Watching liposuction procedures is scary! Violent jabbing! Any suggestions?

Why are MD's performing liposuction so aggressive? The jabbing and thrusting is quite violent. Is there a reason for that? If they're going to transfer that fat to another site, are they as rough? Thank You!

Doctor Answers 5

Violent liposuction

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Traditional SAL can be a little violent. There are different devices that can be used to make it less violent( power assisted, laser assisted, ect). These different modalities can come with their own risks and problems, nothing is perfect.

VASER Hi Definition Liposuction / Body Contouring with Fat Grafting -- Alternative is VANQISH, Sculpsure, Coolsculpting

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There are non surgical alternatives but the results arent nearly as good as what can be achieved with liposuction.  you would be surprised although this looks "violent" there is minimal pain and swelling even with a hi def VASER 4D contouring procedure.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Getting the job done

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That is simply what's required to get the job done. If liposuction cannulas were sharp they would cause tissue damage and bleeding. They are blunt instruments that have to be pushed through the fat and gently pluck off tiny tiny particles of fat in the process. To push a blunt instrument through healthy tissue requires a substantial amount of force. Do use of power assisted liposuction (PAL) such as The microaire, power X or tickle liposuction allows the procedure to be done with very little force pushing the cannula through the fat. The cannula must still be pushed through thousands of times in order to successfully remove a substantial amount of fat. my cadence or number of times I push the cannula through the fat per minute it's around 80. If a liposuction case takes two hours of active liposuction then that means I've pushed to cannula through the fatty layers approximately 9600 times. Often that's what it takes to get great results. Another technology that allows the liposuction to be done with much less force or pressure is VASER. While I like all of the above stated technologies I don't believe any of them necessarily give better results unless the operator has the inherent skill to deliver the results and capacity to use the equipment appropriately. While liposuction may look intense and even violent the recovery it's very easy. Compare this to an abdominoplasty where there is no jabbing the recovery can be brutal. This is simply a liposuction works. Less than that typically doesn't deliver results. Best, Mats Hagstrom M.D.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 20 reviews

Liposuction, devices, techniques, fat aspiration, fat transfer

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Thank you for the query. Liposuction can be achieved by a variety of techniques like suction assisted liposuction, laser assisted liposuction, water assisted liposuction, radio frequency assisted liposuction, power assisted liposuction and others. Depending on these and the experience of the surgeon as well as whether fat transfer is needed or not, the technique varies and therefore you see different Surgeons using different techniques. What counts in the end is the final result without complications and if your surgeon can achieve this, then you need not be worried about the techniques used:)With best wishes,Dr Alexander+

Alexander George, MCh
India Plastic Surgeon

Liposuction and violent jabbing

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Thank you for your question.Liposuction certainly does appear violent when watching a video.  It is when performed properly a procedure that requires finesse and control at all times to ensure proper removal of fat.  How much force is required with the cannula will depend on a lot of factors such as the area of liposuction, any history of previous liposuction or surgery, types of liposuction cannula, whether ultrasound or power assisted liposuction is used, and surgeon preference for time needed for liposuction.  With fat transfer one typically tries to treat the cells with care on removal but the affects of "rough" harvest have not been conclusively studied.Best Dr. L

Andre Levesque, MD
Austin Plastic Surgeon

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