Why aren't there more plastic surgeons using the Nutational Infrasonic or Nutational Custom Acoustic Liposuction methods?

The Nutational system is just another variation on already established liposuction energy delivery systems. While I have no experience with their machine, the claims that the company makes are many of the same ones made by other companies using similar technology. There have been no scientific studies with any of these machines or technologies that shows any benefit in results, recovery time, skin retraction or comfort of the procedure over more traditional liposuction. In reality, the skill of the surgeon as it relates to proper patient selection for liposuction and his or her technical skill in performing liposuction are much more important than the technology utilized.

The NIL or CAL methods can be slightly more distracting to the patient's if they are awake during liposuction and therefore they are called tickle liposuction. However, they are not more effective or in any way produce a better outcome than other methods. The truth is that type of liposuction handle is actually heavier and vibrates significantly making it actually more difficult on the surgeon especially in larger cases. The most important factor is choosing an experienced board certified plastic surgeon to perform your liposuction. Remember anybody can buy a paintbrush but that does not make them an artist. Choose your surgeon and let the surgeon choose the tools with which he or she can do the artwork on you. Best of luck!

Ever liposuction device makes claims that are not proven. There are NO STUDIES showing that NCAL is any better than other lipo systems. The claims made by NCAL include:No general anesthesiaLittle or no discomfortPatient safetyPermanent removal of fat cellsQuick recovery periodLook great immediatelySuperior BodysculptingConvenientAffordableEasy  However, these claims are true of all other liposuction systems alsoIn the end, its not the lipo machine but the plastic surgeon who determines the result. 

Liposuction is the suction removal of unwanted subcutaneous fat by using small metal cannulas (tubes) that have holes in the end that remove the fat and leave the skin, muscle, nerves and blood vessels behind.  It has been used for over 30 years and the basic technique hasn't really changed that much.  What has changed is the preparation of the fat before the liposuction.  Now, large volumes of fluid are added to swell (tumesce) the tissues before the aspiration of fat.  The fluid typically contains epinephrine (Adrenalin) to reduce bleeding and a local anesthetic (lidocaine) to numb the area being treated.  Some techniques will add radio frequency or laser to help "improve" the result or shrink the skin.  Many different companies have entered into the liposuction market and advertise their technique as the "best" or "patient friendly", but in the long run they all do the same thing. The fat still needs to be suctioned out.The best predictor of the results of liposuction is not the "gimmick" of what type of liposuction or what type of anesthesia utilized, but the skill, education and training of the surgeon performing the liposuction.  Always, Always, Always see a Board Certified Plastic Surgeon who performs body contouring procedures frequently to assure the best possible results.  In the hands of a trained surgeon and board certified anesthesia, this is a safe out patient procedure.Good Luck!

Thank you for your question. It seems every few years there is a new method of liposuction that is touted as being, safer, faster, easier, less bruising, etc. There have been no studies suggesting that any of these claims are supproted by facts. In the end, of each of these procedures, the fat has to be removed with negative pressure aspiration through a tube with holes at the end. This is a constant for all the techniques. Whether the fat is shaking loose with ultrasound, sprayed with hot water, shaken with the vibration of the cannula or any of these other methods doesn't seem to matter. In the end, it's my opinion, that for liposuction, the painter is far more important than the paintbrush. Hope that's helpful.