Felman NTLC Millennium Lipoplasty Cannula System

You can now remove Clean fat without trauma!

Diameters in mm (inner/outer): 3/5, 5/7, 7/9

UseNTLC cannulas with inner diameter 5mm and 7mm are to be used in areas with larger amounts of fat. In regions containing low amounts of fat, a 3mm NTLC should be used.*

CE 0029 Certificate of Conformity

Characteristics:

✓ NTLC is transparent and immediately indicates the contents that are being removed.
✓ NTLC does not cause trauma and removes adipose tissue through penetration instead of cutting, as demonstrated in this presentation.
✓ NTLC gives the surgeon the ability to perform both superficial and deep liposuction.
✓ NTLC enables the removal of adipose tissue without using a special vacuum or syringe. Fat removal is made possible by the NTLC design and 4 physical Laws:

  1. Newton’s Third Law of Motion
  2. Hydraulic Pressure
  3. Law of Gravitation
  4. Law of Communicating Vessels

✓ A suction machine or vacuum 60cc syringe are used to accelerate fat removal and facilitate the surgeon’s work.
✓ Because the NTLC is not sharp, it avoids tissue trauma and does not cause bleeding. Fat removed using the NTLC does not contain parts of fibrous tissue or destroyed adipose cells. With the NTLC, there is no need to infiltrate or re-clean adipose tissue before grafting.
✓ NTLC enables removal of true gynecomastia with no additional incisions.
✓ NTLC significantly reduces the time needed to perform a lipoplasty.
✓ NTLC requires no strenuous physical effort on the part of the surgeon during lipoplasty.
✓ NTLC penetrates adipose tissue easily: transparent walls provide the surgeon with full visual control; the NTLC is also easily controlled manually.
✓ NTLC instantly detects and removes roughness in a subcutaneous adipose layer, helping the surgeon to achieve the best possible aesthetic result.
✓ The design of the NTLC enables the surgeon to clean the cannula easily.
✓ The handle of NTLC is universal and is compatible with all vacuums and 60cc syringes.

When using the NTLC, fat enters the cannula opening without the sucking force of a vacuum. The fat has weak resistance, while fibrous parts on the other hand have a stronger resistance to the NTLC and do not enter into the cannula. The open-ended NTLC does not traumatize adipose tissue – it penetrates but does not cut it. Different tissues react differently to the same force. Fat is the weakest tissue and its resistance is much lower than that of blood vessels, fibrous tissue, fascia, tendons and other tissues. The lack of blood found in fat removed using the NTLC is proof of this technological success.

Comparison Table - NTLC vs Metallic Lipoplasty Cannula

Comparison Table – NTLC vs Metallic Lipoplasty Cannula

How I use the NTLC: (by Dr. Felman) - click to expand

A long micro cannula is inserted into superficial fascia/camper’s fascia and anaesthetic solution is injected with a peristaltic pump. The micro cannula remains in its place without any movement until tissues take on a “woody” quality and the surgeon’s hand can feel significant tissue hardening.

If the micro cannula is too close to the skin, then “orange skin” (intradermal bleb of local anesthesia) is created, and the micro cannula should be inserted deeper.

When infiltration is complete, the surgeon should start liposculpturing immediately. When work in one area is complete the surgeon should move to the next area and repeat the process described above.

This technique makes it possible to remove up to 3 liters of fat within a short time (only 24 minutes) and at the same time prevents possible lidocaine intoxication.

The NTLC is inserted immediately to remove adipose tissue of the deep fat layers. After the deeper fat is removed, the NTLC removes fat from the upper layers, if necessary.

If the surgeon desires, it is possible to perform lipoplasty by means of NTLC without the use of a syringe or liposuction, if 5 physical laws are observed: 1. High hydraulic pressure, 2. Law of communicating vessels, 3. Law of gravitation, 4. Law of force and counterforce, and 5. Use of the NTLC.

The cannula movement should be rectilinear and done without bending the tunnel in which the cannula is inserted.

At the end of lipoplasty we must check whether any areas of adipose tissue remain. Therefore the cannula, inserted to its entire length, must be lifted making it possible to see any unevenness due to remaining fat. Then the “mouth” of the NTLC should be turned to skin and moved to smooth out all roughness (tissue irregularity).

There is no doubt that connecting the NTLC to a suction machine or syringe will accelerate the surgery. In my experience, when using both the NTCL and a vacuum, a surgeon will need 24 minutes to remove three liters of fat from the upper abdominal layer.

In general, adipose tissue removal using the NTLC can be performed without loss of blood, without ecchymosis, and without the removal of fibrous connective tissue.

It is advantageous to inject a solution into the adipose tissue when using the NTLC. For Lipoplasty should be started immediately after injecting the solution, as this stiffness indicates an increase in inner tissue pressure.

If the surgeon believes that the lipoplasty area is too large, it is recommended that the surgeon perform lipoplasty on only half of the abdomen or other area. After completing the lipoplasty on the first half, the surgeon can then perform the procedure on the remaining half. In practice there is no need to wait. After lipoplasty of one part has been completed, immediately start liquid injection into another area to increase pressure in the tissue.

A vacuum contributes to fat removal from the lumen of the cannula, thus reducing the duration of lipoplasty and general anesthesia, and facilitating the cosmetic surgeon’s work. Vacuum as I noted before enables quick fat removal.