Do all surgeons use micro sized cannulas for liposculpture? Does anyone even use the big cannulas anymore for Non bulk lipo?

Liposuction is not a weight-loss procedure, it is a body sculpting procedure. At our center, we select our patients carefully for liposculpture, as the best results are obtained when someone is already at or near their ideal weight. I shy away from using large cannulas to remove large masses of fat because the results can be inconsistent and lumpy. Please consult a board-certified dermatologist who is an expert in sculpting the body using tumescent liposculpture to determine if you are a candidate for this permanent fat-loss procedure.

There is a wide variety of cannulas which can be used for liposculpture including several specialized ones. In general, we tend to use smaller cannulas for more fitness and achieving a shape and a leaner individual. If a very large diameter cannula is used, there is a higher risk for contour irregularities. A smaller cannula takes more time but can give the better cosmetic outcome.

Liposculpting is truly and art and fine cannulas should be used but not necessarily used by all surgeons.  I believe using finer cannulas can lead to a more etched result.

I always use micro cannulas. The larger the cannula the more fat that is taken with each move. This increases the chances for irregularities. It takes longer to use the micro cannulas but it's all about the results and not how fast your surgeon is. Pick a surgeon who is passionate about Liposcupture. 

Typically there are 2 plane of fat. The deep fat and the superficial fat.  During liposuction, the deeper fat is first removed using larger cannulae.  During, etching or liposculpture, typically smaller cannulae are used to remove the superficial fat closer to the skin and to create definition, indentations, and contour.  Liposuclpturing is not as simple as liposuction and you really need to select an expert. 

Worrying about what size cannula your surgeon uses is like interviewing carpenters based upon the type of hammer they use.  The only thing that matters is the capabilities of your surgeon, their sense of artistry, their competence as a surgeon, and how well you get along with them and feel that they understand how you want to look.  For instance, I use a variety of diameters on every case.  I also use different tips and that matters as well, eg two whole, three hole, expanded "basket" three hole, holes all the way around, and holes just on the side.  Focusing just on the diameter is a very incomplete analysis.Seriously - just pick a surgeon in whom you have trust and don't bother to ask them about what instruments they use.  Anyone whose work you like will know what to use that gives the best results in their hands.For instance, the link below shows my liposuction results.  Do you like them?  Compare them to others.  Find someone whose photos you like.  Realize of course that most surgeons put up their best results, but it gives you an idea.  Read about their philosophy.  Be sure they are a member of ASAPS.  Look at their reviews.  After your research you will easily narrow it down to one or two.  And again, don't worry about what cannula they use.

Thank you for your question.  Yes, you are correct, the bulkier the fat deposit the larger the cannula that can be used during liposuction to maximize the amount of fat removal with each stroke. As liposculpting is concerned with adding definition and etching to accentuate the underlying muscles, smaller cannulas are used in order to fine tune your results.  

Smaller cannulas are less likely to cause irregularities and skin issues like "ab-igne" if you go superficial.  I suggest only going to an expert.  Larger cannulas can be used to debulk areas like the flanks and stomach, but honestly, the insertion sites then have to be bigger and have the potential to leave a scar.  Best, Dr. Emer.

Hello dear, thanks for your question and provided
information as well.. This is the surgical
procedure that revolutionized cosmetic surgery becoming one of the most
performed cosmetic procedures. Subcutaneous tissue or fat is removed in order
to contour the body in a way that is harmonious and pleasing to the senses. It
can be performed in almost all regions of the body such as the neck, chin,
abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small
incision in the skin through which a cannula connected to a vacuum is applied,
it can be performed alone or in combination with other procedures. After
liposuction your body is going to be really swollen for at least 2 to 4 months
after your surgery. It is important for you to wear your compression garment
for at least 6 months, the first 3 months 24/7 and then the last 3 months at
least 12 hours per day for your body get use to not having the faja for so many
time. When you remove it, your body can get swollen and also you can have pain.
Remember to also compress your body to prevent a seroma which is an
accumulation of liquid that has to be drained, it is hard to touch and also
really painful. Bruises are completely normal for almost 3 months from surgery,
that’s why is better for you to use a bruising cream and apply it all over your
body 3 times a day. To prevent bad circulation and swollen legs, use
compression socks. Brazilian butt lift can be performed with the same procedure
and for a month it will be swollen and it will drop a little bit without losing
it’s shape if you use your garment.. If you’re going to perform liposuction on
your inner, outer, anterior, lateral, postetior thighs, be careful and consult
with your surgeon what’s best for you, sometimes we have more extra skin than
fat, that can cause severe sagginess on our legs, which can be only be reversed
performing a thigh lift…

Generally speaking, cannulas of larger diameter are still used when removal of deep fat is needed, and smaller cannulas are almost exclusively used when working with superficial fat. There is a tendency to promote the use of small cannulas as a sales pitch, but ultimately you should select a surgeon based on the results, not on the instruments. Would you change your hairdresser because a new one is promising to only use tiny scissors that would cut your hair one by one, if the result was a poor hairstyle?