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The Resident Reader: Cosmetic Body—Liposuction

  • Creator:   Plastic and Reconstructive Surgery
  • Updated:   3/20/2017
  • Contains:  20 items
The Resident Reader: Articles that Will Heighten Your Surgical Skills" is a compilation of article collections organized by different subsections of Plastic and Reconstructive surgery featuring the essential articles for residents. This project was led by PRS Resident Ambassadors to the Editorial Board. Each subsection was built by groups of plastic surgery residents from around the world. This section was most-recently cultivated by Ara A. Salibian, MD.

Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 17:17
Journal: Plastic and Reconstructive Surgery
Part 3 (of 3) of a surgical video from the 46th Annual Baker Gordon Educational Symposium which features the concepts, techniques, and surgical results of Dr. Simeon Wall Jr’s SAFELipo® method of comprehensive body contouring. SAFELipo (Separation, Aspiration, and Fat Equalization) provides a nonthermal liposuction, fat-shifting, and fat-grafting method that aims to minimize bleeding, tissue trauma and contour deformities while maximizing smooth and even fat removal, and can be utilized with excisional procedures safely and effectively. SAFELipo is based on a three-step process. First, the fat globules are separated from one another and from their attachments such as blood vessels, nerves and the stromal architecture. The fat separation is performed utilizing specialized probes or basket cannulas, with or without a power-assisted vibrational device, leaving separated and viable fat behind. Next, aspiration of the separated fat is performed with less aggressive cannulas. This step minimizes suction avulsion injuries to the vascular and stromal bed, as the already separated and largely intact fat cells are preferentially harvested. This is followed up with the final step of fat equalization, where the remaining bed of fatty tissues is smoothed out and aesthetically contoured, without any further aspiration. Fat equalization leaves behind a smooth subcutaneous layer of “local fat grafts” that prevent adhesion of dermis to fascia, minimizing the risk of resultant contour deformities otherwise seen with dramatic and/or superficial liposuction.

Baker Gordon Symposium on Cosmetic Surgery.
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 19:30
Journal: Plastic and Reconstructive Surgery
Part 2 (of 3) of a surgical video from the 46th Annual Baker Gordon Educational Symposium which features the concepts, techniques, and surgical results of Dr. Simeon Wall Jr’s SAFELipo® method of comprehensive body contouring. SAFELipo (Separation, Aspiration, and Fat Equalization) provides a nonthermal liposuction, fat-shifting, and fat-grafting method that aims to minimize bleeding, tissue trauma and contour deformities while maximizing smooth and even fat removal, and can be utilized with excisional procedures safely and effectively. SAFELipo is based on a three-step process. First, the fat globules are separated from one another and from their attachments such as blood vessels, nerves and the stromal architecture. The fat separation is performed utilizing specialized probes or basket cannulas, with or without a power-assisted vibrational device, leaving separated and viable fat behind. Next, aspiration of the separated fat is performed with less aggressive cannulas. This step minimizes suction avulsion injuries to the vascular and stromal bed, as the already separated and largely intact fat cells are preferentially harvested. This is followed up with the final step of fat equalization, where the remaining bed of fatty tissues is smoothed out and aesthetically contoured, without any further aspiration. Fat equalization leaves behind a smooth subcutaneous layer of “local fat grafts” that prevent adhesion of dermis to fascia, minimizing the risk of resultant contour deformities otherwise seen with dramatic and/or superficial liposuction.

Baker Gordon Symposium on Cosmetic Surgery.
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 21:23
Journal: Plastic and Reconstructive Surgery
Part 1 (of 3) of a surgical video from the 46th Annual Baker Gordon Educational Symposium which features the concepts, techniques, and surgical results of Dr. Simeon Wall Jr’s SAFELipo® method of comprehensive body contouring. SAFELipo (Separation, Aspiration, and Fat Equalization) provides a nonthermal liposuction, fat-shifting, and fat-grafting method that aims to minimize bleeding, tissue trauma and contour deformities while maximizing smooth and even fat removal, and can be utilized with excisional procedures safely and effectively. SAFELipo is based on a three-step process. First, the fat globules are separated from one another and from their attachments such as blood vessels, nerves and the stromal architecture. The fat separation is performed utilizing specialized probes or basket cannulas, with or without a power-assisted vibrational device, leaving separated and viable fat behind. Next, aspiration of the separated fat is performed with less aggressive cannulas. This step minimizes suction avulsion injuries to the vascular and stromal bed, as the already separated and largely intact fat cells are preferentially harvested. This is followed up with the final step of fat equalization, where the remaining bed of fatty tissues is smoothed out and aesthetically contoured, without any further aspiration. Fat equalization leaves behind a smooth subcutaneous layer of “local fat grafts” that prevent adhesion of dermis to fascia, minimizing the risk of resultant contour deformities otherwise seen with dramatic and/or superficial liposuction.

Baker Gordon Symposium on Cosmetic Surgery.
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 11:34
Journal: Plastic and Reconstructive Surgery
Part 3 of 3. This video discusses the concepts and rationale behind the SAFELipo® process of comprehensive fat management in facial, breast, and body contouring. The 3-step process of fat Separation, Aspiration, and Fat Equalization are described and demonstrated, with or without the incorporation of fat shifting and/or fat grafting as a final step in the process. Case examples and applications of these techniques are discussed and presented.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Liposuction; Fat separation; fat equalization
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 13:45
Journal: Plastic and Reconstructive Surgery
Part 2 of 3. This video discusses the concepts and rationale behind the SAFELipo® process of comprehensive fat management in facial, breast, and body contouring. The 3-step process of fat Separation, Aspiration, and Fat Equalization are described and demonstrated, with or without the incorporation of fat shifting and/or fat grafting as a final step in the process. Case examples and applications of these techniques are discussed and presented. Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Liposuction; Fat separation; fat equalization
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 12:16
Journal: Plastic and Reconstructive Surgery
Part 1 of 3. This video discusses the concepts and rationale behind the SAFELipo® process of comprehensive fat management in facial, breast, and body contouring. The 3-step process of fat Separation, Aspiration, and Fat Equalization are described and demonstrated, with or without the incorporation of fat shifting and/or fat grafting as a final step in the process. Case examples and applications of these techniques are discussed and presented.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Liposuction; Fat separation; fat equalization
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 13:15
Journal: Plastic and Reconstructive Surgery
Part 3 of 3. This video demonstrates a circumferential truncal rejuvenation procedure by performing by incorporating a full abdominoplasty with excision of sub-Scarpal fat, concurrently with circumferential SAFELipo. The three-step process of SAFELipo allows complete, circumferential liposuction of the entire trunk including the area of the abdominoplasty flap, without disrupting the vascular supply of the flap. Excision of the sub-Scarpal fat of the abdominoplasty flap eliminates the parasitic deep fat, decreasing the metabolic load on the flap. These techniques allow for a circumferential rejuvenation of the entirety of the trunk while minimizing complications.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Abdominoplasty; Liposuction; Circumferential;
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 12:14
Journal: Plastic and Reconstructive Surgery
Part 2 of 3. This video demonstrates a circumferential truncal rejuvenation procedure by performing by incorporating a full abdominoplasty with excision of sub-Scarpal fat, concurrently with circumferential SAFELipo. The three-step process of SAFELipo allows complete, circumferential liposuction of the entire trunk including the area of the abdominoplasty flap, without disrupting the vascular supply of the flap. Excision of the sub-Scarpal fat of the abdominoplasty flap eliminates the parasitic deep fat, decreasing the metabolic load on the flap. These techniques allow for a circumferential rejuvenation of the entirety of the trunk while minimizing complications.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Abdominoplasty; Liposuction; Circumferential;
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 12:39
Journal: Plastic and Reconstructive Surgery
Part 1 of 3. This video demonstrates a circumferential truncal rejuvenation procedure by performing by incorporating a full abdominoplasty with excision of sub-Scarpal fat, concurrently with circumferential SAFELipo. The three-step process of SAFELipo allows complete, circumferential liposuction of the entire trunk including the area of the abdominoplasty flap, without disrupting the vascular supply of the flap. Excision of the sub-Scarpal fat of the abdominoplasty flap eliminates the parasitic deep fat, decreasing the metabolic load on the flap. These techniques allow for a circumferential rejuvenation of the entirety of the trunk while minimizing complications.

Baker Gordon Symposium on Cosmetic Surgery. Keywords: Cosmetic; Abdominoplasty; Liposuction; Circumferential;
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 28:41
Journal: Plastic and Reconstructive Surgery
Lipoabdomonoplasty has been advocated by Avelar and Saldanha, a technique which has modernized the conventional abdominoplasty that saw few modifications in the last 50 years. Lipoabdominoplasty is based on three basic points: a) dissection through liposuction; b) preservation of Scarpa’s fascia and deep fat of lower abdomen; and c) narrow undermining on the midline for plication.

A large number of patients were not good candidates for the lipoabdominoplasty protocol, because many of them have mild skin flaccidity in the abdomen, partial rectus diastasis and high position of belly button. For these patients, Novaes and Ribeiro, created a new classification, as shown in this video. This personal evolution can reduce flap necrosis, seromas, and hematomas, with faster recovery time.

. Keywords: Cosmetic; Abdominoplasty; Body contouring; Liposuction