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We share Dr Shiffman's emphasis on the importance of safety in cosmetic surgery. As he points out, liposuction in the head and neck with blunt cannulas is relatively safe but is not completely without risk. Sharp curettes and cannulas use a scraping motion; we have advised that the soft tissue shaver should not be used in this manner. The surgeon can use this instrument in a closed fashion, or, with the aid of an endoscope or a headlight, the surgeon can directly visualize the tissue as it is being shaved. To date, in a nearly 3-year combined experience, none of the authors have experienced damage to the surrounding nerves or vessels.
Liposuction is often inadequate for optimal removal of septated adipose tissue in the upper midline of the neck between the 2 anterior borders of the platysma muscle. Many surgeons currently augment blunt liposuction in this area with
Becker DG, Weinberger MS, Miller PJ, Park SS, Wang TD, Cook TA, Tardy ME, Gross CW. The Liposhaver in Facial Plastic Surgery-Reply. Arch Otolaryngol Head Neck Surg. 1997;123(10):1144. doi:10.1001/archotol.1997.01900100120019