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The Soft-Tissue Shaving Procedure for Removal of Adipose Tissue: A New, Less Traumatic Approach Than Liposuction

The Soft-Tissue Shaving Procedure for Removal of Adipose Tissue: A New, Less Traumatic Approach... Abstract Objective: To introduce the soft-tissue shaving cannula, a new, precise alternative to conventional liposuction that embodies an entirely different method of softtissue extraction and that appears to be less traumatic and more precise than methods currently used in liposuction. Design: Nonrandomized, nonblinded comparison of the soft-tissue shaver and conventional liposuction devices in fresh cadavers, followed by clinical use of the liposhaver in selected patients undergoing cosmetic facial liposuction. Interventions: Conventional liposuction devices and the soft-tissue shaving cannulas in fresh cadavers (<8 hours old). A submental lipectomy and a melolabial fold liposhaving were performed in a clinical setting. Outcome Measures: Subjective evaluation by the operating surgeons. Results: The fat was cleanly shaved and the contour result was even, without dimpling or asymmetry. Conclusions: Our early experiences suggest that this new liposhaving technique may offer a precise, less traumatic alternative to conventional liposuction. Fat can be shaved in an open fashion under direct vision. It does not rely on a vacuum seal. The soft-tissue shaving cannula shaves fat one layer at a time. The depth of each layer removed, the depth of soft-tissue injury, and the optimal settings and sizes for various procedures remain to be reported.(Arch Otolaryngol Head Neck Surg. 1995;121:1117-1120) References 1. Grazer FM. Suction-assisted lipectomy, suction lipectomy, lipolysis, and lipexeresis . Plast Reconstr Surg . 1983;72:620-623.Crossref 2. Schrudde J. Lipexeresis as a means of eliminating local adiposity . In: International Society of Aesthetic Plastic Surgery . New York, NY: Springer-Verlag; 1980;4:215-226. 3. Kesselring UK, Meyer R. A suction curette for removal of excessive local deposits of subcutaneous fat . Plast Reconstr Surg . 1978;63:305-306.Crossref 4. Fischer A, Fischer GM. Revised technique for cellulitis fat reduction in riding breeches deformity . Bull Int Acad Cosmet Surg . 1977;2:40. 5. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases . Plast Reconstr Surg . 1983;72:591-597.Crossref 6. Illouz YG. Une nouvelle technique pour les lipodystrophies localisées . Rev Chir Esthet . 1980;4:19. 7. Fournier PF. Why the syringe and not the suction machine? J Dermatol Surg Oncol . 1988;14:1062-1069.Crossref 8. Lewis CM. Comparison of the syringe pump and aspiration methods of lipoplasty . Aesthetic Plast Surg . 1991;15:203-208.Crossref 9. Mandel MA. Syringe liposculpture revisited . Aesthetic Plast Surg . 1993;17: 199-203.Crossref 10. De la Plaza R, Arroyo JM. The rationalization of liposuction: toward a safer and more accurate technique . Aesthetic Plast Surg . 1989;13:243-250.Crossref 11. Felman G. Felman double-liposuction cannula . Aesthetic Plast Surg . 1992;16: 159-165.Crossref 12. Weber PJ, Dzubow LM, Wulc AE. The universal cannula handle modifier . Dermatol Surg . 1990;16:1099-1101.Crossref 13. Becker H. A new suction cannula . Ann Plast Surg . 1990;25:154-158.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

The Soft-Tissue Shaving Procedure for Removal of Adipose Tissue: A New, Less Traumatic Approach Than Liposuction

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1995.01890100031005
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To introduce the soft-tissue shaving cannula, a new, precise alternative to conventional liposuction that embodies an entirely different method of softtissue extraction and that appears to be less traumatic and more precise than methods currently used in liposuction. Design: Nonrandomized, nonblinded comparison of the soft-tissue shaver and conventional liposuction devices in fresh cadavers, followed by clinical use of the liposhaver in selected patients undergoing cosmetic facial liposuction. Interventions: Conventional liposuction devices and the soft-tissue shaving cannulas in fresh cadavers (<8 hours old). A submental lipectomy and a melolabial fold liposhaving were performed in a clinical setting. Outcome Measures: Subjective evaluation by the operating surgeons. Results: The fat was cleanly shaved and the contour result was even, without dimpling or asymmetry. Conclusions: Our early experiences suggest that this new liposhaving technique may offer a precise, less traumatic alternative to conventional liposuction. Fat can be shaved in an open fashion under direct vision. It does not rely on a vacuum seal. The soft-tissue shaving cannula shaves fat one layer at a time. The depth of each layer removed, the depth of soft-tissue injury, and the optimal settings and sizes for various procedures remain to be reported.(Arch Otolaryngol Head Neck Surg. 1995;121:1117-1120) References 1. Grazer FM. Suction-assisted lipectomy, suction lipectomy, lipolysis, and lipexeresis . Plast Reconstr Surg . 1983;72:620-623.Crossref 2. Schrudde J. Lipexeresis as a means of eliminating local adiposity . In: International Society of Aesthetic Plastic Surgery . New York, NY: Springer-Verlag; 1980;4:215-226. 3. Kesselring UK, Meyer R. A suction curette for removal of excessive local deposits of subcutaneous fat . Plast Reconstr Surg . 1978;63:305-306.Crossref 4. Fischer A, Fischer GM. Revised technique for cellulitis fat reduction in riding breeches deformity . Bull Int Acad Cosmet Surg . 1977;2:40. 5. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases . Plast Reconstr Surg . 1983;72:591-597.Crossref 6. Illouz YG. Une nouvelle technique pour les lipodystrophies localisées . Rev Chir Esthet . 1980;4:19. 7. Fournier PF. Why the syringe and not the suction machine? J Dermatol Surg Oncol . 1988;14:1062-1069.Crossref 8. Lewis CM. Comparison of the syringe pump and aspiration methods of lipoplasty . Aesthetic Plast Surg . 1991;15:203-208.Crossref 9. Mandel MA. Syringe liposculpture revisited . Aesthetic Plast Surg . 1993;17: 199-203.Crossref 10. De la Plaza R, Arroyo JM. The rationalization of liposuction: toward a safer and more accurate technique . Aesthetic Plast Surg . 1989;13:243-250.Crossref 11. Felman G. Felman double-liposuction cannula . Aesthetic Plast Surg . 1992;16: 159-165.Crossref 12. Weber PJ, Dzubow LM, Wulc AE. The universal cannula handle modifier . Dermatol Surg . 1990;16:1099-1101.Crossref 13. Becker H. A new suction cannula . Ann Plast Surg . 1990;25:154-158.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Oct 1, 1995

References