Ultrasound-assisted lipoplasty (UAL) is an important adjunctive technique t
o traditional lipoplasty that permits true circumferential body contouring
of the trunk and thighs. Its effectiveness is realized in those patients de
monstrating diminished skin tone, skin irregularities, and fibrous areas of
lipodystrophy. Patient evaluation and selection, indications for UAL, and
operative strategy beginning with the initial consultation are discussed.