2011 World Congress

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Female & Male. Genital . Cosmetic Surgery. Liposuction. & . Autologous. Fat Transfer. Marco A. Pelosi, III, MD. FACOG, FACS, FICS, FAACS. CME Disclosure. The Faculty reports no significant financial relationships or other relationships with the manufacturers of any commercial products.... ID: 422117 Download Presentation

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2011 World Congress




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Presentations text content in 2011 World Congress

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2011 World Congress

Female & Male

Genital

Cosmetic Surgery

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Liposuction

&

Autologous

Fat Transfer

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Marco A. Pelosi, III, MD

FACOG, FACS, FICS, FAACS

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CME Disclosure

The Faculty reports no significant financial relationships or other relationships with the manufacturers of any commercial products and/or providers of commercial services discussed in this educational presentation and with any commercial supporters of this activity. Furthermore, no off-label or investigational uses of products will be discussed without explicit notification thereof.

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Terminology

Lipolysis

Lipoplasty

Liposuction

Liposculpture

Suction lipectomy

Suction-assisted lipectomy (SAL)

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Terminology

Small-volume (<100

mL

fat)

Medium-volume (<1500

mL

fat)

Large-volume (<4000 fat

mL

/ 5000

mL

total)

Megaliposuction

CA

Speier

Bill: >5000

mL

“unprofessional”

FL: 4000

mL

limit

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Terminology

Dry = nothing infiltrated

Wet= saline/

hyaluronidase

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Superwet Solution

1,000 ml

10 ml

1 ml

25 ml

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Tumescent Local Anesthesia

1,000 ml

10 ml

1 ml

100 ml

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Generally Accepted Lidocaine Limits

Intravenous: 7 mg/Kg

Tumescent w/o liposuction: 25 mg/Kg

Tumescent w/ liposuction: 45 – 55 mg/Kg

Thin = 45

Avg

= 50

Heavy = 55

Florida Law: cannot exceed 50 mg/Kg

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Terminology

Manual Liposuction

Power-Assisted Liposuction

Ultrasound-Assisted Liposuction (UAL)

Internal

External

Laser-Assisted Liposuction

Internal: “Hot” laser

External: “Cold” laser

Disruption-Assisted Liposuction

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The Tools

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Aspiration Equipment

Suction pump -100

kPa

max

Syringe for small volume

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Liposuction

Cannulas

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Fat Transfer

Cannulas

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Lips

Type 3

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NLF

V-Dissector

Type 1

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Non Lines

Type 2

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Hands

Type 2

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Buttocks

Type 2

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Labia

Type 2

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Augmentation Labia

Majoraplasty

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Typical Process

Patient is consented, marked & photographed

NIBP, ECG, SpO2 monitors are placed

Hep-lok

is inserted

Knee-high SCDs applied

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Punch or scalpel

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Always Parallel

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Reverse Jackknife

Postion

Abdominal

Lipo

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Long strokes

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Multi-Directional Contouring

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Nondominant Hand Control

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Nondominant Hand Control

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Blend margins

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Avoid

superfical layer

5mm No-Suck Zone

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EBL = 5mL/liter of total aspirate

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Regional Applications

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High Definition Liposuction

Etching

Pectoral

Abdominal

Manual, Laser,

Vaser

Ideal < 15% Body Fat

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Pectoral Etching

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Access

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Abdominal Etching

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Leaner = Better Result

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Flanks & Back Strategies

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Arms Liposuction

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Access: Post

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Medial

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Lateral

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Legs Liposuction

Outer Thighs

Inner Thighs

Posterior Thighs

Anterior Thighs

Knees

Calves

& Ankles

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Access

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Inner Thighs & Knees

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Breast Liposuction

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9 months

F cup

D cup

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Fat Transfer Techniques

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2.5 - 3mm

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1-2 L

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Harvest Setup

1

1

2

3

3

4

5

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From

patient

To

pump

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Gravity x 15:00

or centrifuge

discard

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Light Infiltration of Recipient Site

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600 cc

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500cc

superficial & deep

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500cc

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200cc

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Augmentation

Mammaplasty

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Peri

-glandular

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Augmentation Labia

Majoraplasty

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LVR + Augmentation

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Questions

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End

mpelosi3@gmail.com

www.ISCGYN.com

www.ISCGMedia.com

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