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Separation, Aspiration, and Fat Equalization: SAFE Liposuction Concepts for Comprehensive Body Contouring
Simeon H Wall1,2, Michael R Lee1,2
1Shreveport, La.
Plastic and Reconstructive Surgery
|November 24, 2016
Summary
SAFE liposuction, a body contouring technique, involves fat separation, aspiration, and equalization. This study found the procedure safe and effective, with a low rate of minor complications like seroma formation.
Area of Science:
- Plastic Surgery
- Body Contouring Techniques
Background:
- Separation, Aspiration, and Fatty Equilibration (SAFE) liposuction is a procedural approach to body contouring.
- This technique minimizes injury to surrounding structures through a multistep process: fat separation, lipoaspiration, and fat equalization.
Purpose of the Study:
- To review the outcomes and complications of primary SAFE liposuction.
Main Methods:
- Retrospective chart review of patients undergoing SAFE liposuction between January 2006 and January 2011.
- Patient selection was limited to those who underwent liposuction alone, excluding adjuvant excisional procedures.
- Data collected included demographics, body mass index, operative details, and patient outcomes.
Main Results:
- Seven hundred thirty-four patients underwent SAFE liposuction; 129 had liposuction alone.
- Patient demographics: age 18-42 years, BMI 18-42 kg/m² (mean 26.3 kg/m²).
- No major complications were reported. Five patients (3.87%) experienced minor seroma formation.
Conclusions:
- SAFE liposuction is a safe and effective multistep body contouring technique.
- The process involves distinct phases: fat separation, lipoaspiration, and fat equalization.
- The study supports the efficacy of SAFE liposuction in achieving desired body contouring outcomes.

