Safe Lipoplasy
Site de réference en chirurgie plastique
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by El Hassane TAZI M.D.
tazilipo@iam.net.ma
Technologies 

SAS-UAL
A new generation of lipoplasty

 

Introduction

The new data suggest the extensive volume lipoplasty (EVL) and total body can produce dramatic weight loss and significant and possibly long-lasting health benefits when performed using patient with an excess of weight from 10 to 50 Kg in an accredited surgical setting and with close monitoring

On the basis of in vivo endomicroscopic comparisons between various lipoplasty techniques and technologies currently in use, a new generation of lipoplasty has been created and adapted for the removal of subcutaneous fat. This technique and technology is named the "Surrounding Aspiration System for Ultrasound Assisted Lipoplasty" (S.A.S-U.A.L.) , and is the result of many years of human in vivo research and studies on subcutaneous fat.

The primary objective of this research is to determine the limits of all lipoplasty techniques, their advantages and disadvantages, and the possibility of combining the advantages of each technique and minimizing or eliminating their disadvantages.

The in vivo endomicroscopic method helped us create the most ideal instrumentation to safely and effectively sculpt the bodies of our patients. Our research was not only directed to the extraction of fat, but also to the preservation of other structures (e.g., vessels, nerves, and connective tissue). This helped us improve the quality of results desired by plastic surgeons and their patients.

SASUAL Advantages

This new technique and technology (S.A.S.-U.A.L.) minimizes the disadvantages and risks of both traditional liposuction (S.A.L.) and ultrasound assisted liposuction (U.A.L.), while adapting and improving upon their advantages.

A-Previous generations of U.A.L. have the following primary disadvantages :
Previous generations of U.A.L. have the following primary disadvantages:
  • long learning curve
  • 2- to 3-stage procedure
  • long and tedious operating time
  • danger and risk of skin burns and skin necrosis
The final result of this study was to maximize the advantages of S.A.L. and U.A.L., and to minimize the disadvantages of the combination of the two, while respecting the physical principles of U.A.L.

B- S.A.S.-U.A.L. has the following advantages:

  • Increased patient safety (minimizes risk of skin burns and skin necrosis).
  • Patient safety is ensured even during long or static application of ultrasonic energy.
  • Higher efficiency compared to existing liposuction techniques, including ability to remove/aspirate large volumes of fatty tissue in a single session (3 liters to 10 liters).
  • Higher tissue specificity, targeted at subcutaneous fat.
  • Less vascular trauma and/or bleeding/blood loss.
  • Little or no injury to structures surrounding fat, including vessels, nerves, and connective tissue.
  • Greater ability to safely treat superficial tissue layers (closer to skin surface), providing improved skin contraction/retraction/tightening.
  • Ability to safely and effectively treat a greater number of anatomical areas in the patient's body improves sculpturability and desired aesthetic results.
  • Simultaneous evacuation of any possible free radical production.
  • Decreased surgeon fatigue.
  • Minimal noise and vibration.
  • Reduced total operative time compared to traditional/suction assisted liposuction ("SAL") and prior forms of ultrasound-assisted liposuction ("UAL").
  • Short surgeon learning curve.
  • Two stage procedure:
    • 1. wetting/infiltration
    • 2. simultaneous aspiration, liquefaction, and rupture of fatty tissue.

Video

CONCLUSION

The liposuction varies from 7 litres to 22 litres in one session; the cumulate weight loss varies from 10 to 20 kg in 40 days up to 50 kg in 6 month. We observe a dramatic sizes reduction of chest and abdomen circumference where between 6 cm to 30 cm.

The extensive volume lipoplasty is recommended for patients with more than 10°/° of overweight who have resistance or difficult of WEIGHT LOSS by traditional diet.

10 % of body weight in litters

  • We performed successfully extensive volume fat removal (more than 10°/° of body weight in litters of fat aspirate in one session),
  • the risk are achieved and controlled before during and post operating time (.e.g patient with 100kg the suction must be more than 10 litres)

The large staff collaborate

  • The large staff collaborate in treatment (cardiologist, endocrinologist, psychiatric, anaesthesiologist, physiotherapeutic
  • Appropriate candidates must be treated before surgery for any pathology.
  • Absolute contraindications for EVL are multiple medical problems, without possible medical stabilisation.
  • We use our new technology of lipoplasty combining the both advantages of traditional and ultrasound liposuction.
  • The exciting finding of our study is that results at 24 months after EVL showed that the reducing weight and improving overweight and obese patients' 10 to 20 kg in 40 days.

 

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