High Definition Liposuction Using Third Generation Ultrasound Versus Conventional Liposuction of the Lower Back and Upper Thigh Region: A Comparative Study | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 6, Volume 43, Issue 3, October 2020, Page 383-388 PDF (11.84 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2020.68165 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Nahed S Boughdadi* | ||||
| The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Introduction: The accuracy of results of liposuction had long been related to the aspiration cannulas as much as it is related to surgeon experience. The cannulas tips, length, diameter, design, number of holes shapes and negative pressure had drawn the attention of all surgeons in order to modify their outcomes. The addition of technologies that provide energy based devices has enriched the procedure and improved patient satisfaction. Ultrasound assisted liposuction had several complications included severe burns and other problems, less energy is used in third generation ultrasound assisted liposuction than second generation liposound which make it safer with better results. A much more accurate technique was described by Hoyos to improve body contouring by using VASER assisted liposuction. Aim of the Study: To investigate the superiority of high definition liposuction using third generation liposound in lower back and upper thigh region as regarding patient satisfaction and their need for secondary procedures. Patients and Methods: 20 patients with age ranged from 18-40 years old and BMI=25-30 having lipodystrophy of the lower back and upper thigh and trochanteric areas with moderate skin tone, only non-smoker-non diabetic-non hypertensive were included in the study. Patients were divided into two groups; Group A included 10 patients who undergone suction assisted liposculpture and Group B: Included 10 patients who had high definition liposuction using third generation internal ultrasound machine. Both subjective and objective evaluation was done. Objective evaluation was done by measurement of both pre operative drawn line starting from mid sacral point to highest point of iliac crest and post-operative measurement at one and six month in both groups. Results: This study involved 20 women divided into two groups. Group B patients had less blood content of the aspirate, longer time of the procedure (add ultrasound timing) more post-operative edema, more obvious skin retraction along post-operative period. While Group A patients showed overall less edema and more ecchymosis with less satisfaction and more irregularities and need for secondary procedures. Conclusion: High definition liposcution using third generation internal ultrasound showed higher skin contraction, better body shape and contour. | ||||
| Keywords | ||||
| Liposuction – Ultrasound – Conventional – Lower; back – Upper thigh | ||||
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