Firas A. Hamdan, MD, FACS
Building 73, 26th Street, Dubai Healthcare City, Dubai, U.A.E
drfiras7(at)gmail.com

Introduction: As Aesthetic Plastic surgeons, we may have gained experience caring for the most demanding patient, but the surgical techniques continue to evolve and aesthetic outcomes continue to improve, so we have to adapt accordingly with the newest technologies available

Materials and Methods: A review of liposuction modalities of chronologic order will be reviewed.
Discussion and Results:
How the Avelar technique deviates from the “traditional technique”

• No dermo-lipectomy
• Preserve nerves, lyphatics, vasculature
• Minimal need for cautery use
• STEP wise elevation of skin and closure after re-approximation (staples or towel clips)
• Can ”feather“ with liposuction or addition of fat if needed

Conclusions: The demand for cosmetic treatment for thigh and buttock will continue to exist. With proper training and experience, the clinician should be able to provide treatments that are consistently beneficial to their patients while avoiding wound healing complication and migration.

Learning Objectives:

         Analyze the advantages of such an invasive treatment while preserving lymphatics and nerves.

         Discuss the series of clinical cases that are suitable for such treatment.

         Demonstrate the results of this technique.

 

References:

1. Gusenoff JA, Coon D, Nayar H, et al. (2015) Medial thigh lift in the massive weight loss population: outcomes and complications. Plast Reconstr Surg135: 98-106.
2. Lockwood TE (1991) Transverse flank-thigh-buttock lift with superficial fascial suspension. Plast Reconstr Surg 87: 1019-27
3. Lockwood TE (1988) Fascial anchoring technique in medial thigh lifts. Plast Reconstr Surg 82: 299-304.
4. Pitanguy I (1971) Surgical reduction of the abdomen, thigh, and buttocks. Surg Clin North Am 51: 479-89.