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2011 World Congress. Female & Male Genital Cosmetic Surgery. Liposuction & Autologous Fat Transfer. Marco A. Pelosi, III, MD. FACOG, FACS, FICS, FAACS. CME Disclosure.

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2011 world congress
2011 World Congress

Female & Male

Genital Cosmetic Surgery

marco a pelosi iii md

Marco A. Pelosi, III, MD

FACOG, FACS, FICS, FAACS

cme disclosure
CME Disclosure
  • The Faculty reports no significant financial relationships or other relationships with the manufacturers of any commercial products and/or providers of commercial services discussed in this educational presentation and with any commercial supporters of this activity. Furthermore, no off-label or investigational uses of products will be discussed without explicit notification thereof.
terminology
Terminology
  • Lipolysis
  • Lipoplasty
  • Liposuction
  • Liposculpture
  • Suction lipectomy
  • Suction-assisted lipectomy (SAL)
terminology1
Terminology
  • Small-volume (<100 mL fat)
  • Medium-volume (<1500 mL fat)
  • Large-volume (<4000 fat mL/ 5000 mL total)
  • Megaliposuction
    • CA Speier Bill: >5000 mL “unprofessional”
    • FL: 4000 mL limit
terminology2
Terminology

Dry = nothing infiltrated

Wet= saline/hyaluronidase

superwet solution
Superwet Solution

1,000 ml

10 ml

1 ml

25 ml

tumescent local anesthesia
Tumescent Local Anesthesia

1,000 ml

10 ml

1 ml

100 ml

generally accepted lidocaine limits
Generally Accepted Lidocaine Limits
  • Intravenous: 7 mg/Kg
  • Tumescent w/o liposuction: 25 mg/Kg
  • Tumescent w/ liposuction: 45 – 55 mg/Kg
    • Thin = 45
    • Avg = 50
    • Heavy = 55
  • Florida Law: cannot exceed 50 mg/Kg
terminology3
Terminology
  • Manual Liposuction
  • Power-Assisted Liposuction
  • Ultrasound-Assisted Liposuction (UAL)
    • Internal
    • External
  • Laser-Assisted Liposuction
    • Internal: “Hot” laser
    • External: “Cold” laser
  • Disruption-Assisted Liposuction
aspiration equipment
Aspiration Equipment
  • Suction pump -100 kPa max
  • Syringe for small volume
slide17

Lips

Type 3

slide18

NLF

V-Dissector

Type 1

slide19

Non Lines

Type 2

slide20

Hands

Type 2

slide21

Buttocks

Type 2

slide22

Labia

Type 2

typical process
Typical Process
  • Patient is consented, marked & photographed
  • NIBP, ECG, SpO2 monitors are placed
  • Hep-lok is inserted
  • Knee-high SCDs applied
avoid superfical layer

Avoid superfical layer

5mm No-Suck Zone

high definition liposuction
High Definition Liposuction
  • Etching
    • Pectoral
    • Abdominal
    • Manual, Laser, Vaser
    • Ideal < 15% Body Fat
legs liposuction
Legs Liposuction
  • Outer Thighs
  • Inner Thighs
  • Posterior Thighs
  • Anterior Thighs
  • Knees
  • Calves & Ankles
9 months
9 months

D cup

F cup

slide69

Gravity x 15:00

or centrifuge

discard

slide122

End

mpelosi3@gmail.com

www.ISCGMedia.com

www.ISCGYN.com