Sculpting the future: Introducing high-definition liposculpture

In the dynamic and ever-evolving world of plastic surgery, the introduction of new techniques and approaches marks significant milestones that reshape the landscape of aesthetic medicine. A groundbreaking technique known as high-definition liposculpture is now available in the United States.

The American Society of Plastic Surgeons is proud to have members pioneering advancement in cosmetic procedures in the United States. ASPS Member Surgeon Josef Hadeed MD, FACS, is the first surgeon to offer TriDef™ Liposculpting, which could represent a paradigm shift in body sculpting and enhancement.

Hadeed brings with him years of expertise and a deep commitment to advancing the standards of cosmetic procedures. His recent collaboration with Alfredo Hoyos, MD, the originator of high-definition liposculpture from Bogota, Colombia, has led to the introduction of this innovative technique in the U.S. Hoyos, a visionary in plastic surgery, has been instrumental in developing and refining this method, which stands as a testament to his profound understanding of human anatomy and aesthetic principles.

Join us as we explore the collaborative accomplishment of Hadeed and Hoyos, shedding light on their shared vision of pushing the boundaries in plastic surgery and offering a new horizon of possibilities to patients in the U.S.

ASPS: Could you share your background in plastic surgery with us? What would you consider your primary specialty or area of focus?

Hadeed: Regarding my background, after completing my plastic surgery training, I spent several years working in a large hospital-based system, primarily performing reconstructive breast surgeries and other reconstructive procedures.

However, for the past nine years, I've been in solo practice, balancing both reconstructive and cosmetic procedures. Recently, there's been a shift in my practice towards focusing predominantly on cosmetic procedures, specifically those related to body enhancement. Our specialty and area of expertise primarily revolve around comprehensive body procedures. A notable technique we're introducing is high-definition liposculpture.

ASPS: What led you to discover the new liposuction technique in Colombia, and what aspects of it caught your attention?

Hadeed: I attended a conference a year ago and was captivated by a lecture from Dr. Alfredo Hoyos of Bogota, the pioneer of high-definition liposculpture. His approach integrates an in-depth understanding of human anatomy into the procedure. As surgeons, we always consider anatomy, but Dr. Hoyos takes it a step further. His presentation was mesmerizing, and it was clear to me that this is the future of body sculpting and liposuction. The appeal of looking toned and athletic is undeniable.

This led me to pursue hands-on training with Dr. Hoyos in Colombia, from which I just returned. The experience was incredible, and I gained more insights than I anticipated. I've developed a deep appreciation for the nuances of high-definition liposculpture. I believe this technique will soon gain popularity as more patients become aware of it and begin to seek it out.

ASPS: Can you describe in detail how this new procedure differs from traditional techniques?

Hadeed: Traditional liposuction primarily focuses on removing fat from specific areas. However, high-def liposuction goes beyond this by sculpting the body. It involves creating lines and shadows and, in some cases, strategically adding fat to enhance the body's shape. This technique considers the body as a whole rather than isolating one or two areas.

It's tailored to each individual, aiming to achieve a more athletic, in-shape appearance. For example, if someone has a six-pack but lacks definition in their arms, legs or back, it can look disproportionate. High-def lipo addresses this by adding definition to these areas too, ensuring a harmonious, athletic look overall.

ASPS: Can you elaborate on the primary benefits that patients can expect from this procedure compared to conventional methods of liposuction?

Hadeed: The main benefit of this procedure lies in the enhanced physical appearance post-surgery. Looking at the results achieved by Dr. Hoyas, it's evident that patients attain a more toned and athletic look.

This technique goes beyond just fat removal, it involves tightening the skin and, for men, strategically adding fat back to increase muscle mass and definition. For women, fat is redistributed to their hips and buttocks to enhance and accentuate their curves. Essentially, the primary advantage is in rejuvenating and reshaping the body to achieve that toned and fit appearance many desire.

ASPS: Who would be the ideal candidate for this procedure? Are there specific health or physical criteria?

Hadeed: The ideal candidate would be someone with a BMI of less than 30. It's important that they are non-smokers and lead an active lifestyle. Ideally, they should be individuals who regularly exercise and have a healthy diet but still struggle with stubborn areas of fat that they can't eliminate despite their best efforts. These are the individuals who would benefit most from this procedure.

ASPS: What was involved in your training for this procedure in Colombia? And how did it enhance your skills as a plastic surgeon overall?

Hadeed: My training in Colombia was a comprehensive, hands-on experience under Dr. Hoyos' guidance. I had the opportunity to work directly with both male and female patients, recognizing the distinct approaches required for each. This dual experience was invaluable. Observing Dr. Hoyos' techniques and handling different body areas provided me with unique insights.

Additionally, I was able to follow up with patients post-operatively, which deepened my understanding of the crucial postoperative protocols necessary to maintain surgical results. The training was holistic, encompassing preoperative evaluations, intraoperative techniques and postoperative care, significantly enhancing my overall skills in plastic surgery.

ASPS: What are the most challenging aspects of performing this type of liposuction and sculpting?

Hadeed: The most challenging aspect is the necessity of having an artistic eye and a keen sense of aesthetics. It's crucial to deeply understand the underlying anatomy, particularly the differences between male and female bodies. A significant part of the challenge lies in appreciating, from an artistic viewpoint, what is considered aesthetically pleasing. It involves discerning what specifically makes a person appear fit and well-cared-for.

This procedure is not a one-size-fits-all approach, it requires customization for each individual patient. The key is understanding the nuances of creating a look that is widely regarded as attractive and aesthetically pleasing.

ASPS: Could you describe the recovery process for patients undergoing this new high-def lipo procedure? Are there specific aftercare instructions?

Hadeed: Yes, the recovery process is somewhat lengthy. Patients typically undergo lymphatic massage and ultrasound therapy for several weeks following the surgery. They also need to wear compression and recovery garments for several months. While the recovery isn't quick or easy, the results are well worth the wait. Patient satisfaction is extremely high once they've completed the recovery period.

ASPS: Are you currently offering the new high-definition liposculpture procedure, or is it something you plan to introduce soon?

Hadeed: Yes, we are offering it right now.

ASPS: Have you already had patients opt for this procedure?

Hadeed: We actually have already had two patients who have signed up for surgery in early 2024. In my opinion, I believe high-definition liposculpture will become more popular in the U.S. It's not widely known here yet, unlike in South America, where it has been practiced for over 20 years, especially in Colombia.

I think it's only a matter of time before it gains traction in the U.S. There's a growing health consciousness among Americans, with increased attention to diet and a rise in gym memberships, particularly post-COVID. As people become more health conscious and aware of this procedure, I anticipate a growing demand for it in the U.S.

ASPS: As word spreads among other plastic surgeons about this new hi-def lipo technique, do you see yourself taking a role in training them or would you recommend they go to Colombia for training?

Hadeed: Dr. Hoyos deserves immense credit for advancing high-definition liposculpture. Plastic surgeons keen on learning this technique should ideally seek training under Dr. Hoyos, given his pioneering status and extensive expertise.

It's crucial to emphasize that education in this field extends beyond mastering the technique. Prioritizing patient safety is fundamental, perhaps even more so than the results. Dr. Hoyos has contributed significantly to both technique and patient safety. His work emphasizes that safety is paramount, not only for high-definition liposculpture but for all elective plastic surgeries.

To find a qualified plastic surgeon for any cosmetic or reconstructive procedure, consult a member of the American Society of Plastic Surgeons. All ASPS members are board certified by the American Board of Plastic Surgery, have completed an accredited plastic surgery training program, practice in accredited facilities and follow strict standards of safety and ethics. Find an ASPS member in your area.