External ultrasound-assisted lipectomy: effects on abdominal adipose tissue

The use of ultrasound “on the surface” was hypothesized by Scuderi et al. in 19871 and resumed by Zocchi in 1996.2 Ultrasound-assisted liposuction is as a technique that can be associated with suctionassisted lipectomy.3 This new technique is called external ultrasound-assisted lipectomy. Whereas ultrasound- assisted liposuction emulsifies adipose tissue due to adipocyte membrane lysis, external ultrasound- assisted lipectomy, being less “invasive,” induces cell-to-cell contact loss and alters collagenic fibers. This leads to an easier detachment of adipose cells, which remain unaltered and can be mechanically removed. The external ultrasound-assisted lipectomy technique is the transcutaneous application of ultrasound by means of high-frequency ultrasound upon massive infiltrated tissue, followed by traditional liposuction. Results showed that several different effects were detected on both adipocytes and collagen fibers.