Confused About All the Different Types of Liposuction

I'm confused on all the different names for Liposuction. Which one is the right one and how will I know I am getting what I am suppose to get?

Doctor Answers 7

Confused about different types of lipo? Join the club

We are in an era of intensive marketing, inflated claims, and frankly a lot of misinformation about liposuction so you are not alone in being confused. One thing you will hear consistently from the docs on RealSelf is that it is more important to choose your surgeon than to base your decision on technology or brand-name. That said, here are a few pointers: All forms of liposuction use what is called a "wet" technique, in which the fat to be removed is injected with a dilute numbing solution. If that is the only anesthesia used, it may be called "tumescent" technique, but that is an anesthesia method, not a different lipo method. It has its own risks and potential benefits. Many patients opt for intravenous sedation for more comfort, and another option is general anesthesia. Where it starts to get more complicated is with lasers; these are all the brand name procedures. However, lasers carry the risk of burns and the advantages are not as well proven as the ads would lead you to believe. Finally there is ultrasonic lipo, which is usually VASER. Just keep in mind that liposuction is surgery and should be done in an accredited surgical facility regardless of the technique.

Seattle Plastic Surgeon
4.9 out of 5 stars 47 reviews

There remain just two basic types of liposuction based on anesthesia

There are essentially two types of liposuction based on the anesthesia: General anesthesia and local anesthesia.  The basis for this statement has to do with safety.  The death rate for having liposuction, irrespective of the machine used to suck out the fat is approximately one in 40,000 cases but possible more when liposuction is performed under general anesthesia.  However, the death rate for having liposuction under local anesthesia is approximately one in 300,000.  Liposuction under local is also referred to as tumescent liposuction and is typically practiced by dermatologists.

There have been a proliferation of liposuction machines.  The first wave of these were ultrasound based and new machines utilize lasers to help break up the fat.  However, ultimately the fat is still sucked out of the body.  Yet from a marketing stand point there is appears to be nothing better than to be able to advertise laser assisted whatever.  However, there is no evidence that laser based liposuction machines result in better results than the safest form of liposuction, tumescent liposuction.  Be aware that tumescent liposuction was developed by dermatologists and they remain the largest aesthetic subspecialty practicing this form of liposuction.  So don't expect a board certified plastic surgeon to offer this method.

The message here is beyond the decision to have liposuction under general anesthesia or local anesthesia, the most important decision is not what machine the surgeon is using but who the surgeon is and how are they trained, and what are their results like.  Do you like the office and does your potential surgeon spend any time with you?  You should feel like there is an actual connection with the surgeon and that they listen to your concerns rather than treat you like the liposuction in room 3.  

Evaluate your surgeon's credential, their website, look at their resume for any unexplained gaps or training that does not make sense.  Study their website for before and after results.  Just because your girl friend had successful Botox with the doctors nurse does not necessarily mean that they will do a terrific job with your liposuction.  Do spend the time to actually meet several surgeons.  Remember that there is no magic machine that does the liposuction- its the surgeon.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Avoid any liposuction with a catchy name or a trade mark.

95% of what you are reading is marketing and not science.  Tumescent liposuction has an amazing long record of safety and good results.  And I would only go to a board certified plastic surgeon.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

The confusion about types of liposuction comes from companies hyping their machines.

The confusion about types of liposuction comes from companies hyping their machines. So far there is no evidence that one device is better than another. What is clear, however, is that there is a great deal of difference between the results obtained by highly experience liposuction surgeons and those who dabble in this procedure.

William P. Coleman III, MD
Metairie Dermatologic Surgeon
3.5 out of 5 stars 2 reviews

Liposuction trends

Don't go for the hype. FInd a good doctor to perform your liposcution who gets consistently good results.  I have used most of them.  It is not the wand but the magician waving the wand that creates the magic!

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

It mainly comes down to "awake or asleep"

Awake liposuction starts with infiltrating tumescent numbing fluid into the area. It may be followed by laser or ultrasound to melt the cells, or water to flush them loose. Next is the actual suctioning. This may be manual or "power assisted".

We do smart Lipo, Body Jet water, and power assist, depending on each individual's goals.

Because of added risk (and expense) - liposuction with general anesthetic should be reserved for unusual situations, and may even involve an overnight stay.

I would agree that more important than the name of the instrument, is the surgeon or dermatologist using it.

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

Type of liposuction that is "best".

I agree with Dr. Baxter. Don't be misled by marketing--it is the skill and experience of the surgeon that is important.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 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.