3D Body contouring

• Foreword…………………………………………………………………………………………………………………………………..

5 • Acknowledgements…………………………………………………………………………………………………………………….

5 INTRODUCTION – THREE-DIMENSIONAL LIPOSCULPTURE…………………………………………………………….
• How to run the three-dimensional liposculpture ………………………………………………………………………………
• Topographical nomenclature ………………………………………………………………………………………………………

13 – First interview ……………………………………………………………………………………………………………………….

14 – First examination…………………………………………………………………………………………………………………
• Who are the patients who contact the aesthetic surgeon?………………………………………………………………

14 – Any asymmetries and curves of the body …………………………………………………………………………………

15 – Examination of skin laxity ……………………………………………………………………………………………………….

5 – Tissue types …………………………………………………………………………………………………………………………

16 – To assess the tissue texture to operate…………………………………………………………………………………….

17 – The postural defects………………………………………………………………………………………………………………

17• Established the surgery type you decide with the patient …………. …………………………………………………..

18 – Informed consent form …………………………………………………………………………………………………………..

18 – Photographs after the physical examination ……………………………………………………………………………..

19 CHAPTER I – PRE-INTERVENTION OPERATIVE SEQUENCE…………………………………………………………..

21• Preoperative pattern …………………………………………………………………………………………………………………

21 • Concavity and convexity concepts ………………………………………………………………………………………………

21 • Patient position (on the operating table)……………………………………………………………………………………….

21 • Preoperative pattern………………………………………………………………………………………………………………….

23 • Concavity and convexity concepts ………………………………………………………………………………………………

27 • Patient position (on the operating table) ………………………………………………………………………………………

28 CHAPTER II – SURGICAL INSTRUMENTS AND DEVICES………………………………………………………………..

35 • Surgical instruments …………………………………………………………………………………………………………………

37 – Cannulas……………………………………………………………………………………………………………………………..

37 – Syringes………………………………………………………………………………………………………………………………

37 – Hot-air mattress…………………………………………………………………………………………………………………….

38 – Heater………………………………………………………………………………………………………………………………….

38 – Sterile containers…………………………………………………………………………………………………………………..

38 – Infiltration pumps…………………………………………………………………………………………………………………..

39 – Centrifuge for lipofilling…………………………………………………………………………………………………………..

39 – Storage pocket ……………………………………………………………………………………………………………………..

40• Accessories……………………………………………………………………………………………………………………………..

41 – Bandages and Cotton Patch …………………………………………………………………………………………………..

41 – Elastic-compressive sheath (LipopantyTM). ……………………………………………………………………………….

41CHAPTER III – LIPOSUCTION PERIOPERATIVE ANESTHESIA MANAGEMENT
by: S. Brauneis, M. Sparano, C. Barbaglia ………………………………………………………………….. 43
• Local tumescence anesthesia with a sedation ……………………………………………………………………………..44
• General anesthesia (ga)…………………………………………………………………………………………………………….47
• Neuraxial anesthesia…………………………………………………………………………………………………………………48
• Post-operative management ……………………………………………………………………………………………………… 49
• General criteria for hospitalization timE………………………………………………………………………………………..50
CHAPTER IV – 3D LIPOSCULPTURE: BASIC PRINCIPLES………………………………………………………………51
• 3D liposculpture – general technical issues…………………………………………………………………………………..

53 • Introduction………………………………………………………………………………………………………………………………

53 – Superficial liposuction correct plane…………………………………………………………………………………………5

3 – Three dimensions body remodeling causes many effects: ………………………………………………………….

54 – “G” point remodeling ……………………………………………………………………………………………………………..

57 • Operating procedure …………………………………………………………………………………………………………………

61 CHAPTER V – 3D LIPOSCULPTURE: CASE REPORTS……………………………………………………………………

71- Trochanteric area, external thighs, hips, medial knee and ankles liposuction ………………………………..

71 – Photographic examination ……………………………………………………………………………………………………..

73 6 3D – Body Contouring