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October 1995

The Soft-Tissue Shaving Procedure for Removal of Adipose Tissue: A New, Less Traumatic Approach Than Liposuction

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Virginia Health Sciences Center, Charlottesville.

Arch Otolaryngol Head Neck Surg. 1995;121(10):1117-1120. doi:10.1001/archotol.1995.01890100031005

Objective:  To introduce the soft-tissue shaving cannula, a new, precise alternative to conventional liposuction that embodies an entirely different method of softtissue extraction and that appears to be less traumatic and more precise than methods currently used in liposuction.

Design:  Nonrandomized, nonblinded comparison of the soft-tissue shaver and conventional liposuction devices in fresh cadavers, followed by clinical use of the liposhaver in selected patients undergoing cosmetic facial liposuction.

Interventions:  Conventional liposuction devices and the soft-tissue shaving cannulas in fresh cadavers (<8 hours old). A submental lipectomy and a melolabial fold liposhaving were performed in a clinical setting.

Outcome Measures:  Subjective evaluation by the operating surgeons.

Results:  The fat was cleanly shaved and the contour result was even, without dimpling or asymmetry.

Conclusions:  Our early experiences suggest that this new liposhaving technique may offer a precise, less traumatic alternative to conventional liposuction. Fat can be shaved in an open fashion under direct vision. It does not rely on a vacuum seal. The soft-tissue shaving cannula shaves fat one layer at a time. The depth of each layer removed, the depth of soft-tissue injury, and the optimal settings and sizes for various procedures remain to be reported.(Arch Otolaryngol Head Neck Surg. 1995;121:1117-1120)

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