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Evidence-Based Practice in Liposuction.

Patrick S Collins, Kurtis E Moyer1

  • 1Chief of Plastic and Reconstructive Surgery, Virginia Tech-Carilion School of Medicine, Carilion Clinic, Roanoke, VA.

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|January 26, 2018
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Summary
This summary is machine-generated.

This review compares laser-assisted liposuction (LAL) and ultrasound-assisted liposuction (UAL) to standard suction-assisted liposuction (SAL). While UAL and LAL offer benefits in specific cases like gynecomastia and skin tightening, overall results are equivocal.

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Area of Science:

  • Plastic Surgery
  • Minimally Invasive Procedures
  • Aesthetic Medicine

Background:

  • Liposuction techniques have evolved with adjunctive energy-based devices.
  • Laser-assisted liposuction (LAL) and ultrasound-assisted liposuction (UAL) are modern alternatives to standard suction-assisted liposuction (SAL).
  • Clinical application requires evidence-based comparison of these modalities.

Purpose of the Study:

  • To systematically review and compare LAL and UAL with SAL.
  • To interpret findings for potential influence on clinical practice patterns.
  • To identify specific advantages or disadvantages of each liposuction technique.

Main Methods:

  • A comprehensive literature review was performed using PubMed.
  • Keywords included various liposuction terms and comparison studies.
  • Inclusion criteria focused on direct comparisons, objective outcomes, and randomized/blinded studies, excluding non-comparative or opinion-based articles.

Main Results:

  • Twenty-five articles were selected from 9972 identified studies.
  • Literature was categorized into modality advantages, no clear benefit, and complication risks.
  • Specific benefits for UAL in gynecomastia and LAL/UAL for reduced blood loss were noted.

Conclusions:

  • Laser-assisted liposuction (LAL) demonstrated skin tightening benefits in specific areas.
  • Ultrasound-assisted liposuction (UAL) showed advantages in treating gynecomastia.
  • Overall, LAL and UAL offer limited advantages over SAL, with no compelling reason to alter current practice outside noted exceptions.