Although high definition liposuction removes fat comprehensively, it is predicated on the fact that the skin will also be tightened. Otherwise, you would look like a shape dog which is not attractive on a human body. How does skin tightening occur following high definition liposuction? In order to describe how skin tightening occurs following high definition liposuction, we must review human skin anatomy.
The human skin is made of multiple layers that include the superficial layer called the epidermis and the deeper layer called the dermis. Underneath these layers, we find the fat which is compartmentalized by cables of collagen called retaining ligaments or the fibro-septal network. These fibroseptal networks are denser superficially and become more sparse as we go deeper. At the deepest layer of skin, the fibroseptal network is missing and the fat is more homogenous and loose. When performing traditional liposuction, only fat in the deepest layer can be removed. In contrast, ultrasound-assisted liposuction allows for the removal of not only the deepest layer but also all the way to the most superficial layers of fat. So how does high definition liposuction tighten your skin?
The first way that high definition liposuction tightens your skin is by utilizing ultrasound-assisted liposuction to remove all of the fat from the most superficial to the deepest fat layers. By removing the fat intermingled in between the fibroseptal network, these cords are able to tighten down thus retracting the skin up to the muscles. This redraping the skin is possible since the fat cells that act as sponges have now been removed. Maximum skin redraping is appreciated when 360 liposuctions is performed as this mobilizes the skin all the way around your body allowing it to regrade up to the muscles. For patients with minimal skin redundancy, this technique provides optimal skin tightening.
Tightening of the fibroseptal network
The second way that high definition liposuction tightens the skin is through subdermal coagulation using the Renuvion J plasma. This modality literally shrink wraps the collagen molecules found in the deepest layer of the skin and the fibroseptal network discussed above. So these cables that stretch from the skin to the underlying muscles can be tightened by application of heat produced by the Renuvion J plasma wound. This tightening of the skin is a preferred technique because it avoids any skin incisions. For patients with moderate skin redundancy, this technique provides optimal skin tightening.
Strategic skin excisions
The final way that high definition liposuction protocol tightens the skin is by performing strategic skin excisions that literally cut out the skin. The secret to these skin excisions is to place the excisions in hidden locations. For example, in the abdominal region, we provide a mini tummy tuck and/or reverse tummy tuck. The mini tummy tuck is meant to eliminate skin below the belly button with an incision that is hidden in the pubic region within the undergarment. The reverse tummy tuck is meant to eliminate skin above the belly button with two separate incisions hidden under the breasts in the inframammary crease. The reason two separate excision patterns are required is that the belly button acts as an anchor and won’t allow for both the upper and lower abdominal skin to be tightened using one or the other procedure. Both of these strategic excisions allow your surgeon to eliminate severe skin redundancy.
In summary, high definition liposuction protocols allow for skin tightening while maximally removing excess fat. Following your complimentary consultation with Dr. Mowlavi, you will be provided a customized surgical plan to address both excess fat and skin redundancy.
Here is a 45-year-old female patient before and after her high definition body contouring procedure.