Is ultrasonic liposuction best for Pubic Liposuction in Males?

Question

Thank you for all the answers to my previous question. It is much appreciated! Further questions:

	1. From the research I've done, ultrasonic liposuction seems to be the best for this area. Is this correct?

	2. Will a special pair of compression underwear need to be worn? I'd imagine it would compress the pubic area, but have a hole for the genitalia to hang out?

	3. As healing occurs, is there any risk of underlying scar tissue formation leading to loss of penile length?

Ron Shelton, MD · Answer

Even if there is more fibrous fatty tissue in your suprapubic area, it does not mean that the end result is better having ultrasonic liposuction or smart lipo. It might be easier for the surgeon to do but the end result might be the same. I am not aware of a study that compared one side done with one methodology and the other side with another and then analyzing the result.

Otto Joseph Placik, MD · Answer

I generally prefer ultrasoinic liposuction for treatment of the love handles or male breasts and commonly use tumescent liposuciton for the pubic region.

George Marosan, MD · Answer

Ultrasonic liposuction has been around from the early '90's. It did evolve over the years and in the last 8 years I've been using the VASER to treat more fibrous areas including the pubic area. The VASER also causes skin tightening. The laser, like smartlipo can cause skin tightening as well, but I'm not teribly impressed with the laser. I personally would not use them together. They both work by creating heat and if there's too much heat to the underside of the skin you might end up with a burn and skin slough. Compression garment will help support and keep swelling down. These garments have the crotch cut out. Because of this you can expect imressive but temporary swelling of the genitalia. I always warn my male patients to avoid a 2AM call because of this. Regarding scarring at the base of the penis from this procedure should be zero if it is done by an experienced plastic surgeon. Good luck.

Robert K. Sigal, MD · Answer

It depends on the looseness of the tissue. If the tissue is very loose, no liposuction is a good idea. Skin needs to be excised and the tissues need to be lifted. If the tissue is firm (i.e. not loosened) almost any liposuction will do well. I use ultrasonic liposuction frequently and find it most useful in two cases:

	1. When the tissue is at marginal elasticity.
	2. In secondary suctions.

George W. Weston, MD · Answer

Ultrasonic liposuction would be a good choice for pubic liposuction in males, however the most important factor is not the instrumentation use by the surgeon, but it is the skin of the surgeon.

Is ultrasonic liposuction best for Pubic Liposuction in Males?

Answers (9)