From the SAFE to the SAFEST Liposuction: Combining PAL and RFAL Technology in Body Contouring Procedures
Jesus Olivas-Menayo1,2, Luis Chang-Azancot3
1MS Medical Institutes by Exclusive Doctors, Lisbon, Portugal. doctor@olivasmenayo.com.
Aesthetic Plastic Surgery
|February 28, 2023
Summary
The SAFEST liposuction technique, combining Power-Assisted Liposuction (PAL) and Radiofrequency-Assisted Liposuction (RFAL), effectively reduces fat and tightens skin. This innovative method offers high patient satisfaction and minimal complications for body contouring.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Minimally Invasive Procedures
Background:
- The standard SAFE liposuction technique is widely used for fat aspiration.
- A significant limitation of liposuction is post-procedure loose skin.
- The SAFEST technique integrates Power-Assisted Liposuction (PAL) and Radiofrequency-Assisted Liposuction (RFAL) to address skin laxity.
Purpose of the Study:
- To evaluate the efficacy and safety of the SAFEST liposuction technique.
- To assess outcomes in terms of fat reduction and skin tightening.
- To determine patient satisfaction and complication rates.
Main Methods:
- Retrospective study of patients treated with SAFEST liposuction (December 2019 - February 2022).
- Collection of demographic and surgical data.
- Preoperative and 12-month postoperative photographic and satisfaction assessments.
Main Results:
- Sixty-five patients underwent treatment in 169 anatomical areas.
- Overall patient satisfaction at 12 months was 94.1%.
- Complications occurred in only 4.7% of treated areas, with seromas and access site infections noted in specific regions.
Conclusions:
- The SAFEST liposuction technique safely combines PAL and RFAL for superior fat reduction and skin tightening.
- The technique demonstrates high patient satisfaction and a low complication profile.
- Key benefits include skin tightening, body ligament contraction, coagulation, and reduced operative time.


