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Liposuction Turns 20
Date:5/3/2009

the area of cellulite, for example, we still do not have a recognized successful treatment."

The panel will discuss liposuction technologies that have appeared over the years, including ultrasound-assisted, laser-assisted, power-assisted, and VASER®-assisted liposuction methods, the POLICE (Pre & Post Liposuction Contour Equalization) technique, fat grafting for the correction of deformities, and others.

In addition, which technologies yield the best outcomes will be debated. Some plastic surgeons feel that the best liposuction results are obtained without the use of the latest technologies - particularly those technologies that aim to thermally or otherwise damage fat cells.

"In my opinion, these technologies are actually causing worse results because they do the very thing we should be avoiding - damaging fat cells and causing scarring - both of which lead to contour deformities," said Dr. Wall, a plastic surgeon with a practice in Shreveport, LA. "Instead, one of the main goals in liposuction should be to leave a smooth 'blanket' of undamaged fat cells under the skin, which will inhibit the scar contractures we later see as contour deformities."

There is more to successful body contouring than advanced technology or surgical technique. An understanding of aesthetic body proportions can mean the difference between a svelte, womanly figure and a "boxy", man-like appearance. And thorough documentation and analysis of deformities, for example - particularly through the patient's perspective via refined photographic techniques - is instrumental in ensuring predictable and pleasing results.

"Liposuction is a powerful tool for alteration of the proportions of the body, but the consequences of removing elements of the body or adding artificial elements must be recognized," said Dr. Coleman, a plastic surgeon in New York, NY. "Careful planning with a clear visio
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