Optimizing Safety and Precision for Secondary Liposuctions: Integrating Intraoperative Ultrasound With VASER Technology.

Background: Liposuction has gained significant popularity, leading to increased demand for secondary procedures due to complications such as scars and fibrosis that affect aesthetic outcomes. High-definition liposuction has emerged as a preferred technique, but the presence of fibrosis from previous surgeries may limit its effectiveness.

Objectives: The aim of this study was to explore the application of ultrasound (US)-assisted VASER (vibration amplification of sound energy at resonance; VASER-Solta Medical, Bothell, WA) liposuction in secondary abdominal liposculpture to address these challenges.

Methods: A prospective cohort study was conducted between May 2022 and May 2023 of patients undergoing secondary abdominal liposculpture with US-assisted VASER liposuction, at least 12 months after their initial procedure. Preoperative US examinations were performed to identify and mark findings related to previous liposuction. Data on demographics, photographic results, and complications were collected and analyzed.

Results: Intraoperative ultrasound (I-US) significantly improved the detection of fibrotic lesions, leading to more precise, rapid, and atraumatic outcomes. The use of I-US optimized surgical procedures, reducing both costs and operation time. Clear communication with patients regarding potential limitations due to chronic damage was essential for setting realistic expectations.

Conclusions: I-US has proven to be an invaluable tool in secondary liposculpture, enhancing surgical precision and outcomes. This methodology allows for better recognition of complications, promoting effective treatment strategies and ultimately improving patient satisfaction in the context of secondary abdominal liposculpture.

Level of evidence: 4 (therapeutic):