Contour enhancement procedures that address fat modification have grown into a wide array of complex options that may be categorized as operative (invasive) and non-operative (non-invasive).

Operative procedures essentially entail the removal of localized collections of fatty tissue in most areas of the body. It is important to note that this is a sculpting procedure and attention must be given to providing for aesthetic lines and contours. Once again, these procedures include a number of diverse techniques. These include traditional, non-energy-based techniques, specifically suction-assisted lipectomy (SAL); energy-based systems, which use laser or ultrasonic energy to destroy or break down the fat in a two-phase process, referred to as laser-assisted lipoplasty (LAL) (SmartLipo, SlimLipo, LaserProLipo and LipoLite) and ultrasonic-assisted lipoplasty (UAL), both internal and external; and water-based systems, which use jets of water to simultaneously dislodge and remove the fat via suction (Body-jet and Hydrasolve).

Since its development in 1977 by Gerard Ilouz, M.D. of France and its subsequent introduction in the United States in 1982, suction-assisted lipectomy (SAL) has remained the gold standard of lipoplasty procedures- consistent, reliable, safe and effective with a high degree of patient satisfaction. Use of "newer" systems alone often mandate a restrained effort and, hence, a more conservative procedure in light of several adverse sequelae and there is often an inability to realize the desired endpoint of a procedure and provide for true liposculpture.

Among the key elements of a successful outcome is the use of small incisions in hidden or concealed locations during the course of this procedure. It is incumbent upon the surgeon to respect the patient's concerns with respect to the placement of these incisions and the use of undergarments and swimwear are helpful for this purpose. In addition, the targeted area is typically approached via two routes, often referred to as cross-tunneling or cross-suctioning. This not only enables the area to be thoroughly treated but also allows for a smooth, uniform result.

Following surgery, a compression garment is most often utilized to promote skin shrinkage and minimize swelling. In addition, this office utilizes a silicone-backed foam padding which has been shown to be quite effective in minimizing bruising and accelerating recovery.

In the end, the outcome the patient receives is what is paramount more than the method the surgeon selects. What is most important with any liposculpture procedure is the surgeon's understanding of the aesthetic goals of each individual patient and how to shape and sculpt to realize these same goals.