Objectives: In the field of plastic surgery liposuction succeeded in becoming the most frequently performed cosmetic surgery procedure during the last decade in both man and women. First liposuction was described with curettage technique and then dry , wet and superwet techniques performed as suction assisted liposuction (SAL). The first aim with liposuction is removing exces fat and making body smaller. On the otherhand in last years everything was changed and liposuction techniques are become different due to understanding fat anatomy under the skin.
Introduction: In order to get better results all innovative plastic surgeons need more superficial liposuction with less complication, so more dynamic liposuction or liposculpture techniques was essential.
When we want to get shaping on the body we have to do more superficial liposuction. In this point plastic surgeons needs to get experience about dynamic zones , transition zones , positive and negative spaces. This zones provide us as a key what will be go and what will be left. Advanced body liposculpting provides more attractive and more successfull results.
Materials / method: As we are aware the ideal male body form is V shape and the ideal female body form is S shaped therefore this technique focused to succeed this body forms. In order to achieve the ideal body form ,deltoids, pectorals , latissimus, abdominal rectus muscle and external oblique muscles are the most important dynamic parts in males. Between this muscle groups have transition and negative zones. Also we have positive zones that fat stays above the muscles. The most important regions in females are tummy , waist, thighs , as weel gluteal area.
Results: Some surgeons keep the fat on positive zones and thinks they can achive more definition , this however is not the case. In order to achive permanent , attractive and naturel results most important part of surgery is patient selection. Even if you use the best technique you can not achive best results if your patient is not eligible. Patient selection depends on the BMI, degree of skin excess, skin elasticity, patient's sportive history.Between December 2010- August 2019 , More than 1700 Patient have undergone liposculpture. 40% cases were male and 60% cases were female.
Conclusion: All patients satisfied with aesthetic results of their liposculpture within the time of follow-up. Seroma rates were %7, unsatisfied definition rates were %1 due to patient selection, hematoma rates were %1, skin necrosis did not occured.
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