The soft-tissue shaving procedure for removal of adipose tissue. A new, less traumatic approach than liposuction.
OBJECTIVE
To introduce the soft-tissue shaving cannula, a new, precise alternative to conventional liposuction that embodies an entirely different method of soft-tissue extraction and that appears to be less traumatic and more precise than methods currently used in liposuction.


METHODS
Nonrandomized, nonblinded comparison of the soft-tissue shaver and conventional liposuction devices in fresh cadavers, followed by clinical use of the liposhaver in selected patients undergoing cosmetic facial liposuction.


METHODS
Conventional liposuction devices and the soft-tissue shaving cannulas in fresh cadavers (< 8 hours old). A submental lipectomy and a melolabial fold liposhaving were performed in a clinical setting.


METHODS
Subjective evaluation by the operating surgeons.


RESULTS
The fat was cleanly shaved and the contour result was even, without dimpling or asymmetry.


CONCLUSIONS
Our early experiences suggest that this new liposhaving technique may offer a precise, less traumatic alternative to conventional liposuction. Fat can be shaved in an open fashion under direct vision. It does not rely on a vacuum seal. The soft-tissue shaving cannula shaves fat one layer at a time. The depth of each layer removed, the depth of soft-tissue injury, and the optimal settings and sizes for various procedures remain to be reported.
Gross
C W
CW
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health Sciences Center, Charlottesville, USA.
Becker
D G
DG
Lindsey
W H
WH
Park
S S
SS
Marshall
D D
DD
D000273:Adipose Tissue / Q000473:pathology / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation; D002680:Chin / Q000601:surgery; D004867:Equipment Design; D004954:Esthetics; D005145:Face / Q000601:surgery; D006801:Humans; D015187:Lipectomy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015361:Rhytidoplasty / Q000295:instrumentation / Q000379:methods; D012399:Rotation; D013499:Surface Properties