**1. Introduction**

This is an opportune time for Dr. Duncan's IntechOpen book on "Enhanced" Liposuction. Liposuction and body contouring is the world #1 surgical procedure. For the modern Liposuctions surgeon, the simple removal of fat has been replaced with adipose contouring in concert with the soft tissue contraction and skin remodeling to deliver body shaping enhancement with an optimized skin

envelope. We might even call this book "Enhanced Lipo-contraction", as many times, in smaller areas we are not aspirating fat. Our current Lipo-contouring patients include older patients with laxity, younger patient with atrophic striatum and encompasses soft tissue contouring and remodeling of the periocular, perioral, jawline, neck and all body areas, including formally "too risky" zones such as the lax upper arm, braline, inner thighs and post weight loss abdomens and mommy tummy's. In the current body contouring market, the modern liposuction surgeon must invest in energy based internal devices and technology that offers "enhanced liposuction' to address the diverse and challenges needs of suboptimal skin elasticity and contours.

As a result of InMode's innovations and development of RFAL technology, there has been the creation of a whole new market segment they have call the GAP patients [1]. RFAL or BodyTite treatments can often provide results that are reasonably comparable to a modest tummy tuck, arm lift or thigh lift procedures, but without the extensive scars [2–8]. This RFAL procedure can bridge the gap between non-invasive treatments with very minimal/modest results, minimally invasive treatments that lack the soft tissue contraction, or safety of RFAL and the standard open plastic surgery excisional procedures (**Figure 1**).

The FaceTite, AccuTite RFAL applicators and the Morpheus8 percutaneous OUTSIDE-IN RFAL remodeling tips are all available on the BodyTite workstation, as well as the Embrace RF and EmpowerRF workstations. Each applicator and Hand piece was specifically designed, engineered, produced and sold to serve a very large and growing market segment in the esthetic plastic surgery space; that is, the non-excisional Body contouring, face and neck lift and *GAP skin tightening market*. Non-excisional skin tightening technology and procedure growth has shown 30–40% year-over-year growth rates over the past five to eight years.

#### **Figure 1.**

*BodyTite RFAL procedures can serve as a GAP procedure between non-invasive, non-thermally invasive and standard excisional procedures.*
