An endomicroscopic comparison of various techniques and technologies of lipoplasty

Using video images of lipoplasty, this article focuses not only on how to extract fat, but also on how to preserve all the systems surrounding it, thereby improving the quality of the results obtained by the surgeon. The study reviewed in this article has two objectives. First, it determines the limitations of all lipoplasty techniques and finds methods of combining these techniques to optimize their strengths and minimize their weaknesses. Secondly, it searches for alternatives to open surgery, which was previously unavoidable. Endomicroscopic exploration of the subcutaneous fat while practicing different techniques of ultrasound-assisted lipoplasty demonstrates the safety and efficacy of the physical principles (cavitation and microstreaming) of ultrasound energy. The use of the adapted probe (solid or hollow) on subcutaneous fat can preserve the surrounding structures, allowing the surgeon to remove a large volume of blood-free fat and maintain tightened skin on the surface.