Custom Acoustic Liposuction, A Physician’s Perspective on Why This New Fat Removal is Best for Both

From: Innovations MedSpa
Published: Thu Oct 01 2009

"I believe in staying on the cutting edge. There are so many devices out there; right now I have a dozen on my desk. My responsibility is to study these devices, and provide only those that are effective and safe. Patients deserve access to new technology that has been put through the due diligence process by their doctor especially when it comes to procedures which are elective."

What’s in a name? In the case of Innovations MedSpa, founder and Chief of Staff, Dr. Bill Johnson says, "everything." The name of the practice conveys his philosophy that extraordinary care and the best results can only be achieved by staying on the leading edge of a specialty. And when the specialty is aesthetic medicine technology—that is quite a commitment. Surpassed only by the growing demand for cosmetic procedures are the hundreds of "new and improved" treatments and devices promising the "next generation" state-of-the-art methodology. Dr. Johnson’s primary emphasis is on skin care treatments and body shaping —two of the most sought after procedures. In fact, in 2008 over 245,000 men and women had liposuction making it second to breast augmentation in popularity. So, what is the difference between all the liposuction techniques we hear about? At the end of the day, do they achieve similar results? Before considering any type of fat removal, it is important to understand the history and science behind each method. Here, Dr. Johnson explains what every prospective patient should know about liposuction and an exciting new method he prefers for his patients.

"Each type of Liposuction has its distinct advantages and disadvantages. There are a number of new power assisted tools and techniques that assist the physician and improve the experience for the patient." Dr. Johnson believes that unless a physician chooses to specialize in liposuction, it is difficult to keep up with new technologies, much less become an expert at several techniques. An early adopter of Smart Lipo, Dr. Johnson was impressed with its’ skin tightening effect, but found it difficult to remove large amounts of fat. "I began searching for a device that would improve my ability to maximize the infiltration and suctioning part of liposuction. That is when I was introduced to Custom Acoustic Liposuction, CAL. The key difference is the 3-D nutational vibration aspect during infiltration, or numbing part of the procedure." According to Dr. Johnson, standard procedure calls for small incisions to be made in the areas to be treated in order to insert the cannula carrying the tumescent solution. With CAL, the 3-D nutational infrasonic vibration easily glides through fibrous areas allowing less fatigue for the surgeon and more comfort for the patient, with the added bonus of better overall diffusion of the tumescent fluid. The tumescent fluid, a solution laced with an anesthetic called Lidocaine and a drug called Epinephrine used to help minimize blood loss, is pumped into the area prior to fat removal. Unlike Standard Liposuction, Ultrasonic Liposuction and Smart Liposuction, CAL infiltrates tumescent fluid approximately 25% faster. "One of its’ key benefits is the fact that you move the cannula in and out less, with fewer passes, it’s less traumatic for the patient. There is also the aesthetic component from the suction cannulas being used. Vaser offers different size cannulas but they don’t do different things. CAL’s smaller suction cannulas are ideal for detail work or fat transfer. The CAL system comes with a variety of cannula sizes, shapes and designs for better contour and artistry."

After treating over 100 patients with CAL, Dr. Johnson says his biggest surprise was how valuable it was in secondary cases. "Performing liposuction in an area that has already been treated is tricky because of the scarring. The ease of doing these cases has been quite impressive and the amount of fat removed is incredible. We used Ultrasound Assisted Liposuction on a 118lb. woman and thought we aspirated all we could, but during a second procedure on her abdomen we aspirated an additional pound of fat - 600cc. That speaks to getting out more fat in a primary patient as well." Who is the best candidate for CAL? Dr. Johnson emphasizes the best candidate for any liposuction is someone who is close to ideal weight range but has an area of fat that just won’t go away, such as saddle bags or love handles. "I am eager to recommend CAL to patients because the vibration mitigates most of the discomfort during infiltration, allows more fat to be removed and there is ultimately less bruising and less recovery time since there are not as many passes with the cannula." He also points out that liposuction does not mean a hospital stay with general anesthesia. Dr. Johnson performs liposuction under local anesthesia in his office and recovery is usually just a few days at home. A hearty recommendation is also extended to his peers. "If you are a physician interested in saving time and labor versus other techniques while keeping your liposuction results extraordinary, you will want to learn more about Custom Acoustic Liposuction, CAL. I’ve found it to be the most effective fat removal system used in cosmetic surgery. It offers a good price point, delivers the optimal amount of anesthetic, and a more comfortable recovery for the patient."

About Innovations MedSpa and Dr. Bill Johnson:
Dr. Bill Johnson graduated with honors from Texas Tech University where he earned his undergraduate and doctoral degrees and ultimately completed his internal medicine residency in 1984. He served as a partner at the Lubbock Diagnostic Clinic in Lubbock, Texas from 1984 through 2000. Dr. Johnson opened his first practice in Grapevine, Texas in 2002. He subsequently added aesthetic medicine to his practice, and renamed the practice Innovations MedSpa. Today his practice is 100% cosmetic and has expanded to include offices in the Dallas and Fort Worth, Texas Metroplex. He is regularly featured on "Good Morning Texas" and a frequent guest on ABC, FOX, NBC and CBS. Dr. Johnson is an active member of the Texas Medical Association, The American College of Physicians, The American Medical Association, American College of Physician Executives and American Society for Laser Medicine and Surgery. True to its name, Innovations MedSpa has the distinction of being the first in the U.S. to offer Custom Acoustic Liposuction (CAL); first practice in Dallas/Ft. Worth, Texas to offer SmartLipo; first internist in the U.S. to utilize Vaser® (Ultrasound-Assisted Liposuction); first in North Texas to utilize Thermage DC (deep contour) and second-generation Thermage (Thermage NXT) and the first in the U.S. to use Acoustic Wave Therapy (AWT) for cellulite reduction. For more information on Dr. Johnson and Custom Acoustic Liposuction (CAL) visit his website at or call (214) 420-7970.

About Custom Acoustic Liposuction:
Custom Acoustic Liposuction (CAL), known in Europe as Nutational Infrasonic Liposuction (NIL), is the newest form of Liposuction offered in the United States. It was first introduced in Belgium by a physician who performed several Liposuction procedures per day. Liposuction procedures require a good amount of physical exertion on the part of the physician performing the procedure. CAL was developed with the objective of increasing the physician’s performance while decreasing the physician’s effort. Unlike current liposuction techniques that utilize laser or ultrasound energy, the cannula used in CAL stays cool, thus eliminating the risk of thermal injury to tissue. Additionally, the CAL System includes an automatic shut off when it approaches non-fatty tissue such as skin or muscle, thereby protecting the surrounding tissue from trauma. These safety features enable the CAL System to safely and more effectively remove deep fat as well as the superficial fat and create "high-definition" sculpting. The CAL System offers all of the benefits of current liposuction technology without the inherent risks. CAL is FDA cleared and is distributed in the United States by Medical Alliance Services,, and (866) 981-5017.

Press Contact:
Alan Vojtech
Innovations MedSpa
12660 Coit Rd., Suite 100
Dallas, TX 75251
(214) 420-7970
Company: Innovations MedSpa
Contact Name: Alan Vojtech
Contact Email:
Contact Phone: (214) 420-7970

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