Photos courtesy of Roger Bassin, MD (Orlando, FL), Barry DiBernardo, MD (Montclair, NJ), Hartmut Meyer, MD (Germany)

stock30Water-assisted liposuction

photoLiposuction procedures have been around for decades. However, many have been afraid to go through with the procedure due to the abundant risks and poor results associated with it. It has often been the subject of many horror stories as the amount of trauma incurred during the procedure was alarmingly great. Body-jet water-assisted liposuction, also known as Aqua-Lipo, is a completely new technique that minimizes these risks, while delivering far-superior results.

What is body-jet liposuction?
Body-jet liposuction is a new technique that works by delivering gentle pulses of saline fluids into the body to dislodge fat from tissues for easy removal, making it much more gentle and significantly less invasive than traditional techniques. Developed in Germany, body-jet has been adopted and performed successfully in the U.S. since being approved by the FDA in 2008.

What are the advantages of body-jet compared to normal liposuction?

Traditional liposuction entails having a large amount of tumescent solution (saline/epinephrine/lidocaine mixture) introduced into the body. Body-jet liposuction uses the same solution, but at much lower quantities. This benefits the procedure in two ways: there is less risk of reaching dangerous lidocaine toxicity levels, and the physician is able to sculpt much more precisely without the bloating, based on a better anatomical assessment. This is turn yields superior cosmetic results.

The body-jet system uses powerful, yet gentle water waves to loosen fat for suction. Because of its accuracy, it is significantly less traumatic on the connective tissues, nerve fibers, blood vessels, and the lymphatic drainage system. This results in far less pain, bruising, and blood loss compared to the traditional method, which primarily relied on brute force to dislodge fat. Local anesthetic is used for body-jet liposuction. This means less risk of complications, as well as less downtime for the patient. Patients will be able to leave shortly after the procedure is done.

Body-jet liposuction is a much more efficient technique and therefore takes less time to perform. With less tumescent solution in the body, the physician is able to perform with greater precision. Also, it is easier to position the patient during the procedure by having them move themselves since they are awake.

Because using body-jet is far less traumatic to the body, recovery time is just a few days. All of these reasons contribute to the high patient satisfaction rate, especially when compared to traditional liposuction.

Who is body-jet liposuction good for?
For many individuals, losing fat in those certain troublesome areas can seem nearly impossible. Exercise and proper diet oftentimes isn’t enough to address these stubborn fatty pockets of the body. A lot of this is due to genetics, but also can be caused by the body’s own hormonal changes (such as post pregnancy). Individuals who feel that a particular area is not in proportion to the rest of their body may be good candidates for body-jet water-assisted liposuction.

Candidates for this procedure should also be in good health and not be too overweight. If the patient has too much fat, they will not benefit from body-jet liposuction, as it is a body-contouring procedure. Any contouring done by the physician will lack definition and therefore not be worth going through with the procedure. In these cases, the patient is often recommended to start a medical weight loss program first (i.e. HCG diet program), to encourage optimal results from their liposuction procedure.

What areas can body-jet liposuction treat?
Body-jet liposuction can virtually treat anywhere from the neck down to the knees. However, depending on the amount of fat to be removed and also the amount of skin in the area, other types of liposuction may be more preferable, such as CoolLipo. Because body-jet liposuction allows for the removal of large volumes of fat safely, the most frequently treated areas of body-jet liposuction are the abdomen, love handles, hips, saddlebags, waist, buttocks, thighs, back, and chest. What’s more, because body-jet is so gentle, the fat removed can be harvested and transferred to other parts of the body where the patient desires more fullness (e.g. breasts, buttocks, and hands). Please see our fat transfer page for more details.

What is the body-jet liposuction procedure like?
On the day of surgery, patients will report to a clean and sterile surgical suite and go through standard pre-operation procedures. Once all preparation is completed, body-jet liposuction will commence in three phases:

Infiltration phase – Tumescent solution is injected into the subcutaneous fatty layer as anesthesia.

Irrigation and suction phase – Gentle, yet powerful jet streams of water detach adipose fat cells while simultaneously suctioning them out via specific cannulas.

Drying phase – Another cannula removes any leftover fluid in the tissue, which makes immediate contouring possible with minimal swelling.

Body-jet liposuction takes significantly less time than the traditional method since the infiltration phase is much shorter. The second phase is also highly efficient since it entails breaking up the fat and removing it simultaneously. In other words, body-jet liposuction removes fluids just as quickly as fluids are introduced. The physician controls the amount of water pressure during the procedure, gently delivering infiltrate and ensuring no trauma is caused to any of the surrounding tissue or structures. Depending on the patient and the number of areas to be treated, the actual procedure can last anywhere from one hour to over three hours. After the procedure, the patient spends one hour in recovery before being discharged.

When can I return to normal activity?
After body-jet liposuction, there will be some fluid drainage from the small incisions where the cannulas were used. These incisions are so miniscule that they do not require any stitching and will heal up on their own after just a few days. Because the body-jet procedure is dramatically less invasive than traditional liposuction, associated downtime of the procedure is about 48 hours. Most patients resume normal activities the following day, and return to work within a few days. This can vary depending on the individual and how extensive treatment was. A compression garment is given after every body-jet procedure to help contour the body by letting the skin’s elastin shape the treated areas. The garment should be worn under the clothes for at least two weeks.

Are body-jet liposuction results permanent?
Yes. The fat removed from the body will not return to the treated areas, even if weight is gained after the procedure. Weight put on afterwards will be distributed to other parts of the body. Many individuals go onto the HCG diet medical weight loss program after the procedure to work on losing the fat that cannot be removed via liposuction. This is fat not located in the subcutaneous tissue, but in the visceral layers around internal organs. These are areas that the body-jet device does not treat. The HCG diet program will also enhance desirable contouring.

What is the cost of a body-jet liposuction procedure?
Because everyone and their goals are different, stating a general price for a body-jet procedure could be misleading. Having a consultation with our physician would be the best way to get an accurate price specifically for you.

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