1;Introduction;6 2;Preface;8 3;Contents;9 4;List of Contributors;17 5;Part I General Information;26 5.1;The History of Liposuction;27 5.2;Pathologic Disorders of Subcutaneous Fat ;31 5.3;Lipedema and Lymphatic Edema ;34 5.4;Biochemical Effects of Liposuction in Lipidosis;39 5.5;The Anatomy and Physiology Metabolism/ Nutrition of Subcutaneous Fat ;41 5.6;Liposuction Technique and Lymphatics in Liposuction ;50 5.7;Proposed Safety Guidelines for the Maximum Volume Fat Removal by Tumescent Liposuction ;54 6;Part II Anesthesia;59 6.1;Anesthesia for Liposuction ;60 6.2;Pharmacokinetics of Tumescent Anesthesia;77 6.3;Liposuction with Local Tumescent Anesthesia and Microcannula Technique ;84 6.4;Tumescent Technique ;95 6.5;Safety of Lidocaine During Tumescent Anesthesia for Liposuction ;98 6.6;Tumescent Local Anesthesia with Articaine ;103 7;Part III Cannulas;106 7.1;Cannula Designs ;107 7.2;Inadequate Sterilization of Liposuction Cannulas: Problems and Prevention ;113 8;Part IV Preoperative;117 8.1;Preoperative Consultation ;118 8.2;Drugs to Limit Use of or Avoid when Performing Liposuction ;121 9;Part V Techniques;129 9.1;Facial Recontouring with Liposuction ;130 9.2;Liposuction of the Upper Extremitiest ;139 9.3;Refinements in Liposculpture of the Buttocks and Thighs ;143 9.4;Liposculpture of the Lower Extremities Using a Tourniquet ;152 9.5;Liposculpture of the Trunk ;160 9.6;Liposuction and Dermolipectomy ;165 9.7;The Modern Lipoabdominoplasty;173 9.8;Abdominal Liposuction in Colostomy Patients ;180 9.9;Liposuction and Lipotransfer for Facial Rejuvenation in the Asian Patient ;184 9.10;Microcannula Liposuction ;190 9.11;Superficial Liposculpture: Rationale and Technique ;204 9.12;Three-Dimensional Superficial Liposculpture for Aged and Relaxed Skin;217 9.13;Reduction Syringe Liposculpturing ;225 9.14;Orthostatic Liposculpture ;236 10;Part VI Ultrasound;241 10.1;Ultrasound- Assisted Liposuction: Past, Present, and Future ;242 10.2;Ultrasound- Assisted Liposuction: Physical and Technical Principles ;246 10.3;VASER- Assisted Lipoplasty: Technology and Technique ;256 10.4;Ultrasound-Assisted Lipoplasty for Face Contouring with VASER ;262 10.5;Mastopexy ( Breast Lift) with Ultrasound- Assisted Liposuction ;271 10.6;Histologic Changes with Breast Ultrasound- Assisted Liposuction ;275 10.7;Excessive Free Radicals Are Not Produced During Ultrasound- Assisted Liposuction ;279 10.8;External Ultrasound and Superficial Subdermal Liposuction ;282 10.9;External Ultrasound Before and After Tumescent Liposculpture ;293 11;Part VII Power- Assisted;297 11.1;Powered Liposuction Equipment ;298 11.2;Power- Assisted Lipoplasty ;301 11.3;Safety Protocols for Power- Assisted External Ultrasonic Liposculpture ;305 12;Part VIII Newer Techniques;313 12.1;Reduced Negative Pressure Liposuction ;314 12.2;Tissue Stabilization in Liposuction Surgery ;318 12.3;External Percussion Massage- Assisted Liposuction ;322 12.4;Low-Level Laser- Assisted Liposuction ;325 12.5;Laserlipolysis ;334 12.6;Water- Jet- Assisted Liposuction ;339 13;Part IX Complications;344 13.1;Prevention and Treatment of Liposuction Complications;345 13.2;Disharmonious Obesity Following Liposuction ;354 13.3;Blood Loss in Liposuction Surgery;359 13.4;Fat Shifting for the Treatment of Skin Indentations ;365 13.5;Liposuction Mortality ;369 14;Part X Principles and Standards;372 14.1;Psychology and Quality of Life of Patients Undergoing Liposuction Surgery ;373 14.2;Liposuction Practitioner Profile and Current Practice Standards and Patient Safety ;376 14.3;Principles of Liposuction ;389 15;Part XI Medical Legal;391 15.1;Medical Liability Claims for Liposuction - Improving the Odds ;392 15.2;Medical Legal Problems in Liposuction;402 16;Part XII Commentary;412 16.1;Editor's Commentary ;413 16.2;Non- Cosmetic Applications of Liposuction ;416 16.3;Ultrasound- Assisted Liposuction for Breast Reduction;423 16.4;Large- Volume Liposuction for Obesity;433 16.5;Metabolic and Clinical Studies of Liposuction