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Tumescent liposuction: Several liters of a saline solution with a local anesthetic (lidocaine) and a vessel-constrictor (epinephrine) are pumped below the skin in the area that is to be suctioned. The fat is suctioned, or sucked out, through small suction tubes. This is the most popular form of liposuction. Dry liposuction: No fluid is injected before the fat is removed. This method is seldom used today. There is a higher risk of bruising and bleeding. Ultrasound-assisted liposuction (UAL): Also known as ultrasonic liposuction, the cannula is energized with ultrasound. This makes the fat melt away on contact. The ultrasound vibrations burst the walls of the fat cells. This emulsifies, or liquified, the fat, making it easier to suction out. This method is suitable for fibrous areas, such as the male breast, back, and in areas where liposuction has been done before.
Dr. Karimi often combines threads with either Restylane Defyne or Juvedérm Voluma. “The combination is extremely effective at giving an immediate and dramatic effect. Results typically last a year or longer,” he said. “I see threads becoming a mainstay in the aesthetic armamentarium, as the thread technology improves and more dramatic results are able to be achieved without additional downtime or discomfort for the patient,” Dr. Karimi noted. “In addition, as fillers achieve increasing indications for different facial areas, they will also become more popular for targeted areas. For example, there will be three fillers that are indicated for under eye circles within the next one to two years so I predict this will become a hot topic when that happens.”
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