Key Points
Q: "Body contouring" is a broad category. In the context of your practice and patient population, what technique or technology has enhanced the procedures you perform?
Julius W. Few, M.D., F.A.C.S.
"Using moderate doses of energy and taking care not to overheat the tissue, the process is predictable with a rapid delivery of results and minimal recovery. I just saw a patient yesterday who had two rounds of noninvasive fat reduction at another office, without benefit (The patient is the best friend of my laser liposuction patient and she was the designated driver for my patient after her surgery). She was absolutely shocked at the recovery and lack of real discomfort after laser surgery. In particular, she was astounded by the immediate nature of her friend's result and ability to return to office work the next day, after abdominal and flank laser liposuction (500 cc yield). "Here are the reasons I feel laser-assisted liposuction, or Slim Liposuction (Palomar Medical), has clinical benefit. The 1.5 mm fiberoptic probe allows for a very small point of access to the patient. Much like with ultrasonic liposuction, I treat to resistance and avoidance of overheating the skin, not an arbitrary temperature. The liquification process then allows for small cannula placement to aspirate the emulsified fat. The smaller cannula and small point of access, I believe, account for consistent reports of less pain and swelling after the procedure. I have found that patients really only need support garments for a week or so in many cases. "I am excited to see the next wave of nonsurgical technology and related refinement. I believe this is an area of growth in aesthetic medicine and opens the door to patients previously unavailable. My prediction: Stay tuned for high-frequency ultrasound applications and further refinement of cryolipolysis. Ultimately, patient safety is the most important issue, and proper training and experience is vital with all technologies." |