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The Cleveland Clinic

Ultrasonic-Assisted Lipoplasty

Some people have stubborn areas of fat cells that will not shrink no matter how much they diet or exercise. The common areas for these fat pockets include the chin, neck, hips, abdomen, thighs, buttocks and even calves and ankles.

A newer technique called ultrasonic-assisted lipoplasty (UAL) may help you address that unwanted fat. UAL is an enhancement to the currently used tumescent liposuction method. To keep your new shape and new weight after this lipoplasty, you will need to follow a proper diet and exercise plan.

How Does Lipoplasty Differ From Other Liposuction Techniques?

UAL uses high-frequency sound waves to liquefy fat beneath the skin's surface before removing it with gentle suction. Tumescent liposuction and traditional liposuction cannot liquefy fat cells, and this makes the fat more difficult to remove.

What Are the Benefits of Lipoplasty?

Early results by a select group of plastic surgeons internationally have been encouraging. However, further study is needed to determine if lipoplasty will replace existing liposuction techniques.

UAL allows physicians to remove significant amounts of fat in a single session because the fat is liquefied by sound waves. It can be especially useful in areas of dense fat such as the back. The use of sound waves prevents surrounding blood vessels and connective tissue from being damaged because fat cells are selectively destroyed and removed.

What Happens During Ultrasonic-Assisted Lipoplasty?

Several steps are involved. Similar to traditional liposuction, the skin is marked to indicate the precise area from which the fat will be removed. Next, a large amount of very dilute anesthetic solution is injected into the body site to numb and swell the fatty area (tumescent technique).

Then, in a step unique to lipoplasty, a thin tube-like instrument called an ultrasonic probe is inserted beneath the skin through a small incision. The probe is maneuvered in a crisscross pattern while sound waves generate negative pressure, causing the fat cells to implode, or collapse, and liquefy. The liquefied fat and anesthetic fluid are removed using gentle suction.

What Happens After Ultrasonic-Assisted Lipoplasty?

Patients are instructed to wear a tight-fitting garment, such as a girdle or thick support hose for up to six weeks after the procedure. Sometimes, postoperative pain medication is not needed because the injected anesthetic solution keeps the area numb for 12 hours or more.

Every person's outcome will vary somewhat based on factors such as volume of fat cells removed and area of removal. Your doctor will discuss what results you can expect to achieve, and how to best maintain your new body shape.



Next: Are The Results of Ultrasonic-Assisted Lipoplasty Permanent? »

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Lipoplasty (Ultrasonic Assisted)

What is obesity?

The definition of obesity varies depending on what one reads, but in general, it is a chronic condition defined by an excess amount body fat. A certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions. The normal amount of body fat (expressed as percentage of body fat) is between 25%-30% in women and 18%-23% in men. Women with over 30% body fat and men with over 25% body fat are considered obese.

The calculation of body mass index (BMI) has also been used in the definition of obesity. The body mass index (BMI) equals a person's weight in kilograms (kg) divided by their height in meters (m) squared. Since BMI describes body weight relative to height, it is strongly correlated with total body fat content in adults. "Obesity" is defined as a BMI of 30 and above.

How common is obesity?

Obesity has reached epidemic proportions in the United States. One i...

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