Safety of ultrasonic-assisted liposuction (UAL) using a non-water-cooled ultrasonic cannula. A report of six cases of disproportionate fat deposits treated with UAL.
BACKGROUND
There has been much medical investigation and much public relations in the media regarding ultrasonic liposuction. With different methodologies and instrumentation for applying ultrasonic energy to soft tissue in conjunction with liposuction, there is appropriate confusion and skepticism in the medical community.


OBJECTIVE
To present case reports that delineate the possible morbidities and/or safety of one method of application of ultrasonic energy to enhance liposuction--ultrasonic assisted Liposuction (UAL) performed with a non-water-cooled ultrasonic cannula.


METHODS
Description of six cases in which this procedure was performed and their follow-up over a 4-week period.


RESULTS
Much of the morbidity described in these six cases was indistinguishable from that noted following standard tumescent liposuction with micro cannulas. There is a significant risk of heat necrosis of soft tissue with this procedure, which can be minimized with proper technique.


CONCLUSIONS
UAL with a non-water-cooled cannula can be performed safely when proper education regarding its usage is followed. However, surgeons wishing to perform this technique must be willing to experience a significant learning curve.
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Center for Liposculpture and Cosmetic Surgery, Des Plaines, Illinois 60016, USA.
D000273:Adipose Tissue / Q000601:surgery; D000328:Adult; D002404:Catheterization / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D015187:Lipectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000295:instrumentation; D008875:Middle Aged; D009336:Necrosis; D012307:Risk Factors; D012449:Safety; D014464:Ultrasonic Therapy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014867:Water
D014867:Water