Power assisted vs suction assisted liposuction for BBL.

Can anyone tell me what is the the difference between PAL to SAL lipo? What is the best for a bbl?

Doctor Answers 7

Power assisted vs suction assisted liposuction for BBL.

Power Assisted has a vibrational component, which is supposed to reduce physician fatigue.

Kenneth Hughes, MD

Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Brazilian butt lift

Hello and thank you for the question. PAL uses a device made by MicroAire. Both techniques are similar in that tumescent fluid is first injected into the fat. This helps with blood loss, bruising, and postop pain. The difference is that PAL uses a motorized handle vs doing this the old fashioned way with manual hand held cannula. 

The difference is like an old fashioned saw vs an electric saw. The electric will be easier for the doctor and produces a more even and smooth result in my experience. 

Having said that, both are good techniques for BBL. 

The success depends on your underlying health, available fat, skin tightness and elasticity, and the size / shape of your buttocks. Remember that some of the fat that is transferred does not survive. Typically about 70% of the fat lasts long term. 

The cost will depend on how many areas of fat you are having liposuction performed. Average estimate will run 7000-10,000 approximately including anesthesia, surgery center and doctor fees. 

As always it is best to be healthy, no smoking, and to make sure any health care concerns you have are managed by your primary care doctor.

Best to you

Bennett Yang, MD
Rockville Plastic Surgeon
4.8 out of 5 stars 21 reviews


power-assisted liposuction uses a handle that moves the tip of the liposuction cannula (the part that goes inside the body and sucks out the fat) back and forth, whereas suction-assisted liposuction doesn't use this handle.  They are both options for BBL, I use both routinely/together for this procedure.

Joseph D. Alkon, MD
Newark Plastic Surgeon
4.6 out of 5 stars 96 reviews

Lipo techniques and BBL

I do not think that PAL or traditional liposuction are any different in terms of viable fat for a BBL. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Power assisted vs suction assisted liposuction for BBL.

Power assisted lipo (PAL) is the same as suction assisted lipo except that PAL has a small mechanical device in the handle of the tube that sucks out the fat making it easier and faster to remove fat. Both are OK for BBL.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 70 reviews


Good question.  PAL involves a machine handle that vibrates the cannula side to side.  The process of doing so makes the cannula move more evenly back and forth, reduces surgeon fatigue, and likely aids in creating a smoother lipsocution result.  I don't believe either really make a difference to the actual fat itself.  A large cannula and lower suction pressure can theoretically help by producing less trauma to the fat cells but this can be applied to either PAL or SAL.

Good luck with your BBL results.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 166 reviews

Power assisted vs suction assisted liposuction for BBL.

This is really a decision that your PS will make. Power assisted liposuction makes the case physically easier for the PS, so many use this method always. Others choose to use power assisted liposuction when they are doing areas such as the back or patients who have already had liposuction and therefore have scar tissue making the case more physically difficult. Power assisted liposuction is a machine that vibrates the suction cannula which helps do the work as you liposuction. 

Erika Sato, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 96 reviews

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.