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    Top 5 dermatology controversies


    #2: Big Fat Debate

    “As more non-invasive technologies are rolled out for reduction of fat, there is a sense by some that these techniques have replaced liposuction. In fact, none can achieve the results of liposuction and may actually cost more and sometimes have side effects, such as skin laxity and depressions,” Dr. Coleman says. “There is a tendency for those physicians who do not perform liposuction to ignore this and not give their patients a full range of options. Local anesthesia liposuction also gives much more rapid results with only one treatment, and patients are able to resume normal activities within 24 hours. In addition, the fat removed can be re-injected elsewhere on the body in the ultimate in medical re-cycling.”

    Derms speak up

    Bruce Katz, M.D.Bruce Katz, M.D., director of the Juva Skin and Laser Center in Midtown Manhattan, says he buys into the controversy in part: noninvasive options do not rival liposuction.

    READ: What's next in non-invasive for 2016?

    “They’re not as effective. They certainly do not remove as much fat as liposuction does, but they work,” Dr. Katz says. “I wouldn’t agree with the statement that they have more side effects. They may cost more, but they don’t have more side effects than liposuction. Liposuction is very safe. But they both are very safe. The newest one is Sculpsure [Cynosure], which probably has the best combination of benefits, and that is to treat four areas in only 25 minutes. That’s a major advance compared to the old technologies."

    The bottom line, however, is that noninvasive options do not remove as much fat as liposuction, according to Dr. Katz.

    NEXT: Solving cellulite

    Lisette Hilton
    Lisette Hilton is president of Words Come Alive, based in Boca Raton, Florida.


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