Liposuction without surgery
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you tell me about external liposuction? I
heard there is a noninvasive liposuction technique
- using external liposuction without surgery.
you heard about this method?
you for your inquiry regarding 'external liposuction'.
To my knowledge there is no such thing as
liposuction without surgery.
Dr. Capuano uses external (and internal) ultrasound
during liposuction procedures, which might
be what you mean. I know of no way to remove
fat beneath the skin without surgery. The
use of ultrasound can "break up"
fatty deposits, making removal easier with
less bruising. Hope this helps..
at Dr. Capuano's office.
Dr Capuano's comments
use the word liposuction in combination with
other words you should know what liposuction
means and stands for.
and logically, the use of the word liposuction
comes from lipo (fat) and suction (suction)
- and should mean just that - fat suction.
Now if someone has figured out a way of removing
fat without suction - they should - if they
are not using suction make up another term
for the procedure.
about lipo-sans-suction or - fat without suction
(from the French word without - sans)
- if there is no suction - it's not suction
!! not lipo suction !!!
- does that mean that mean that liposuction
is the only way to remove fat? - no.
EFM or External Fat Melt
If an external device, such as the external
ultrasonic equipment that we use, is applied
long enough to an area of fat, the fat will
'melt'. This should be called for example,
external ultrasonic fat ablation, or how about
external fat melting . So I will use the term
'external fat melt' or EFM.
happens with the use of external ultrasound
is that fat is heated. If a very powerful
ultrasound is used, the temperature of the
area rises to cause cell death. When the fat
cells die, the content of the cells leaks
into the surrounding fat tissue. The liberated
oils and dead cells are then cleaned up by
the body's normal mechanisms. Thus fat tissue
is lost. This is probably what is being touted
as external liposuction that is for our purposes
it is called EFM.
Well why not use the EMF procedure. This seems
to makes sense and can be used. But there
are obvious potential problems - as with any
this time surgeons have no accurate,
real time method of monitoring the heat applied
through external ultrasound. Excessive heat
injury can occur and cause excessive fat cell
death in one area. This can result in local
accumulations of dead fat. Fat cysts, local
excessive scarring, local irregularities, etc.
could occur. The skin itself and underlying
muscle nerves and bone might also be heated.
Complications could arise from injury to such
It is my opinion that the development of accurate
monitoring of tissue temperature and the ability
to control the depth of penetration of the
ultrasound, will allow this technique to become
more useful. Right now however, it should
be used in very select situations.
why 'External Liposuction' when it isn't
why is the above procedure called external
liposuction? My take is that in many instances
words are manipulated to get attention. This
creative 'word-smithing', (and I don't know
that it is a word) certainly adds confusion
to what is going on.
summary, external ultrasound has been well
described and utilized to assist in the removal
of fat. EFM awaits further tools and studies
before it can be applied and thought of as
a method of reducing body fat as is able to
be accomplished by our current methods of
of what was said above with respect to EMF
can be said about 'laser liposuction'. Indeed
a laser beam can be directed under the skin
and can destroy fat. If this is the method
let's call it 'laser-lipo-ablation' which translates
to laser fat destruction. Now if a liposuction
suction cannula (tube used for suction) is
placed into the area to suck out the destroyed
fat - then - why not call it laser assisted
liposuction. It makes more sense. Call it
note - the abbreviations used are not scientific
or accepted ones. I merely made them up.
Dr. Capuano does
not perform the following operations
Hair Transplants - Scalp reduction -
Sex change operations -
Breast augmentation by fat injection
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Donald J Capuano MD