1 / 122

2011 World Congress

2011 World Congress. Female & Male Genital Cosmetic Surgery. Liposuction & Autologous Fat Transfer. Marco A. Pelosi, III, MD. FACOG, FACS, FICS, FAACS. CME Disclosure.

gella
Download Presentation

2011 World Congress

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 2011 World Congress Female & Male Genital Cosmetic Surgery

  2. Liposuction& Autologous Fat Transfer

  3. Marco A. Pelosi, III, MD FACOG, FACS, FICS, FAACS

  4. CME Disclosure • The Faculty reports no significant financial relationships or other relationships with the manufacturers of any commercial products and/or providers of commercial services discussed in this educational presentation and with any commercial supporters of this activity. Furthermore, no off-label or investigational uses of products will be discussed without explicit notification thereof.

  5. Terminology • Lipolysis • Lipoplasty • Liposuction • Liposculpture • Suction lipectomy • Suction-assisted lipectomy (SAL)

  6. Terminology • Small-volume (<100 mL fat) • Medium-volume (<1500 mL fat) • Large-volume (<4000 fat mL/ 5000 mL total) • Megaliposuction • CA Speier Bill: >5000 mL “unprofessional” • FL: 4000 mL limit

  7. Terminology Dry = nothing infiltrated Wet= saline/hyaluronidase

  8. Superwet Solution 1,000 ml 10 ml 1 ml 25 ml

  9. Tumescent Local Anesthesia 1,000 ml 10 ml 1 ml 100 ml

  10. Generally Accepted Lidocaine Limits • Intravenous: 7 mg/Kg • Tumescent w/o liposuction: 25 mg/Kg • Tumescent w/ liposuction: 45 – 55 mg/Kg • Thin = 45 • Avg = 50 • Heavy = 55 • Florida Law: cannot exceed 50 mg/Kg

  11. Terminology • Manual Liposuction • Power-Assisted Liposuction • Ultrasound-Assisted Liposuction (UAL) • Internal • External • Laser-Assisted Liposuction • Internal: “Hot” laser • External: “Cold” laser • Disruption-Assisted Liposuction

  12. The Tools

  13. Aspiration Equipment • Suction pump -100 kPa max • Syringe for small volume

  14. Liposuction Cannulas

  15. Fat Transfer Cannulas

  16. Lips Type 3

  17. NLF V-Dissector Type 1

  18. Non Lines Type 2

  19. Hands Type 2

  20. Buttocks Type 2

  21. Labia Type 2

  22. Augmentation Labia Majoraplasty

  23. Typical Process • Patient is consented, marked & photographed • NIBP, ECG, SpO2 monitors are placed • Hep-lok is inserted • Knee-high SCDs applied

  24. Punch or scalpel

  25. Always Parallel

  26. Reverse Jackknife PostionAbdominal Lipo

  27. Long strokes

  28. Multi-Directional Contouring

  29. Nondominant Hand Control

  30. Nondominant Hand Control

  31. Blend margins

  32. Avoid superfical layer 5mm No-Suck Zone

  33. EBL = 5mL/liter of total aspirate

  34. Regional Applications

  35. High Definition Liposuction • Etching • Pectoral • Abdominal • Manual, Laser, Vaser • Ideal < 15% Body Fat

  36. Pectoral Etching

  37. Access

  38. Abdominal Etching

  39. Leaner = Better Result

  40. Flanks & Back Strategies

  41. Arms Liposuction

  42. Access: Post

  43. Medial

More Related