Classical invasive (surgical) liposuction
Liposuction – this procedure is the removal of fat through its aspiration. The first mention of the removal of excess body fat by surgery refers to the 20 years of XX century. Then forget about liposuction, as always, in any new business, some operations are unsuccessful. Return to liposuction credited gynecologist Gorge Fischer, who came up with a special surgical instrument introduced under the skin (1974). Fat aspirated vacuum apparatus Today, surgical (invasive) method of fat extraction has become familiar, almost safe procedure and is called ‘classical liposuction.’
In the early ’90s, a new method: ultrasonic liposuction or ultrasound lipolysis. In the subcutaneous fat of the patient affected by means of ultrasonic pulses. Under the action of their fat cells shell is broken, the fat into the blood and excreted in a natural way, as during normal lipid metabolism. The duration of the sound effects is an average of 60 – 90 minutes. Ultrasonic liposuction is much inferior to the ‘classical’ performance, usually no more than 300 – 400 grams of fat. A big plus: the operation can be performed on an outpatient basis and without painkillers or anesthetics.
There is another method of non-invasive liposuction – radiofrequency liposuction. The introduction of radio frequency produced by the two outer electrodes. They are located on the sides of the body portion, at which the fat is removed. The electrodes are connected to a special radio frequency generator. It is noted that sometimes there is a negative impact of radio frequencies on the internal organs.
The very name suggests that it is the application of cold. In recent years, new trends in aesthetic medicine under the name of body contouring. All of them are based on non-traumatic painless way to reduce the amount of subcutaneous fat. Cryolipolysis – one of them. Studies on the effect of cold subcutaneous fat taken back in 1966, but the actual results were obtained only in 2010 – 2012, when the research reached the level of clinical trials on patients.
Cryolipolysis developed by Harvard scientists (USA) Rox Anderson and Dieter Manstein. The method is based on the local cooling (for about an hour) fat. The fat cells are destroyed, but the surrounding tissue is not affected. This selective sensitivity of fat cells to cold call ‘the paradox of white adipose tissue.’ The death of the fat cells is considered safe for the body. The temperature is in the range of from minus 5 to minus 10 degrees Celsius. In USA was created a machine that destroys a fat by Cryolipolysis – CoolSculpting, protected by the patent. It has been successfully tested in different parts of the human body. The abdomen and the hips is the most popular. For example, the amount of fat on the abdominal crease is reduced to 40%.
The apparent simplicity of Cryolipolysis technique has led to a mass of ‘homemade’ devices for cryolipolysis in many countries. Such fake devices in some cases can bring no benefit and harm to the patient. In the United States, then there is the use of any device for medical purposes is not possible without the approval of the Office of sanitary inspection by the Food and Drug Administration (FDA). Cryolipolysis method was fourfold approval. This method is adopted in France.
We want to note the prospect of laser liposuction. Of course, in principle, the method is invasive, since it requires a special tool penetration into the skin. However, the degree of invasiveness of the intervention is immeasurably less in comparison with the classical surgical procedure to remove fat. Laser liposuction is performed using a fiber-optic probe that is inserted under the skin through a small puncture in the patient’s body. The probe – is a thin tube (cannula), not more than 1 mm in diameter. Through it, energy is supplied from the laser. The laser beam destroys fat cells, fat from destroyed cells enters the bloodstream and excreted naturally. The method is attractive for the treatment of various parts of the face, neck and chin, as the body contains fat cells, easily breakable. Thighs, stomach, knees are more problems, because the laser technology is not intended to remove large amounts of fat.
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