Abstract

High definition liposuction (HDL) has been coined to identify liposuction results that are superior to traditional liposuction. HDL results are appreciated when body contours are transformed with the ultimate goal of achieving a near perfect 9 or 10 body. High definition liposuction is considered a “game changer” in the body contouring arena as it gives plastic surgeons the ability to precisely sculpt the patient’s body in a 360 degree circumferential manner to previously unattainable results. Until recently, indications for high definition body contouring were reserved for patients with minimal fat excess and skin redundancy. Several factors must be accounted for to achieve high definition liposuction results, and these include appropriate patient selection and a customized and strategically sound operative plan. We introduce the High definition liposuction (HDL) body scale that assigns body scores ranging from 2 to 10 by taking into account degree of fat excess, amount of skin redundancy, as well as quality and extent of skin texture changes. The HDL body scale was created to expand indications for a larger patient population by assisting surgeons to establish preoperative start points, guide patient selection, design a customized, sound surgical plan, and objectifying outcomes. The HDL body scale and subsequent surgical algorithm, and case studies are presented. Using the HDL body scale, surgeons may improve and expand patient populations who can benefit from HDL outcomes.

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