Dr. Livingston customizes his approach for every patient based on their goals, degree of subcutaneous fat, and desired outcome. Traditional liposuction uses a thin, hollow suction device to manually break up and remove fat cells from beneath the skin and achieve lasting fat reduction, while tumescent liposuction, the technique described above, infuses the area with a specialized fluid to reduce bleeding, minimize bruising, and control pain during recovery. Most liposuction techniques can be performed using local anesthesia with sedation or general anesthesia, depending on the extent of treatment.
Ultrasound assisted liposuction (UAL) uses ultrasound energy and ultrasound waves to liquefy fat cells before they are suctioned out, which can make it easier to treat denser, fibrous tissue. Laser assisted liposuction works in a similar way, using targeted heat to break down subcutaneous adipose tissue and encourage skin tightening as the area heals. Power assisted liposuction (PAL) relies on a mechanized cannula that vibrates rapidly, allowing Dr. Livingston to remove fat efficiently with less strain on surrounding tissue than manual suction assisted liposuction, also known as suction assisted lipectomy. Ultrasound assisted liposuction UAL and power assisted liposuction PAL are both considered minimally invasive options for patients seeking a more targeted approach.