The zones of adherence: Role in minimizing and preventing contour deformities in liposuction

True body sculpting demands a three-dimensional artistic understanding of t he anatomic and surgical adipose layers of the central trunk when performin g circumferential liposuction. This is essential in preventing complication s from both ultrasound-assisted and suction-assisted lipoplasty. The author s describe five zones of adherence that should be avoided to prevent contou r deformities in the central trunk area when performing circumferential lip osuction. The anatomy of the subcutaneous tissue of these five anatomic zon es is reviewed and correlated radiographically with magnetic resonance imag ing studies. Aesthetic and technical considerations required to properly li posculpt the central trunk are demonstrated by case analysis of primary and secondary Liposuction patients. These cases also delineate how to prevent and/or minimize deformities after Liposuction.