Hi Definition Liposculpting of the Torso and Abdominal Musculature

The term ‘liposculpture’ first appeared in 1991 and was described as a technique that ‘shapes the body by removing fat cells in areas where there is excess fat and/or by adding fat cells to areas where additional padding is desired.’ It is a highly surgeon-dependent procedure. The ultimate objective of this procedure is to create that chiseled rock hard core. Prior to the procedure in the preoperative area the trunk musculature are strategically marked to guide the sculpting procedure. Visualization, palpation, and surgeon guided abdominal muscle contractions are done to accurately delineate the individual muscles and their tendinous insertions.

First a wide dermal release is performed to allow maximal post-procedure skin contraction which enhances a ‘shrink wrapping’ effect of the skin over the newly sculpted body area; second, using VASER® LipoSelection or LASER Lipolysis with Smartlipo® Triplex Hi Definition Liposculpting technique is used to treat the deep, middle and superficial fat to produce an even 1 cm thin layer of fat between the skin and the underlying muscle. Fine tuning is done to reach the ultimate desired tissue effect. The goal is for the skin and thin subcutaneous tissue to tightly drape over the well defined muscular form, producing a naturally chiseled appearance. The incisions are about 1/4 of an inch and are strategically placed, 2 in the groin, 1 in the belly button, and one in each areola of the nipple area; once healed they are invisible to barely noticeable.

Liposculpting of the Abdominal Rectus Muscles (ABS)

The ultimate objective with Hi Def Liposculpting procedures such as VASER Hi Def of the abdomen is to create that chiseled rock hard, muscular look. Prior to the procedure in the preoperative area the abdominal muscles are strategically marked to guide the sculpting procedure. Visualization, palpation, and surgeon guided abdominal muscle contractions are done to accurately delineate the individual muscles of the ABS, the upper, outer and lower borders of the ABS and there tendinous insertions which will be explained below. First, Hi Def Liposculpting is used to treat the deep, middle and superficial fat to produce an even thin layer of fat with a pinch of about 1 cm of skin and fat. After this, fine tuning is done to reach the ultimate desired tissue effect. The superficial portion of the technique enhances a ‘shrink wrapping’ effect of the skin over the newly sculpted body area results at 2 months. The incisions are about 1/4 of an inch and are strategically placed, 2 in the groin, 1 in the belly button, and one in each areola of the nipple area; once healed they are invisible to barely noticeable.

After fine tuning, attention is then turned to the linea semilunaris these tendinous areas of the outer border of the ABS must be skillfully sculptured to give that natural athletic look. Ultimately the overlying skin and subcutaneous tissue will be paper thin like that seen in bodybuilders. From the areola incisions the upper borders of the ABS beneath the pectoral muscles (PECS) are also sculptured out.

After the two sides of the linea similunaris and the upper portions of the ABS are complete attention is then turned to the linea alba, the natural depression down the midline separating the six pack ABS into right and left. This is a tendinous area into which the ABS insert. As with the other areas a special technique is used to create a natural appearing linea alba.

Now for the sine qua non of rock hard chiseled ABS, which by far is the most complex part of the Hi def Liposculpting procedure, the transverse tendinous insertions using a unique technique only mastered through skill and experience.

Liposculpting of the Obliques

The external oblique muscle is situated on the lateral (side) and anterior (front) parts of the abdomen. It is broad, thin, and irregularly quadrilateral, its muscular portion occupying the side, its aponeurosis or fascia the anterior wall of the abdomen. In most humans (especially females), the oblique is not visible, due to subcutaneous fat deposits and the small size of the muscle. The Hi Def Liposculpting technique high lights the separation of the oblique muscle and the ABS by the linea semilunaris and the area of the inguinal ligament. The Hi def Liposculpting technique is revolutionary in its natural appearance because it takes into account all of the underlying muscular anatomy, origins, insertion points, separations and relationships to give that overall top athletic look we all want

Liposculpting of the Serratus Muscles

The serratus anterior is a muscle that originates on the surface of the upper eight or nine ribs at the side of the chest and inserts along the entire anterior length of the medial border of the scapula bone. The serratus muscles can be difficult at times to bring out but with understanding of each patient’s muscular anatomy, development, and adjoining muscular structures Hi Def Liposculpting including VASER Hi Def can effectively delineate this muscle group.

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