High Definition Liposuction (HD Lipo) is a body contouring “Game Changer”. This state-of-the-art procedure allows a talented surgeon to sculpt your body to provide previously unattainable results.
HD Lipo with VASER and Renuvion, j-plasma skin tightening, is revolutionary in the hands of a masterful High Definition Liposuction surgeon. We invite you to compare the before and after pictures and see for yourself!
HIGH DEFINITION LIPOSUCTION
If you’ve struggled with your weight,
If diet and exercise haven’t given you
the dramatic transformation you’ve dreamed of,
VASER® High Def can help.
PRECISION BODY CONTOURING
- Is Precise and Minimally invasive
- Is Tissue selective, targeting fat while protecting other tissues from damage
- Provides major Advantages over traditional liposuction treatment
- Is Gentle enough to treat delicate areas such as the neck and arms
- Powerful enough to eliminate fat comprehensively and circumferentially
- Clinically proven to produce uniform, flawless, and “eye-catching” result
- Creates “Jaw-Dropping” outcomes
- Provides maximal narrowing of the waist
- Provides optimal buttocks reshaping and augmentation
- Eliminates all back contour rolls and fullness
- Allows for abdominal etching to get you a “six-pack”
- Provides corrective treatment for prior Botched liposuction deformities
- Allows for Scar-less Skin Tightening
INTRODUCTION TO Hi-Def Lipo
- This is a “game-changer” in the body contouring arena
- Two factors are essential to achieving high definition liposuction outcomes
- #1 Mastery in VASER technology combined with extensive surgical experience and artistry
- #2 Use of the high definition liposuction body scale to optimize a custom surgical plan
The advances in liposuction over the past few years have been truly revolutionary! Today’s master surgeons have technology that has redefined what is possible in body contouring. In the right hands, the results are transformative.
This state-of-art in liposuction is known as High Definition Liposuction, Hi-Def Liposuction, or HD lipo. High definition body contouring has become a reality because of the marriage of science and art.
First, an advancement in liposuction, mainly VASER ultrasound assisted liposuction, now allows master surgeons and artists to raise the bar of their body contouring capacity.
Second, design of sound, customized surgical plans using the High Definition Liposuction (HDL) Body Scale has made creation of “stunning” outcomes a reality for EVERY patient age, size, and shape. The HDL Body Scale was founded by Dr. Arian Mowlavi to ensure consistent, superior body contouring outcomes.
High Definition Liposuction (HDL) Body Scale provides a surgical guide and algorithm to ensure that all patients achieve high definition body contouring outcomes. Using the HDL Body Scale, master surgeon sculptors are able to secure proper patient selections, to design sound, customized, surgical plans, and to objectify their outcomes. The HDL Body scale establishes body scores ranging from 2 to 10 for each of the patients’ concern areas and subsequently helps design sound and customized surgical plans to achieve “jaw dropping” outcomes. Finally, patient outcomes are objectified with the ultimate goal of obtaining a near perfect 9 or 10 outcome.
Tumescent liposuction describes the use of a specialized solution, called tumescent fluid that was founded by Dr. Jeffrey Klein. This solution has revolutionized the safety of liposuction throughout the world. The traditional tumescent solution calls for 1 Liter of Lactated Ringers that is infused with 50 ml of 1% lidocaine with epinephrine and 20ml of 8.4% bicarbonate. The lidocaine provides for anesthetic pain control. The effects of lidocaine are appreciated within one minute of administration and lasts for approximately 3 hours. The epinephrine allows for constriction of micro-vessels which minimizes blood loss that is quintessential for patient safety.
Finally, the bicarbonate solution is mixed in to make the solution slightly basic and more physiological. The addition of a bicarbonate solution has two effects. The first is to improve the lidocaine entry into the nerve cells by virtue of changing it from a polar to a neutral molecule. The second is to make the solution more cell friendly which is critical to fat cell viability in patients desiring fat transfer to the buttock region, termed Brazilian Butt Lift. Tumescent solution volumes are limited to 2 Liters in patients not having an intravenous (IV) line and to 5 Liters in patients being treated in an outpatient surgical facility.
Modified Mowlavi Tumescent Liposuction Technique
Traditional tumescent liposuction describes the solution used universally by liposuction surgeons around the world. This solution contains 1 Liter of Lactated Ringers, mixed with 50 ml of Lidocaine with 1 % epinephrine, and 20 ml of 8.4% Bicarbonate solution. Dr. Mowlavi, a high definition expert, pioneered a modification of the traditional tumescent solution to achieve several advantages for high definition liposuction cases performed under general anesthesia.
The first involves the reduction of 50 ml of lidocaine with epinephrine to 25ml only thereby halving the amount of lidocaine. By halving the volume of Lidocaine injected, concerns of lidocaine toxicity are minimized. The next modification involves adding one amp or epi to increase the epinephrine dose in an attempt to constrict the micro vessels and minimize blood loss. The next modification includes use of 2mg of Dexamethasone. This addition minimizes the risk of hyperinflammatory reaction that can occur during liposuction. Hyperinflammation is caused by influx of white blood cells which then excrete pro-inflammatory products that then can induce undesirable hyperpigmentation and scar tissue deposition.
By adding a safe level of the steroid derivative above, the white blood cells are suppressed over the first few days, thus avoiding this side effect. The final product that is added is Transanamic acid which provides additional protection against unnecessary blood loss. Controlling blood loss is especially important during 360 lipo where larger tumescent solutions are used to achieve exceptional high definition body contouring results.
Traditional Liposuction (Wet Liposuction Technique)
Wet liposuction technique describes traditional liposuction where tumescent solution is used to infiltrate the fatty tissue layers and subsequently removed at a ratio of 1:1. This technique is very effective and universally advocated throughout the world. In general, the fact that equal volumes of solution are injected and removed ensures that fluid volume shifts are kept to a minimum making maintenance of fluid dynamics in the body straight forward. The tumescent solution contains lidocaine which provides for anesthetic comfort postoperatively as well as epinephrine which constricts the microvessels in the soft tissues thereby minimizing blood loss.
The disadvantage of the wet liposuction technique is that general anesthesia is required due to the limited tumescent solution infiltrated when compared to the super wet (look below) technique. In addition, the wet liposuction technique or traditional liposuction is limited to deep fat tissue removal only.
Traditional Liposuction (Super Wet Technique)
The super wet technique describes the more generous use of tumescent solution that utilizes infiltration of 100 cc to every 1cc of aspiration as described by a ratio of 100:1. In essence 100 times more fluid is injected than removed. The reason for this infusion of fluid is so that liposuction can be performed while patients are awake. This advantage is unique to patients who do not want to be put under general anesthesia.
However, the disadvantage remains that due to increased infusion to aspiration differential, large volumes of liposuction must be avoided in order to avoid fluid volume shifts that can affect a patient’s well being. The other disadvantage is that liposuction under local anesthesia is not conducive to comprehensive fat removal as achieved in high definition liposuction.
Laser lipo utilizes a laser beam to literally pierce, heat, and melt fat cells into a liquid state. This process in fact does allow for easier and more comprehensive removal of fat. Laser liposuction is a two-step process that involves laser probes to deliver the laser energy to the fat cells which is followed by the use of hollow bore cannulas to remove the fat. By virtue of melting the fat, Laser lipo also claims to cause less injury to blood vessels and nerves and thus is able to remove fat with thinner cannulas.
Unfortunately, laser lipo does kill the fat cells making them unusable for fat transfers. This inability to fat grafting thereby eliminates the ability to perform Brazilian Butt Lifts, which involves the fat transfer to the buttock, and Natural Breast Augmentation, which involves the fat transfer to the breasts. Finally, we have found that the ability to remove fat comprehensively although superior to traditional liposuction, is inferior to ultrasound-assisted liposuction
SmartLipo, is the branding name of laser lipo, a form of liposuction that uses laser technology to melt fat cells. The energy from the laser literally liquefies the fat cells thereby making it easier to remove the fat cells. This technology has the disadvantage of killing the fat cells so that they cannot be used in fat transfers such as BBL, i.e. fat grafting to the buttock
ProLipo PLUS by Sciton is a groundbreaking liposuction technique. Like many other revolutionary liposuction methods, ProLipo PLUS uses a laser to melt fat so it can be removed. In addition, the laser tightens and firms the surrounding tissue to create a tight, natural aesthetic. This liposuction technique is minimally invasive, which makes it best for treating concentrated areas of fat. These fat pockets are often difficult to get rid of by diet and exercise.
Areas such as the chin, bra roll, back roll, arms, abdomen, flanks, thighs, and knees are popular areas to treat with ProLipo PLUS. This method causes minimal bruising, bleeding, and swelling, which means a shorter and less exhaustive recovery for the patient. Since ProLipo PLUS can be used under a local anesthetic, the procedure is typically cheaper, less risk for the patient, and can be done in the surgeon’s office. Most importantly, results are immediately visible and continue to improve the weeks after the procedure.
CoolLipo is a modification of the Laser liposuction technique that utilizes a laser wavelength of 1320 nm to break up and liquefy fat. Cool lipo has the addition of a topical cooling element in an effort to reduce discomfort so that the procedure can be made more tolerable under local anesthetic only. Unfortunately, this modification does not improve the effectiveness of fat removal.
Patients are often concerned with the invasive nature of traditional liposuction. Fortunately, liposuction technology and liposuction techniques are always improving. LipoLite is a perfect example of next-generation liposuction, which uses laser technology to melt fat so it can be gently removed. Not only does LipoLite remove fat, but the surrounding skin is also tightened as a result of renewed collagen in the treatment area.
All of these results are achieved using a minimally invasive technique. This way, the treatment is more comfortable for the patient, recovery is easier for the patient and there is little to no scarring! LipoLite is best for treating stubborn pockets of fat like the flanks, abdomen, neck, face, thighs, and hips, which are difficult to remove by diet and exercise. For many patients, results are visible right after the procedure and continue to improve weeks after. Patients can typically return to work one or two days after their procedure.
Water Jet-Assisted Liposuction
The Tumescent Liposuction Technique is an improvement on traditional liposuction because it offers improved results and a decreased risk for the patient. Water Jet Assisted Liposuction further improves on the Tumescent liposuction technique. Commonly referred to as Body-Jet, Water Jet Assisted Liposuction uses a powerful, precise stream of water to break apart fat pockets.
First, a saline solution is injected into the treatment area to loosen adipose tissue. The key to Body-Jet is using a stream of water rather than laser technology to dissociate the fat. Laser liposuction tends to melt fat, so it can’t be grafted. Water Jet Assisted Liposuction gently dislodges the adipose tissue, so the fat is more viable when it is harvested and more fat can be removed. This method allows the plastic surgeon to carefully remove stubborn fat pockets and contour the patient’s body with precision and accuracy.
Power-Assisted Liposuction (PAL)
Power-Assisted Liposuction allows the plastic surgeon to remove more fat in a shorter amount of time. Similar to tumescent liposuction, PAL injects a tumescent solution to anesthetize the area and reduce bleeding. The plastic surgeon then uses the cannula to break apart and remove fat.
Unlike many liposuction techniques, Power Assisted Liposuction, or PAL, features a high oscillating cannula tip. The vibrating tip allows the surgeon to easily break apart dense pockets of fat and remove these fat pockets quicker. This means a shorter recovery time for the patient and more precision for the plastic surgeon. With PAL, unwanted body fat is removed without damaging surrounding tissues.
Safe lipo is an acronym that stands for Separation, Aspiration, and Fat Equalization. The Separation phase utilizes power-assisted liposuction (PALS) to separate fat globules making them easier to remove the fat. PALS does refer to a machine that is able to remove fat more efficiently by virtue of a high-frequency oscillating cannula. Safe lipo alleges that its ability to avoid any heat production makes it a superior tool for liposuction by avoiding injury to biologic cells. The aspiration phase alleges that since fat cells are separated as above are able to remove by safer, thinner caliber cannulas. Finally, the fat equalization claims to leave a thinner layer of superficial fat that protects the skin from irregularities.
However, safe lipo does have its critics. The first is that PALS lipo does not in fact allow the removal of fat cells from the superficial layer. Although it is true that less heat is created thus potentially avoiding unnecessary thermal injury, this does not then translate to more comprehensive fat removal. The second assumption includes the statement that thinner caliber cannulas are safer than larger bore cannulas. In fact, we prefer to use larger bore cannulas universally as they have been found to be safer and less likely to cause penetrating injuries of blood vessels, nerves, and other tissues.
Finally, one of the premises of achieving superior high definition liposuction outcomes relies on the fact that selective removal of the superficial fat lining is employed to achieve muscle highlights; this is contradictory to the safe lipo fat equalization process.
CoolSculpting is a non-invasive technique that is used to eliminate areas of fat accumulation using a topical cooling element. Pads that cool the underlying skin result in the freezing and subsequent death of fat cells located just underneath the skin. The body then reabsorbs fat cells that have died thus resulting in a decrease in areas of undesired prominence. The advantage of this treatment is that surgery that requires anesthesia is not required.
Furthermore, no recovery is required such that patients may return work immediately. However, the disadvantages are several and include the inability to treat all areas at once. Fat loss is localized only to areas of pad placement. This can create contour issues along the junction of treated and non-treated areas. Additionally, the fat that is eliminated is the superficial fat instead of the deeper fat layer which is typically the preferred fat for the removal layer.
Because the superficial rather than the deep fat is removed, if patients gain weight, they will preferentially gain girth in the areas treated. This is because the deep fat and not the superficial fat is dynamic and fluctuates most during weight change. As such, when the superficial fat is removed and moderate weight gain occurs, then patients will see an unforeseen growth of areas that were treated! This deformity has been characterized as paradoxical adipose hyperplasia (PAH).
Gold Standard Liposuction Techniques
Ultrasonic Assisted Liposuction (UAL)
Ultrasonic assisted liposuction describes the most advanced technique of liposuction that utilizes ultrasound energy to convert semisolid clusters of fat cells to a liquid, single-cell state. This process of converting fat cells into a liquid state has been characterized by a process called cavitation.
Cavitation creates an air bubble that pops the fat cells. This advanced modality of liposuction is currently considered the GOLD STANDARD in fat removal techniques. Although there are several companies that make ultrasound energy liposuction machines, VASER is the most popular brand currently in production by Solta Medical.
VASER liposuction describes unique ultrasound technology that is used to gently break up fat cell clusters into single cells by a process called cavitation. The ultrasound energy is administered through sleek rods in both the superficial and deep layers of the fatty tissues which create small air bubbles in the tumescent solution. These tiny air bubbles literally pop fat cells from a semi-solid cluster to a liquid single-cell state.
By liquifying the fat cells, several advantages are gained. First, the fat cells can be siphoned off instead of ripped out with traditional cannulas. Second, 60% more fat can be removed than traditional liposuction. Third, the superficial fat tissue layers in addition to the deep fat tissue, the limits of traditional liposuction, can be removed. Finally, the fat removed in single cells is more viable and conducive to optimal fat grafting results such as in Brazilian Butt Lifts. VASER liposuction is quintessential to patients desiring high definition liposuction results.
High Definition Liposuction With Fat Transfer
Fat removed using ultrasound-assisted liposuction technique is best suited for transferred to any areas of the body that require volume replacement. This is because ultrasound assisted liposuction provides a gentler means of fat harvesting by virtue of its cavitation process that frees up fat cells prior to removal. As a result, areas of your body lacking volume can be reshaped in order to optimize contour aesthetics. Areas targeted for fat transfer may include the breasts (natural breast augmentation), the buttock (Brazilian Butt Lift, i.e. BBL), the face, hands, or divots following Botched liposuction.
Brazilian Butt Lift or BBL
The Brazilian Butt Lift (BBL) shapes the buttocks and hips by replacing fat collected from other areas of the body. Butt enhancement can improve the buttock aesthetics and overall female curve appeal. According to the American Society of Plastic Surgeons (ASPS), the BBL has become the fastest growing cosmetic surgery in the nation. Advances made at our centers provide a 90+ % fat volume retention when compared to traditional techniques that have been associated with a 40% volume loss at 6 months. In addition, we use a proprietary BBL assessment tool that ensures patients achieve their desired buttock volume and shape. Call us today to find out what a BBL can do for you.
Natural Breast Augmentation
Fat transfer allows you to improve the shape and volume of your breast to achieve a natural breast augmentation. We are no longer limited to breast implants to augment our breasts. More impressive is the fact fat can be used much like puddy to fill out any and all areas of the breast mound and so we are not limited to augmentation with a single round implant shape. This advantage of fat makes it ideal not only for a modest increase in size but also for breast augmentation revision of contour irregularities or deformities caused by prior breast lift or implant augmentation surgeries. Call us today to find out more information on NBA.
Facial AND HAND Fat Transfer
Our surgeons can use tiny cannulas to replace volume lost in your face and hands through the aging process. Optimized fat transfer using our High Definition Protocol will bring back the youthful appearance that you are reminiscing about. Your face and hands are giveaways of your age, so take the first step to rejuvenating yourself by calling us today.
FEATURED HIGH DEFINITION LIPOSUCTION CASE
Our featured patient is a 27-year-old female who demonstrates a total body transformation. Her before and after photos demonstrate life changing outcomes as early as 3 months following her customized high definition liposuction surgery.
Using the HDL Body Scale Score and surgical algorithm, we transformed her abdomen from a 3 to an 8 by performing a full tummy tuck with muscle repair. On her back, flanks, and buttock, we utilized VASER liposuction, Runuvion J plasma skin tightening, and fat transfer to the buttocks (Brazilian Butt Lift) to upgrade her from a 6 to a near perfect 9 or 10. At a later date, this patient may elect to undergo VASER liposuction to raise her belly score to a near perfect 9 or 10.