Autologous fat liposuction and lipofilling for a wealth of indications

Not only in the operative lipedema treatment: the WAL procedure has proven to be extremely flexible – for example in plastic surgery, in the regenerative medicine and in dermatology.

In hydrodissection (water-jet assisted dissection), the soft tissue is gently separated or removed by the water-jet device. The medical devices of Human Med in combination with the WAL methodology ensure a high degree of tissue selectivity with efficient dissection and hardly existing collateral damage.

With WAL, the highly effective three-dimensional water jet removes the adipose tissue in a fast and atraumatic manner without damaging the surrounding tissue. For this reason, with WAL patients will be largely spared painful haematomas. Besides body contouring can be excellently controlled intraoperatively without any alteration of the anatomy in contrast to the traditional tumescence techniques.

If compared to conventional techniques a significant lower amount of residual water and drugs remains in the patient’s body.

During the removal process of the adipose tissue from the tissue structure blood and lymphatic vessels and nerves remain largely unscathed.

MRI-controlled studies have shown that due to the extremely high vitality, around 90%, of the harvested adipose cells, up to 87% of the re-injected adipose can settle in the host tissue, for example in the breast area.

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More on technique and procedure

WAL: Unique and atraumatic


The only procedure worldwide that allows, during surgery, the administration of analgesics and vasoconstrictive agents through the active water jet. This aspect enables even hours of surgery, for example lipedema, without interruptions; this is why WAL has been increasingly first choice for a wide range of indications.

Scientifically proven

Numerous studies and publications on the WAL methodology have been issued to date – and many more are currently being created. A small excerpt.

  • Safe and controlled removal of unwanted adipose tissue – 40% less surgery time
    Taufig, A.Z.: “Water-Jet Assisted Liposuction. In: Liposuction – Principles and Practice”
    Springer 2006, 326-330
  • Less pain and side effects – Faster recovery
    Araco, A., M.D., Araco, F. Delogu, D., Cervelli, V: “Comparison of Power Water-Assisted and Traditional Liposuction: A Prospective Randomized Trial of Postoperative Pain”
    Aesthetic Plastic Surgery 31, 2007: 259-265;
  • Precise body contouring – Less pain – Less absorption of tumescent solution – Local anesthetic
    Man, D.; Meyer, H.: “Water Jet-Assisted Lipoplasty”
    Aesthetic Surgery Journal; May/June 2007: 342-346
  • Lipedema – Atraumatic liposuction – High fat cell viability
    Stutz, J.J., D. Krahl: “Water-Jet Assisted Liposuction for Patients with Lipedema: Histologic and Immunohistologic Analysis of the Aspirates of 30 Lipedema Patients.”
    Aesthtic Platic Surgery 33, 2009: 153-162
  • Breast augmentation – Up to 87% volume preservation – MRI controlled
    Breast augmentation with the BEAULI™ protocol“
    HaMiPla 42, 2010: 379-385
Studies
  • Fat grafting for volume replenishment after removal of silicone implants
    Klaus Ueberreiter, Ursula Tanzella und Felix Crommer: „Autologe Fettgewebstransplantation als Salvage-Vefahren nach Kapselkontraktur von Brustimplantaten“
    Aus „von Heimburg – Lemperle: „Ästhetische Chirurgie.“
    Ergänzungslieferung, Sept. 2011
  • Breast augmentation with the BEAULI™ protocol
    P. Münch: „Brustaugmenttion mit autologem Fett.“
    Erfahrungen aus 96 Operationen mit der BEAULI™-Methode
    HaMiPla 45, 2013: 80-92
  • Total breast reconstruction with WAL after mastectomy
    Hoppe, K. Ueberreiter, Y. Surlemont, H. Peltoniemi, M. Stabile, S. Kauhanen: „Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study.
    GMS – German Medical Science 2013 – Vol. 11, ISSN 1612-3174
More clinical studies

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The technique

Hydrodissection

With hydrodissection (water-jet assisted dissection)
the soft tissue is separated or removed using the gentle force of the water-jet.

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The procedures

During the hydrodissection (water-jet assisted dissection) the waterjet-assisted Liposuction (WAL) and the AquaShape® procedure are being used.

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