Custom Acoustic Liposuction (CAL) from
Medical Alliance Services, Inc. (Dallas,
Texas), uses air pressure to activate the
cannula, causing a triple, three-dimen-
sional movement (vibration, rotation and
reciprocation), rather than relying on the
limitations of one-dimensional vibration
from ultrasound. This innovative movement,
referred to as nutation, allows the cannu-
la to glide through fibrous areas easier,
thus providing turbo infiltration of the
tumescent solution for better disbursement,
less physician fatigue, faster numbing,
reduced patient discomfort and a shorter
procedure time.
“This new technique allows for better
high-definition body contouring in more
difficult areas to treat, including scar tis-
sue,” said Thomas T. Jeneby, M.D., a plas-
tic surgeon in San Antonio, Texas. “The
vibration mitigates most of the discomfort
during infiltration, allows for more fat
removal and ultimately less bruising, as
well as an earlier recovery. In fact, some
of my patients comment that the 3D
vibration sensation from the cannula
actually tickles them and they start laugh-
ing during the procedure.”
In addition,
the unique pattern of
movement with CAL enables treatment at
a lower (infrasonic) frequency (10 Hz),
“which is much safer than the high-fre-
quency energy generated by ultra-
sound,” Dr. Jeneby stated. “Unlike other
liposuction systems, Custom Acoustic
Liposuction uses a no-heat cannula, which
when inserted into the fatty tissue will not
heat or burn the surrounding tissue or
anatomy. This no-heat cannula also pre-
serves the fat for secondary fat transfer
procedures.”
A female patient with no tolerance for
pain was recently treated with CAL after
undergoing two prior liposuction proce-
dures. The patient decided not to take
oral pain medication prior to treatment
because she needed to report to work for
eight hours that same day. By infiltrating
the tumescent solution, the patient’s pain
level was 0 (on a scale of 0 to 10).
Furthermore, she reported being thrilled
with the results.
“I believe in staying on