What is the difference between regular liposuction and HD liposuction?

Doctor Answers 6

Marketing Terms

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'Hi def' HD lipo is a term a surgeon may choose to use without any basis in some standardized criteria. Frequently, this term is used in conjunction with various high tech devices that emit either lasers, ultrasound, or radio frequency energy, which is supposed to make things better than just 'plain' liposuction. Others use the term in conjunction with liposuction 'etching' of the tissues, combined with fat grafting of underlying muscles to create the illusion of leanness. What's really important is the surgeon, his training, skill, and most of all experience. Go visit a few ABPS certified/ASAPS member surgeons that have been performing this surprisingly difficult operation for at least a decade. Best of luck! 

What is the difference between regular liposuction and HD liposuction?

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When trying to choose between different surgeons recommending different techniques I would suggest that you use your own best judgment by reviewing before-and-after photos of patients provided by the individual doctors.  Terminology can become confusing and sometimes is used as a marketing tool but it becomes a decision that you need to make personally.  Best wishes and good luck,

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

When in Doubt--Go with VASER HI DEF, ThermiRF, ultrasound and fat grafting

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It is not really the tool, it is the technique used that gives the best results with liposuction. You want to find someone who is an expert in the field and has a practice dedicated to body contouring/liposculpting. A formal assessment is needed to determine which techniques are best. Often I use VASER HI DEF with ThermiRF, ultrasound and fat grafting to get the most fat removal, skin tightening, and contouring. I suggest a consult with a hi-def physique liposuction expert. HD contouring is much more complex, defining and can give the best in skin tightening, cellulite reduction, body shaping, and fat reduction than traditional approaches. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

Regular Lipo Vs HD

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Thank you for your question!!

HD Lipo a  technology in which laser heat is applied to the fat, blood vessels, and the undersurface of the skin in combination with traditional liposuction techniques. The idea is that it can cut down on bruising, perhaps create a more even and symmetrical final result, and tighten the skin.

In some circumstances, it can be performed without a general anesthetic or even IV sedation, and for this reason, many practitioners who are not Plastic Surgeons (ie general surgeons, ear, nose and throat surgeons) or not even surgeons (internists or dermatologists) are adding it to the services they offer.

However, it is very important to remember that it is still a surgical procedure with real risks, perhaps even more risks than traditional liposuction in that the surgeon must understand how to use the laser properly, and so I would highly recommend a properly qualified and trained Board Certified Plastic Surgeon in your area who is familiar and comfortable with the technology.

Finally, either Smart Lipo/HD Lipo or traditional lipo can give you excellent results, but it depends on the surgeon and your specific anatomy. It can be done safely and effectively either in a hospital OR or in an Ambulatory surgery center, with multiple types of cannulas, and with different types of sedation.

The critical thing though is that you must be evaluated by someone who understands the strengths and limitations of each type of procedure, understand surgical principles in general and the art of liposculpture in particular, and be able to understand your anatomy and specific goals. In this way will you give yourself the best chance at an excellent result! Best of luck with your search.

What is the difference between regular liposuction and HD liposuction?

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There is no real difference between liposuction and HD liposuction except for how aggressive and where the liposuction technique is applied.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon

Liposuction and High Definition Liposuction

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Thank you for asking about your liposuction.

  • HD liposuction means that the surgeon is trying to get your shape precisely defined.
  • Actually any good plastic surgeon will try to do this for you -
  • It can be done with a small cannula and the Microaire machine or with vaser or laser machines.
  • It is possible but harder to do with standard liposuction because of the physical effort involved.
  • It is not easy and may not be possible to get a highly defined result if you are overweight.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.