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High-definition lipo 3D sculpting highlights muscle tone

Article-High-definition lipo 3D sculpting highlights muscle tone

41 year old female patient of Dr. Millard before and four months after high definition LipoSelection of circumferential torso; no change in diet or exercise.
Lone Tree, Colo. — High-definition liposculpture is an advanced liposuction technique that enhances the visibility of well toned muscles and simultaneously has the potential to enhance the liposuction segment of a cosmetic surgery practice, according to John A. Millard, M.D.

"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.

Male high definition liposculpture patient of Dr. Hoyos, pre- and post-op.
It involves precisely performed, deep and superficial liposuction around muscle groups in the abdomen, the chest in men and the lower back and gluteus in women using ultrasound-assisted lipoplasty (LipoSelection, Vaser). The procedure was enabled with the advent of that advanced liposuction technology, but its success requires that the surgeon have well-trained hands and an artful eye, Dr. Millard says.

"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."

Ideal candidates

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.

Dr. Millard
"Probably about 95 percent of people who undergo this procedure work out three to five days a week and the majority work out five or six days. However, they may fail to achieve the desired muscle definition because that depends on the presence of a very low level of total body fat, about 3 percent. High definition liposculpture produces that endpoint locally by aggressively removing the deep and superficial fat, which otherwise obscures the detail of the underlying muscles," Dr. Millard explains.

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.

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