Advancements in methods of fat removal by liposuction continue to change and be improved. One of the most noteworthy methods that is currently marketed and touted is laser liposuction, or more accurately, laser-assisted liposuction.

As opposed to the traditional technique of a hollowed-out cannula insertion, loosening and beating up the fat tissue, and then ******* it out, this mechanical particulation is replaced by the heat of laser energy. Inside the liposuction cannula, fibers carrying laser light deliver their heat to the targeted fat breaking it down into a liquid ‘soup’ which can be suctioned out. Theoretically, the skin in the areas overlying where the liposuction was done may get tighter due to the heat from the laser.

As of this date, there are three such laser-assisted liposuction systems available in the United States. They are under the marketed tradenames of SMARTLIPO (Cynosure), COOLLIPO (CoolTouch), and PROLIPO (Sctiton). All of them tout more effective and efficient fat removal, less bruising and swelling after the procedure, a faster recovery, and some skin tightening and improvement in the appearance of cellulite over the treated areas.

The real question is….are they truly better than basic liposuction…and are their increased costs over traditional liposuction worth it? (someone has to pay for the equipment purchase…and that someone is you the patient!) To date, laser-assisted liposuction is tremendously appealing, particularly to the general public. In the past, any medical treatment that included the word, laser, always enamors the public. No clinical trials have yet been reported however, that I have seen, that have ever directly compared any laser-assisted vs traditional liposuction procedure in patients. No clinical trial, large or small, has yet been done that has compared the results of any touted liposuction method in a prospective, controlled clinical study. FDA approval of these devices implies that they are safe for patient use but that does not mean they are necessarily more effective than other liposuction methods.

Much like ultrasonic-assisted liposuction when it was introduced 10 years ago, laser-assisted liposuction may be a popular trend that, in the end, will fare no better. It will undoubtably have its place in liposuction options and armamentarium but I doubt if it is magic or whether it offers a quantum leap forward in patient outcomes and recovery times. While it is another method of removing fat, I remain skeptical if all of the marketing claims of laser-assisted liposuction such as a quicker recovery and skin tightening can live up to the hype.

I am all for any form of advancement in liposuction, which is a fairly traumatic procedure on the tissues. While effective, liposuction is still one of the most ‘brutal’ procedures that we as plastic surgeons do. Is laser-assted liposuction a better method of liposuction?…..ask me again in 5 years!



By: Dr Barry Eppley

About the Author:

Dr Barry Eppley is a private plastic surgeon whose practice is located at his hospital-based medspa locations at Clarian Health in Indianapolis. To learn more about the latest trends in plastic surgery, go to his daily blog, http://www.exploreplasticsurgery.com .



by Josh

Health insurances do not cover the cost of liposuction procedures as they are considered as a type cosmetic surgery. Like any surgery, liposuction procedures are quite expensive and with all the hype surrounding it, one cant help but to wonder if it is worth the price.

The average cost of liposuction on one part of the body cost around $2500 – $4000 in the United States. Like all cosmetic surgery, liposuction procedures involve some health risks and it is vital that you carefully weigh the pro and cons of the surgery before making your final decision.

If you are currently suffering from some health condition (such as chronic obesity) where you have been advised by many speicialized doctors to undergo liposuction to avoid certain death, you should by all means go ahead with the surgery.

On the other hand, if you are planning to undergo liposuction for vanity and aesthetic reasons, you should carefully ponder if it is worth the expense and health risks involved. It is advisable to consult several physicians and surgeons before you make your decision.

If you have decided to take on the procedure after all said and done, here are some quick tips in selecting the surgeon to perform your surgery.

1.General Consultation. The doctor should be frank in assessing whether you need the surgery or not. He or she shouuld disclose all the risks involves and advise on they type of surgery that you need. Generally, a good doctor would advise for you to undergo liposuction in one or two areas of your body at any one time. You should be wary if you have consulted a doctor who recommends liposuction in more than 3 parts of your body in a single surgery.

2.Price List. The surgeon should have a standard price list on the various cost of liposuction on different parts of the body. There should also be a standard price rundown on non-surgical costs. All such information must be readily available at the surgeons office.

3.The American Society for Aesthetic Plastic Surgery (ASAPS) provides a list of average prices for all types of cosmetic surgery. The prices provided by your surgeon should not stray too far from the prices on this list (unless he/she is a exceptionally reputable surgeon).

4.Price Breakdown. If your surgeon provides you with a single sum to represent the cost of the surgery, you should inquire if the price is inclusive of all costs involved. In any case, the surgeon should give you a thorough run-through of what the price includes.

After you have obtained an accurate assessment of what it would cost to undergo the procedure, you will then have to decide if the results of the surgery would be worth the price. Liposuction is essentially a band-aid to a life long problem. It is important that you realize that after the surgery, the root causes of your weight problem are still not dealt with. The liposuction procedure is only recommended for those who are resolute and determined to make a positive change in their lifestyle.

About the Author: