As in any plastic surgery procedure, the most important aspect is the skill and experience of your surgeon. This was alluded to by the previous respondent and is self evident. Excellent results can be achieved with any type of liposuction in the hands of a competent surgeon. Nevertheless there are differences in the type of liposuction procedure used, and each has advantages and disadvantages. For most low volume liposuction procedures I recommend standard tumescent or superwet liposuction that does not require any specialized equipment. Nevertheless when indicated I may suggest other types of liposuction to my patients such as Hydrasolve. The main benefit of Hydrasolve is that it is by far the gentlest form of liposuction yet devised due to the pulsed warm water jet that dislodges the fat prior to it's removal. This is based on the same technology as that used by ophthalmologists to remove cataracts in the eye. In my practice the patients who will benefit most from Hydrasolve are those requiring larger volume liposuction. With any form of liposuction there is some blood loss that goes along with the fat removal. With smaller volume liposuction this blood loss is usually insignificant, but with larger volume liposuction it can be significant. This small amount of bleeding is also the cause of any bruising that may occur and contributes to any postoperative discomfort. Because of the method of action of Hydrasolve, the liposuction cannula is moved very slowly and gently. This compared to other liposuction methods where the cannula is moved more forcefully and vigorously. The result is that there is practically zero blood loss using Hydrasolve, which makes a significant difference to the patient's recovery, particularly with large volume procedures. Bruising is usually non-existent with Hydrasolve. Hydrasolve fat removal is also very efficient due to the warm water action, and this cuts down the time required to remove larger volumes of fat. The only disadvantage of Hydrasolve is that because of the additional equipment and supplies, this adds expense to the procedure. If it were not for this, I would probably recommend it for all patients. In my opinion the gentle and efficient nature of Hydrasolve has real benefits for the patient requiring higher volume liposuction, particularly when multiple areas are involved, or the patient desires the gentlest possible liposuction procedure.
