Liposuction Abdomen and Back

1. Nutation (a type of vibration or infrasonic liposuction) — the safest Belgian liposuction technique. Using infrasonic vibrations, the cannula locally destroys only fat cells without affecting other tissues [3]. Nutational Infrasonic Liposuction (NIL) is a patented Belgian technology with no analogues worldwide. In the USA, it is known as Tickle Lipo and is FDA-approved [4].

2. Ultrasound — removal of fat cells with an ultrasound probe. Ultrasound waves destroy fat cells by turning them into an emulsion while preserving the integrity of surrounding tissues.
   Cons — safe only in the hands of highly qualified and experienced surgeons, with a high risk of burns to the tissues around the fat, the skin, as well as damage to blood vessels.

   At ANACOSMA, it is performed on the American VASER device because of its range of advantages:

   • FDA-approved for aesthetic fat removal and body contouring

   • Recognized as the “gold standard” in high-definition body sculpting

   • Precision work in the superficial fat layer to create clear muscle definition

   • Possibility of high-definition contouring and accentuation of abs, shoulders, chest

3. Tumescent — adipocytes are destroyed by a solution of lidocaine, adrenaline, and sodium chloride. The procedure is traumatic.

4. Combined technology — a combination of several types of liposuction in one operation. In our case, this is EVA + VASER. What is the advantage?

   • Personalization: the ability to choose a technology or combine them to achieve the best result

   • Safety and comfort: thanks to atraumatic fat removal and a pronounced skin-tightening effect

   • Precision: VASER softens fat with ultrasound, EVA delicately removes it, tightening the skin and preserving smooth contours

   Clinical advantages of the combined approach

   • ANACOSMA is the only clinic in Ukraine with both leading technologies

   • Two world standards with FDA certification

   • Ability to select the best method for each patient

   • Maximum precision, safety, and efficiency of procedures

5. Laser — laser beam impact limited to small areas.

6. Radiofrequency Body Tite — high-frequency current acts on fat cells.

7. Water-jet — fat cells are separated from connective tissue by a stream of water followed by aspiration of the fluid.

Nutation liposuction is one of the safest types of liposuction in the world. The operation is carried out as follows: the surgeon inserts a cannula with a diameter of only 3-5 mm into the correction area, the end of the cannula affects the fat cells with the help of infrasound vibrations, and the device sucks them out with a vacuum.

Nutation liposuction is currently performed only at the ANACOSMA clinic, and here are its advantages:

• Safety.  The device acts only on the tip of the cannula and only on fat deposits, without affecting other tissues – skin, blood vessels. This guarantees the absence of complications (for example, burns, bleeding), which can occur with other methods, including ultrasonic liposuction, laser, and classical.
• Comfort, no pain.  The device additionally anesthetizes the surgical area, which makes both the procedure itself and the rehabilitation period more comfortable for the patient.
• Speed ​​of the operation.  The operation using infrasound is performed 30% faster, since the surgeon does not make additional movements with the device, as in classical or ultrasonic liposuction. This is especially important when performing the operation under general anesthesia (the time spent under anesthesia is reduced).
• No scars and quick rehabilitation.  Using the device cannula, with a diameter of only 3-5 mm, and having a point effect, without injuring the tissue, this method of liposuction requires minimal recovery. Patients note less pronounced swelling and soreness. In addition, bruising and other possible manifestations of the postoperative period are less likely to occur.
• Aesthetic result even in hard-to-reach areas.  The super-thin cannula and delicate impact allow the surgeon to perform manipulation even in the most delicate areas or areas with small fat deposits, which nevertheless require correction for a harmonious result of the figure contours.
• Working with large volumes.  Other surgical methods make it impossible to work with large volumes of the body, either due to the limitations of the method (for example, with laser liposuction) or due to the high degree of trauma (classical and ultrasonic liposuction) [5].
• The best way to preserve fat cells for  lipofilling . Thanks to its delicate effect, the device maximally preserves the viability of the fat cells that are removed, which guarantees their survival in a new place when transplanted during the lipofilling procedure.
• Skin lifting in the area of ​​surgery.  The vibration effect on fibroblasts (skin cells) triggers the process of collagen production in them – over time, the skin becomes more elastic.

The result in the area of ​​the operation is preserved forever, since a certain number of fat cells is laid in the body from birth, and the removed cells are not restored. However, the remaining fat cells have the property of increasing in size when overeating, which will manifest itself in the areas where the operation was not performed. In order to maintain the result, you should eat right and exercise. Plastic surgeons of the ANACOSMA clinic, together with nutritionists and specialists in body aesthetics of the clinic, will help to create a healthy diet and advise on physical activity.

• Violation of skin elasticity;
• Chronic diseases.