It’s 2018 and suction-assisted lipoplasty (SAL) has been around in America for almost 35 years. Without chronicling each advance in this technology, one can say that this has become a mature, yet integral surgical technology for thinning of subcutaneous adipose tissue (SAT). Lipoplasty has evolved into a sophisticated technique for 3D body contouring, harvesting of fat for grafting, and as a complimentary procedure with excisional body contouring (lipoabdominoplasty).
The concept of energy-assisted lipoplasty (ultrasound-assisted lipoplasty, UAL) that would enhance the ability of the surgeon to sculpt body areas had a poor start in the last 1990s due to surgeons not understanding how to optimally use this technology and inefficient equipment designs. When equipment was redesigned and a process developed for its safe use, UAL became a safe, efficient, and predictable process without the adverse events formerly seen with second-generation UAL devices.
This chapter covers the history of energy-assisted lipoplasty and the development of the VASER UAL system.
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Del Vecchio D, Wall S Jr. Expansion vibration lipofilling: a new technique in large-volume fat transplantation. Plast Reconstr Surg. 2018;141(5):639e–49e.CrossRefGoogle Scholar
Sasaki GH. Quantification of human abdominal tissue tightening and contraction after component treatments with 1064-nm/1320-nm laser-assisted lipolysis: clinical implications. Aesthet Surg J. 2010;30(2):239–48.CrossRefGoogle Scholar
Jewell ML. Commentary on quantification of human abdominal tissue tightening and contraction after component treatments with 1064-nm/1320-nm laser-assisted lipolysis: clinical implications (author: Gordon H. Sasaki, MD, FACS). Aesthet Surg J. 2010;30(2):246–8.Google Scholar
Blugerman G, Schavelzon D, Paul MD. A safety and feasibility study of a novel radiofrequency-assisted liposuction technique. Plast Reconstr Surg. 2010;125(3):998–1006.CrossRefGoogle Scholar
Sasaki GH. Preliminary report: water-assisted liposuction for body contouring and lipoharvesting: safety and efficacy in 41 consecutive patients. Aesthet Surg J. 2011;31(1):76–88.CrossRefGoogle Scholar
Jewell ML, Fodor PB, de Souza Pinto EB, Al Shammari MA. Clinical application of VASER–assisted lipoplasty: a pilot clinical study. Aesthet Surg J. 2002;22:131–46.CrossRefGoogle Scholar
Cimino WW. Ultrasonic surgery: power quantification and efficiency optimization. Aesthet Surg J. 2001;21:233–41.CrossRefGoogle Scholar
Peter B, Fodor MD, Cimino WW, Watson JP, Tahernia A. Suction-assisted lipoplasty: physics, optimization, and clinical verification. Aesthet Surg J. 2005;25:234–46.CrossRefGoogle Scholar
Garcia O Jr, Nathan N. Comparative analysis of blood loss in suction-assisted lipoplasty and third-generation internal ultrasound-assisted lipoplasty. Aesthet Surg J. 2008;28:430–5.CrossRefGoogle Scholar