Contents



**III**

**Chapter 16 297**

**Chapter 17 325**

**Chapter 18 337**

**Chapter 19 353**

**Chapter 20 365**

Complications **377**

**Chapter 21 379**

Complications and Solutions for Post-Operative Liposuction Deformities

Applications and Limitations of Suction Assisted Transverse Medial

Enhanced Lipocontouring of the Arms

*by Engin Selamioglu and Ercan Karacaoglu*

Enhanced Liposuction for Arms

Enhanced Abdominal Contouring

*by Chris W. Robb and Michael H. Gold*

*by Edward M. Zimmerman*

*by Umar Daraz Khan*

Thigh Lift

**Section 6**

*by Julie Khanna and Maryam Saheb-Al-Zamani*

*by Shawna R. Kleban, Gaurav Bharti and Bill G. Kortesis*

Posterior Torso and Buttocks Contour Enhancement


Preface

When surgeons began performing liposuction regularly in the mid-1980s, the procedure was a bit rough and inexact. Patients were told that they would look better in clothing, but not necessarily without clothing. Due to the increasing popularity of minimally invasive body contouring over the years, new approaches rapidly developed. The advent of radiofrequency-, ultrasound-, and laser-assisted techniques reduced contour irregularities and residual skin laxity. A power-assisted handpiece decreased operator fatigue. Waterjet-assisted liposuction improved fat grafting harvests. Non-excisional skin tightening in conjunction with liposuction was developed, and both helium plasma and argon plasma were used to coagulate soft tissue. Combination techniques were developed for the face, neck, torso, and

limbs so that minimal scarring and optimal outcomes could be achieved.

benefit.

Our sophisticated clientele is no longer satisfied with the simple reduction of adipose content; a dramatic aesthetic improvement has become an expectation. From the reader who is just beginning in the field to the expert seeking a few pearls, *Enhanced Liposuction - New Perspectives and Techniques* is a compendium of comprehensive knowledge. This book addresses patient selection, patient marking, equipment, techniques, and expected outcomes with a variety of energy sources. Combination therapies can generate results far better than those originally achieved with dermolipectomy. Best practices that have taken years for the authors to develop are generously shared so that the entire group of aesthetic practitioners might

It is important to understand the limitations and risks of any new technique.

corrections, with results that last the better part of a lifetime.

Sandra Bakić, and Sandra Maljavac at IntechOpen.

produce an outstanding publication.

Because many of the energy-assisted contouring outcomes take time to become fully evident, sometimes the clinical endpoint is not as clear as it might be with simple liposuction. A good clinical practice would dictate a conservative surgical approach with a longer post-treatment follow-up than one might normally consider. Patients perceive value in a treatment that is done once, has no need for revisions or later

Many thanks to the kind and thorough publishing team of Lucija Tomičić-Dromgool,

The major credit for the excellence of this volume goes to each and every author, who spent many hours developing techniques, treating patients, writing, proofreading, and revising their contributions during a worldwide pandemic in order to help

> **Diane Irvine Duncan M.D., FACS** Plastic Surgical Associates in Fort Collins,

> > Fort Collins, Colorado, USA
