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2011 World Congress Female & Male Genital Cosmetic Surgery.

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Presentation on theme: "2011 World Congress Female & Male Genital Cosmetic Surgery."— 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 Lipolysis Lipoplasty Lipoplasty Liposuction Liposuction Liposculpture Liposculpture Suction lipectomy Suction lipectomy Suction-assisted lipectomy (SAL) Suction-assisted lipectomy (SAL)

6 Terminology Small-volume (<100 mL fat) Small-volume (<100 mL fat) Medium-volume (<1500 mL fat) Medium-volume (<1500 mL fat) Large-volume (<4000 fat mL/ 5000 mL total) Large-volume (<4000 fat mL/ 5000 mL total) Megaliposuction 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 Intravenous: 7 mg/Kg Tumescent w/o liposuction: 25 mg/Kg Tumescent w/o liposuction: 25 mg/Kg Tumescent w/ liposuction: 45 – 55 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 Manual Liposuction Power-Assisted Liposuction Power-Assisted Liposuction Ultrasound-Assisted Liposuction (UAL) Ultrasound-Assisted Liposuction (UAL) – Internal – External Laser-Assisted Liposuction Laser-Assisted Liposuction – Internal: “Hot” laser – External: “Cold” laser Disruption-Assisted Liposuction Disruption-Assisted Liposuction

12 The Tools

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

14 Liposuction Cannulas

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16 Fat Transfer Cannulas

17 Lips Type 3

18 NLF V-Dissector Type 1

19 Non Lines Type 2

20 Hands Type 2

21 Buttocks Type 2

22 Labia Type 2

23 Augmentation Labia Majoraplasty

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

25 Punch or scalpel

26 Always Parallel

27 Reverse Jackknife Postion Abdominal Lipo

28 Long strokes

29 Multi-Directional Contouring

30 Nondominant Hand Control

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33 Blend margins

34 Avoid superfical layer 5mm No-Suck Zone

35 EBL = 5mL/liter of total aspirate

36 Regional Applications

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

38 Pectoral Etching

39 Access

40 Abdominal Etching

41 Leaner = Better Result

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45 Flanks & Back Strategies

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48 Arms Liposuction

49 Access: Post

50 Medial

51 Lateral

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53 Legs Liposuction Outer Thighs Outer Thighs Inner Thighs Inner Thighs Posterior Thighs Posterior Thighs Anterior Thighs Anterior Thighs Knees Knees Calves & Ankles Calves & Ankles

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56 Access

57 Inner Thighs & Knees

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61 Breast Liposuction

62 9 months F cup D cup

63 Fat Transfer Techniques

64 2.5 - 3mm

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66 1-2 L

67 Harvest Setup 1 1 2 3 3 4 5

68 From patient Topump

69 Gravity x 15:00 or centrifuge discard

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72 Light Infiltration of Recipient Site

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74 600 cc

75 500cc superficial & deep

76 500cc

77 200cc

78 Augmentation Mammaplasty

79 Peri-glandular

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81 Augmentation Labia Majoraplasty

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120 LVR + Augmentation

121 Questions

122 End mpelosi3@gmail.com www.ISCGYN.com www.ISCGMedia.com


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