Ultrasonic assisted lipoplasty (UAL) is the application of ultrasonic waves on fat tissue. Similarly as we have reported formerly on ice technologies, the goal is here to “liquefy” fat. However, fat does not entirely disappear. UAL is a precondition for subsequent use of low vacuum suction. This use in cosmetic surgery is not unique. You may have heard of lithotripsy, which is the same procedure, i.e. using the ultrasonic waves to destroy unwanted or undesirable tissue – only lithotripsy is done on patients suffering from kidney stones while UAL found its use in cosmetic surgery. In either of these methods, the ultrasonic waves do not actually destroy or eradicate the tissue completely. Ultrasound-assisted liposuction has been attempted to “liquefy fat,” which should result in minimal incisions in subsequent operation. UAL begins injections of saline solution, which facilitates fat suction. Small incisions are made, wherein a tube is inserted, which produces ultrasonic waves, thus hitting a specific problem area. The fat is then removed with mild suction of the saline solution. UAL is a gentle technique, which is more expensive than ordinary liposuction but should result in minimal bruising, blood loss and swelling. It may be used after liposuction, as a contouring procedure.