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Ultrasonic and Traditional Liposuction

Dr Zukowski and his staff at the Zukowski Center are renowned worldwide for being the best in FFS Facial Feminization Surgery. Based in Chicago America, Mark Zukowski is recognized within the transgender community as being the best.

Traditional liposuction evolved with the French in the 1980s and is still used today as the work horse of the majority of liposuction procedures.  It takes a series of hollow, metal tubes, or “cannulas,” and one mechanically forces these hollow cannulas thru the fat vacuuming off a series of tunnels.  The elasticity of the skin then allows the tissues to collapse on down.  One creates a number of tunnels starting with larger diameter cannulas and finishing with small cannulas in a fashion that causes a crisscrossing removal of fat.  In the best of hands, this technique had to be repeated in at least 40% of cases because there was often some slight waviness seen from the tunnels not completely collapsing down.  In the mid 1990s, there was an evolution to ultrasonic liposuction where one used a special metal probe that conducted an ultrasonic frequency allowing the fat to literally be melted away in a liquid environment.  It allowed more of a space to be created, and since nature abhors a space, one gets a better collapse of tissues.  Typically, one would use a combination of ultrasonic and traditional liposuction to achieve body contouring.  When one wants to harvest fat for fat injections either to the buttocks or the face, one will typically use the fat harvested from traditional liposuction for this purpose.  This is the less traumatic of the two techniques.  It does not disrupt or melt the fat away, so, therefore, the fluffy fat can gravitationally settle out into a liquid and oil and solid phase which allows the solid bioactive fat to be transferred.

Dr Zukowski and his staff at the Zukowski Center are renowned worldwide for being the best in FFS Facial Feminization Surgery. Based in Chicago America, Mark Zukowski is recognized within the transgender community as being the best.

There are a number of new technologies that have come out in the last decade.  There is smart liposuction which uses a laser to augment the result.  However, not all technology that is new is necessarily good.  Having done a lot of laser work, this is more a fad and gimmick than it is a reality of helping what one can achieve with the other two basic modalities.  There are also some external techniques that tout non-surgical manipulation and changes in the tissues, but these are not advanced enough to where they act as a real substitute for liposuction today.  It is necessary to wear for 4- to 6-weeks a type of compression garment which is a modified girdle that helps compress the tissues so that they achieves the best result early on.  Liposuction is an excellent technique for all individuals to be able to remove fat in areas that typically are associated with either male or female distributions.

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