"High definition liposculpture elevates liposculpting to a new, higher level and targets a whole new demographic group in the population who would otherwise never have considered themselves candidates for liposuction.
"As a result, it can provide an avenue for practice expansion and may change perceptions about liposuction in the future so that it will be viewed as an adjunct to a fitness program rather than a response to failure," Dr. Millard, a private practitioner in Lone Tree, Colo., tells Cosmetic Surgery Times.Define the muscles
Developed by Colombian plastic surgeon Alfredo Hoyos, M.D., high-definition liposculpture creates a sculpted, athletic appearance by improving the contours of the subcutaneous fat and the definition of the underlying musculature.
"The Vaser instrument represents a quantum technological leap because it selectively liquifies the fat and allows the surgeon to target specific fat layers to create the desired sculpted appearance of the muscles without damaging connective tissue. However, it is the surgeon's appreciation for the relationship between superficial anatomy and physical appearance that enables this procedure to achieve the desired results," he says.
"In fact, the failure of abdominal etching as a previous liposculpture approach can be attributed in part to its attempt to create a 'six-pack' in all patients. While appropriate for men, the end result in women was an odd and unnatural appearance," Dr. Millard says.
"Abdominal etching also failed in that it ignored the contribution made by other muscles, and because, unlike high definition liposculpture, it was not a 3D approach."
Since high definition liposculpture is designed to be a sculpting procedure rather than a debulking technique, the appropriate candidate is the person who has good muscle tone without excessive amounts of fat or lax skin.
Turn up the tone
The procedure is performed with tumescent anesthetic infiltration.
Dr. Millard performs most of his cases using epidural anesthesia, although he notes that the majority of surgeons would likely undertake the procedure using general anesthesia.