Over the last several years a new procedure has come to light. LipoSonix. The idea behind the LipoSonix device is for the surgeon to non-invasively select and reduce fatty tissue in the body. This technology has the ability to revolutionize body sculpting.
LipSonix continues in clinical trials, and the FDA is attempting to define it usage and application. The device uses ultrasonic energy to possibly disrupt fatty tissue and it is said that the bodies natural defense systems destroy the loose fatty cells and the rest is absorbed into your bloodstream. The question remains, once in your bloodstream, where does the extra fat go? Does the fat that does not get destroyed by the natural defense mechanisms get absorbed?
It is also unclear whether there are areas of the body that this procedure should not be used on - can surgeons be able to control the depth of the effects? Although it seems that the surrounding tissue is not disrupted, are they affected in any way? FDA proceedings will quantify and qualify many of these questions.
The ASPS has cautioned patients about claims by products such as UltraShape, and injections of phosphatidylcholine - or a phospholipid known as Lipostabil. These are being touted as alternative non-surgical techniques to dissolve fat without the need for surgery. These have not gone through the proper channels of FDA clinical trials and approval - and should be dealt with accordingly.
Many times licensed physicians may legally offer treatments involving off-label uses of many pharmacologic products, as long as such the substances have approval by the FDA for other purposes, and there is no specific prohibition of the intended off-label use. Currently, Lipostabil is not approved for any use in the USA. The lack of sufficient scientific and clinical data to substantiate the safety and effectiveness of phosphatidylcholine (Lipostabil) as a fat-dissolving treatment makes it seem that it may never come to be an option as a non invasive procedure in the US.
Specific questions should be answered before any of these products can be safely used:
Much of the focus of today's aesthetic plastic surgery focuses on minimally invasive procedures. The desire to improve a patient's appearance without the painful downtime is high on the list of advanced research. safety and effectiveness of new procedures is determined through careful scientific and clinical research to ensure that when the product/procedure is released for widespread use, all possible scenarios have been addressed. This type of research is evaluated through publication of results in reputable, peer-reviewed medical journals - and with presentation of results at medical meetings sponsored by the ASAPS and other accredited Medical Education sponsors.