the duration of the procedure. Early studies did not demonstrate any differences in aesthetic results after laser and traditional liposuction. However, with the development of technology and the use of lasers with different wavelengths, which have different effects on the tissue adjacent to fat deposits, it is now possible to achieve better cosmetic results with minimal complications.
Water-jet liposuction is based on a Body-Jet nozzle, which delivers a solution under high pressure into the patient’s fat deposits. The liquid breaks up loose fatty tissue without affecting adjacent vessels and connective tissue. The surgeon independently sets the desired angle of fluid supply and the number of injections per second. The fatty tissue is then separated from the connective tissue and removed using a vacuum pump.
Like ultrasound, water-jet liposuction is a softer and less traumatic form of traditional liposuction, and also allows you to effectively remove large volumes of adipose tissue. However, water-jet liposuction does not tighten the skin after removing the aspirate.
Radiofrequency liposuction
Under the influence of the thermal effect exerted by radio frequency energy, fat cells are destroyed, collagen fibers are reduced and the synthesis of new ones begins. Thus, radiofrequency liposuction destroys fat deposits, removes them and at the same time tightens the skin in the area of treatment.
The first device for RF liposuction was the Israeli BodyTiteTM. The BodyTiteTM internal electrode is a silicone-coated (except for the tip) cannula for removing fatty tissue. From this internal electrode, radio waves go to the external one, and then to the adipose tissue. Under the influence of radio waves, adipocytes are heated and turned into an emulsion, after which they are removed using a vacuum aspirator. At the same time, active contraction of collagen fibers occurs, which provides a skin tightening effect.
One of the main advantages of RF liposuction and BodyTiteTM in particular is considered to be a significant reduction in skin and soft tissue, which, according to some data, can exceed 35% one year after the procedure, compared to less than 8% after traditional liposuction. The risk of radiofrequency liposuction is the possibility of thermal damage to adjacent tissues, but there is no evidence of this in the literature. The most common complications after RF liposuction are bruising, uneven skin surface after the procedure and soreness.
Each liposuction using additional technical means is fraught with risks that are not typical for this operation when performed classically. First of all, there is the danger of burns. At the same time, a surgeon who has mastered one or another combined technique receives advantages. They consist in the fact that some stages of the operation are facilitated. For example, water jet liposuction (WAL) saves time on infiltration of adipose tissue, and when exposed to ultrasound (UAL), vibration (PAL) and radio frequency (RFAL), the surgeon’s physical costs for performing the mechanical part of the operation are reduced. In turn, the patient receives a more favorable postoperative period, since the use of laser (LAL) and radio frequency (RFAL) coagulates small blood vessels and reduces the number of hematomas, and due to the compaction of collagen fibers, skin contractility improves.
Modern alternative non-invasive techniques for eliminating fat deposits
Along with invasive liposuction techniques, non-invasive technologies for body contour correction are also being developed. Today, there are already several hardware techniques that allow you to get rid of local fat deposits without subsequent rehabilitation, and also provide skin tightening, which allows you to avoid surgical excision its surplus. The results of such hardware techniques, as well as the indications for them, are completely different from the results and indications for liposuction, and therefore cannot be compared.
Among modern non-invasive methods for correcting local fat deposits are RF technologies. The action of all of them is aimed at reducing the volume of adipose tissue and simultaneously tightening the skin.
Of course, there is no ideal method. But, if you try to take the best from existing devices, you can hope in the near future for the appearance of a device that combines the effects of several physical factors. The most promising is likely to be a combination of water jet (WAL) or ultrasonic (UAL) liposuction with radiofrequency assisted (RFAL). These devices are now purchased separately by many clinics in order to be used together during surgery. This immediately reduces the time of liposuction, reduces its trauma and helps to reduce the skin flap in postoperative period. True, the cost of such devices will be higher than the price of a conventional surgical cannula.
