Liposculpture 4. Fundamentals of good liposculpture technique

The fundamentals for good liposculpture are discussed. Horizontal tunneling is to be avoided because the more horizontally the tunnel is angled, the more likely the overlying skin will drape in folds, resulting in poor cosmesis. Superficial tunneling (less than 1 cm) is to be avoided. The author believes that it is important to maintain the adhesive forces and lymphatics of the superficial layer of fat because it leads to more even healing and remodelling postoperatively. Liposuction within 3 cm of the subgluteal fold should be avoided because it can lead to ptosis of the buttocks postoperatively.