Presentations text content in 2011 World Congress
Slide1
2011 World Congress
Female & Male
Genital
Cosmetic Surgery
Slide2Liposuction
&
Autologous
Fat Transfer
Slide3Marco A. Pelosi, III, MD
FACOG, FACS, FICS, FAACS
Slide4CME 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.
Slide5Terminology
Lipolysis
Lipoplasty
Liposuction
Liposculpture
Suction lipectomy
Suction-assisted lipectomy (SAL)
Slide6Terminology
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
Slide7Terminology
Dry = nothing infiltrated
Wet= saline/
hyaluronidase
Slide8Superwet Solution
1,000 ml
10 ml
1 ml
25 ml
Slide9Tumescent Local Anesthesia
1,000 ml
10 ml
1 ml
100 ml
Slide10Generally 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
Slide11Terminology
Manual Liposuction
Power-Assisted Liposuction
Ultrasound-Assisted Liposuction (UAL)
Internal
External
Laser-Assisted Liposuction
Internal: “Hot” laser
External: “Cold” laser
Disruption-Assisted Liposuction
Slide12The Tools
Slide13Aspiration Equipment
Suction pump -100
kPa
max
Syringe for small volume
Slide14Liposuction
Cannulas
Slide15Slide16Fat Transfer
Cannulas
Slide17Lips
Type 3
Slide18NLF
V-Dissector
Type 1
Slide19Non Lines
Type 2
Slide20Hands
Type 2
Slide21Buttocks
Type 2
Slide22Labia
Type 2
Slide23Augmentation Labia
Majoraplasty
Slide24Typical Process
Patient is consented, marked & photographed
NIBP, ECG, SpO2 monitors are placed
Hep-lok
is inserted
Knee-high SCDs applied
Slide25Punch or scalpel
Slide26Always Parallel
Slide27Reverse Jackknife
Postion
Abdominal
Lipo
Slide28Long strokes
Slide29Multi-Directional Contouring
Slide30Nondominant Hand Control
Slide31Nondominant Hand Control
Slide32Slide33Blend margins
Slide34Avoid
superfical layer
5mm No-Suck Zone
Slide35EBL = 5mL/liter of total aspirate
Slide36Regional Applications
Slide37High Definition Liposuction
Etching
Pectoral
Abdominal
Manual, Laser,
Vaser
Ideal < 15% Body Fat
Slide38Pectoral Etching
Slide39Access
Slide40Abdominal Etching
Slide41Leaner = Better Result
Slide42Slide43Slide44Slide45Flanks & Back Strategies
Slide46Slide47Slide48Arms Liposuction
Slide49Access: Post
Slide50Medial
Slide51Lateral
Slide52Slide53Legs Liposuction
Outer Thighs
Inner Thighs
Posterior Thighs
Anterior Thighs
Knees
Calves
& Ankles
Slide54Slide55Slide56Access
Slide57Inner Thighs & Knees
Slide58Slide59Slide60Slide61Breast Liposuction
Slide629 months
F cup
D cup
Slide63Fat Transfer Techniques
Slide642.5 - 3mm
Slide65Slide661-2 L
Slide67Harvest Setup
1
1
2
3
3
4
5
Slide68From
patient
To
pump
Slide69Gravity x 15:00
or centrifuge
discard
Slide70Slide71Slide72Light Infiltration of Recipient Site
Slide73Slide74600 cc
Slide75500cc
superficial & deep
Slide76500cc
Slide77200cc
Slide78Augmentation
Mammaplasty
Slide79Peri
-glandular
Slide80Slide81Augmentation Labia
Majoraplasty
Slide82Slide83Slide84Slide85Slide86Slide87Slide88Slide89Slide90Slide91Slide92Slide93Slide94Slide95Slide96Slide97Slide98Slide99Slide100Slide101Slide102Slide103Slide104Slide105Slide106Slide107Slide108Slide109Slide110Slide111Slide112Slide113Slide114Slide115Slide116Slide117Slide118Slide119Slide120LVR + Augmentation
Slide121Questions
Slide122End
mpelosi3@gmail.com
www.ISCGYN.com
www.ISCGMedia.com
Slide123Slide124Slide125Slide126Slide127Slide128Slide129Slide130
2011 World Congress
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