ADVANCED TECHNIQUES IN LIPOSUCTION AND FAT TRANSFER Edited by Nikolay Serdev Advanced Techniques in Liposuction and Fat Transfer Edited by Nikolay Serdev Published by InTech Janeza Trdine 9, 51000 Rijeka, Croatia Copyright © 2011 InTech All chapters are Open Access articles distributed under the Creative Commons Non Commercial Share Alike Attribution 3.0 license, which permits to copy, distribute, transmit, and adapt the work in any medium, so long as the original work is properly cited. After this work has been published by InTech, authors have the right to republish it, in whole or part, in any publication of which they are the author, and to make other personal use of the work. Any republication, referencing or personal use of the work must explicitly identify the original source. Statements and opinions expressed in the chapters are these of the individual contributors and not necessarily those of the editors or publisher. No responsibility is accepted for the accuracy of information contained in the published articles. The publisher assumes no responsibility for any damage or injury to persons or property arising out of the use of any materials, instructions, methods or ideas contained in the book. Publishing Process Manager Masa Vidovic Technical Editor Teodora Smiljanic Cover Designer Jan Hyrat Image Copyright Benko Zsolt, 2010. Used under license from Shutterstock.com First published August, 2011 Printed in Croatia A free online edition of this book is available at www.intechopen.com Additional hard copies can be obtained from [email protected] Advanced Techniques in Liposuction and Fat Transfer, Edited by Nikolay Serdev p. cm. ISBN 978-953-307-668-3 free online editions of InTech Books and Journals can be found at www.intechopen.com Contents Preface IX Part 1 Liposuction – History and Techniques 1 Chapter 1 Application of the Liposuction Techniques and Principles in Specific Body Areas and Pathologies 3 Diego Schavelzon, Louis Habbema, Stefan Rapprich, Peter Lisborg , Guillermo Blugerman, Jorge A. D’Angelo, Andrea Markowsky, Javier Soto, Rodrigo Moreno and Maria Siguen Chapter 2 Liposuction and Fat Graft to Enhance Facial Contour in Reconstructive Surgery - Nine Years Experience with the use of Peridural Cannula 35 Claudia Gutiérrez Gómez, Marcia Pérez Dosal and Alexander Cardenas Mejia Chapter 3 Novel Liposuction Techniques for the Treatment of HIV-Associated Dorsocervical Fat Pad and Parotid Hypertrophy 49 Harvey Abrams and Karen L. Herbst Chapter 4 Lipoplasty of the Back 63 Francisco Agullo, Sadri O. Sozer and Humberto Palladino Chapter 5 Power-Assisted Liposuction (PAL) vs. Traditional Liposuction: Quantification and Comparison of Tissue Shrinkage and Tightening 69 Gordon H. Sasaki, Ana Tevez and Erica Lopez Ulloa Chapter 6 Larger Infiltration/Aspiration Volumes, Plasma/ Subcutaneous Fluid Lidocaine Levels and Quantitative Abdominal Tissue Accommodation After Water-Assisted Liposuction (WAL): Comparative Safety and Efficacy to Traditional Liposuction (TL) 81 Gordon H. Sasaki VI Contents Chapter 7 Gynoid Lipodystrophy Treatment and Other Advances on Laser-Assisted Liposuction 95 Alberto Goldman, Sufan Wu, Yi Sun, Diego Schavelzon and Guillermo Blugerman Chapter 8 Radio-Frequency Assisted Liposuction (RFAL) 115 Guillermo Blugerman, Malcolm D. Paul, Diego Schavelzon, R. Stephen Mulholland, Matthias Sandhoffer, Peter Lisborg, Antonio Rusciani, Mark Divaris and Michael Kreindel Chapter 9 Ultrasound Assisted Liposculpture – UAL: A Simplified Safe Body Sculpturing and Aesthetic Beautification Technique 135 Nikolay P. Serdev Part 2 Lipotransfer and Stem Cell Enriched Fat Transfer 151 Chapter 10 Advanced Lipotransfer Techniques 153 Guillermo Blugerman, Roger Amar, Diego Schavelzon, Marco A. Pelosi II, Marco A. Pelosi III, Javier A. Soto, Anastasia Chomyszyn, Maurizio Podda, Andrea V. Markowsky, Jorge A. D’Angelo and Rodrigo Moreno Chapter 11 Processing of Lipoaspirate Samples for Optimal Mesenchymal Stem Cells Isolation 181 Leandra Baptista, Karina Silva, Carolina Pedrosa and Radovan Borojevic Chapter 12 Stem Cell Enriched Fat Transfer 203 Maurizio Ceccarelli and J. Víctor García Part 3 Complications of Liposuction 219 Chapter 13 Complications of Liposuction 221 Francisco J. Agullo, Humberto Palladino and Sadri O. Sozer Preface Liposuction is the first cosmetic procedure to change beutification surgery from open extensive excision surgery into a more atraumatic closed one. It gave rise to the modern understanding of minimally scarring and minimally invasive surgery and changed the understanding and preferences of both patients and doctors. It also became the most common procedure in cosmetic surgery world-wide, practiced by an increased number of physicians from various specialties. The techniques of fat grafting, closely bound with liposuction, have found widespread application and fat stem cells seem to be changing the future of many areas in medicine. Training became necessary in view of the constantly changing and developing character of medical science, and because of the progress in new devices emerging on the market. Turning the pages, the reader will find a lot of information about advances, tips and tricks, and important milestones in the development of the different methods available, such as classic, power, ultrasound, laser and radio-frequency assisted liposuction etc. Most useful anesthesia techniques are described and discussed, and guidelines have been established for medical indications. Special attention is paid to good patient selection, complications and risks. We have invited renowned specialists from all continents to share their valued expertise and experience. We will never be able to thank every single person or institution who helped in fulfilling our work. The difficult task of writing a comprehensive book about the status and science of the most desired and most practiced procedure in cosmetic surgery, in order to prevent dissatisfaction and misunderstandings, was marked with hard work and continuous improvements. It is a privilege to share our knowledge concerning contemporary advances in this area of medicine, and thus help people change and improve their lives. It is our greatest reward as well. Prof. Dr. Nikolay Serdev National Consultant of the Ministry of Health in the Specialty of "Cosmetic (Aesthetic) Surgery" 2006-2008, Medical Center "Aesthetic Surgery, Aesthetic Medicine" 11, Bulgaria