Comparison between conventional liposuction, vibrolipo, and HD liposuction in body contouring: efficacy, safety, and impact on aesthetic results

• DOI: https://doi.org/10.22533/at.ed.515722626016

• Palavras-chave: vibrolipo; HD liposuction; body contouring; cosmetic plastic surgery.

• Keywords: vibrolipo; HD liposuction; body contouring; cosmetic plastic surgery.

• Abstract:

  Introduction: Liposuction is one of the most commonly performed aesthetic procedures worldwide, having evolved significantly in recent decades with the development of energy-assisted techniques and high-definition approaches. Among the main modalities are conventional liposuction, vibrolipoaspiration, and high-definition liposuction (HD lipo). Despite its widespread use, controversies persist regarding the real technical advantages, safety profiles, and aesthetic superiority among these approaches.
  Objective: To critically compare conventional liposuction, vibrolipo, and HD lipo in terms of body contouring efficacy, safety, operative time, postoperative recovery, and quality of aesthetic results.
  Methods: Structured narrative review of the literature, including prospective and retrospective clinical studies, case series, and systematic reviews published between 2005 and 2025 in the PubMed/MEDLINE, Scopus, and Web of Science databases. Outcomes related to fat removal, anatomical definition, complications, recovery time, and patient satisfaction were analyzed.
  Results: Conventional liposuction showed consistent efficacy for overall volume reduction, with greater mechanical effort and operative time. Vibrolipo demonstrated less tissue trauma, less surgeon fatigue, and faster recovery. HD liposuction provided greater muscle definition and better results in selected patients, at the expense of greater technical complexity and a higher risk of irregularities.
  Conclusion: All three techniques are effective and safe when properly indicated. The choice should be individualized, considering biotype, aesthetic expectations, surgeon experience, and the objective of the procedure.