Contents


**Section 4** Safety **69**

#### **Chapter 6 71**

Perspective Chapter: Identification of Body Contouring Surgery Complications by Multispectral RGB/Infrared Thermography Imaging *by Marcos Leal Brioschi, Soane Couto Menezes Lemos, Carlos Dalmaso Neto, Franciele De Meneck, Patricia Rodrigues Resende and Eduardo Borba Neves*

Preface

Body contouring surgery has evolved greatly in the last decades. Along with cultural changes and new concepts of beauty, medical practice has also evolved following new

This book describes new techniques and devices, including surgical and nonsurgical procedures, in body contouring. It begins with a description of the evolution of liposuction. In the past, previous procedures were considered dangerous, resulting in poor outcomes and adverse side effects; patient safety was not a priority. As such, new technologies and care were needed, and a new term for liposuction emerged: liposculpture. There are various types of liposuction, ranging from soft or medium to high-definition liposuction, depending on how athletic a patient is and how much fat and skin laxity they have. The book also discusses preoperative markings for liposuction, which involves the surgeon marking the negative areas to work on to completely remove fat deposits, outlining the upper part of the midline, the lateral borders of the rectus abdominis muscle, the oblique and serratus muscles, and the

The second part of the book emphasizes some techniques for body contouring, starting with breast surgery. After the first breast implants became available, the initial trend was to use larger implants without considering the shape and readaptation of skin. Today, breast surgery has dramatically shifted, influenced by the type of activities modern patients engage in and with an eye towards shape and long-lasting results

In patients who have had pregnancies or experienced weight fluctuations, a breast lift (mastopexy) may be needed, with or without the use of implants. The book describes some variations of the pedicles used in mastopexy in combination with the use of mesh in some instances or other options where the implants can be stabilized using a

Next, the book discusses some new devices in body contouring. Power-assisted liposuction is an external device that generates an oscillatory movement in the canulae and hand piece that reduces the surgeon's fatigue, facilitating the extraction of more fat in less time. It is also a good tool for better defining the negative spaces in the abdomen. Other devices discussed include ultrasonic devices and internal radiofrequency devices that dilute fat and make its extraction easier, destroying adipose tissue and helping with the postoperative retraction of the skin. These devices achieve excellent definition of the worked areas with little inflammation and pain in the postoperative period, producing long-lasting results and allowing patients a more rapid return to

Finally, the book discusses skin resection, which is used if the patient has skin laxity and excess. Resection may range from a mini abdominoplasty to a complete or extended

ideas and patient expectations.

iliac crest.

rather than just volume.

pre-pectoral pocket.

their regular activities.
