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What is Ultrasonic Assisted Lipoplasty (UAL) How does the UAL device work? The device produces sound energy which is transmitted through a hollow canula. The cannula, a narrow rod, is introduced into the fat through a small opening in the skin. This is in much the same way it is done today for conventional liposuction. The sound waves liquefy the fat cells and create an oil. The fluid is then removed by gentle suction through the hollow rod. Has UAL been performed before? Ultrasonic Assisted Lipoplasty was first described by an Italian plastic surgeon several years ago. Since that time the procedure has been successfully performed on over 100,000 patients throughout the world. Has Ultrasound energy been used before in medicine? Yes, Ultrasound has been used for many years and in many different ways. Sound energy is used in medicine in both a diagnostic and therapeutic fashion. It is helpful as a diagnostic tool in pregnancy, as well as an effective way for Urologist to dissolve kidney stones. How is liposuction currently performed? Liposuction is one of the most commonly performed procedures.
It involves the introduction of a hollow rod into the fat in a manner similar to
UAL. However, the solid fat is removed by high-pressure suction. The rough,
traumatic nature of this technique tends to also destroy fibrous tissue, fine nerves and
blood vessels. This can lead to significant pain, bleeding and prolonged bruising. What are the similarities between conventional liposuction and UAL? Conventional liposuction and UAL have many similarities.
Both procedures require a trained, experiences surgeon. Surgery can be
performed in the hospital or outpatient setting. Both procedures can be performed
with either general or local anesthesia and share many of the same risks and possible
complications. What are the differences between conventional liposuction and UAL? The differences between the two techniques are based on the way the fat is removed. Ultrasound energy is applies preferentially to the fat cells, generally sparing the fibrous tissue, fine nerves and blood vessels. Consequently, there is less disruption of the normal architecture with less pain, bleeding, swelling and bruising. This allows for removal of greater volumes of fat and a faster recovery, in a less traumatic fashion than with conventional liposuction. In addition, some surgeons believe that UAL stimulates the skin to shrink more efficiently to accommodate its new shape. This produces a smoother and more even result. UAL tends to take slightly longer to perform because of its
slow, gentle motion. The actual length of operating time will depend on the
individual surgeon and the amount of fat removed. Just as with any surgical procedure, there are risks and
possible complications associated with UAL. These include the general risks of
surgery and anesthesia as well as those specific to body contouring. The theory is
that by diminishing blood loss, UAL is a safer way to remove fat than conventional
liposuction. An honest discussion, by an experienced surgeon, of the risks and
benefits is an important part of the consultation. Who is a candidate for UAL? In general, anyone interested in body contouring who is an acceptable candidate for conventional liposuction, can be considered for UAL. In addition, patients who traditionally were not able to have liposuction because they required removal of greater amounts of fat, may now benefit from the procedure. However, the patient’s expectations must be reasonable and realistic. The tone and quality of the skin still play a significant role in the final results. Who is able to perform UAL? The exact guidelines have not yet been established. Courses on UAL are being taught by the combined plastic surgery societies. However, it is generally advisable that patients choose Board Certified surgeons with experience in liposuction and specific UAL training. How much will UAL cost? UAL just like liposuction, is not a medically necessary procedure. As such, all costs associated with the surgery are the responsibility of the patient. The actual cost of surgery will depend on the areas to be treated, the experience of the surgeon and the prevailing fees in the community. In general, fees may be slightly higher than conventional liposuction because of the increased operating time and the additional cost of the device. The exact cost of the procedure is determined at the time of consultation. Most patients feel that the diminished pain, faster recovery and superior aesthetic results are worth the expense. About
Ultrasonic Assisted Lipoplasty (UAL) UAL Patient Before and After Pictures
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