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There are numerous exciting new applications of ultrasound therapy in cosmetic surgery. Ultrasound has been used for cosmetic purposes since around the early 1980s. Widespread therapeutic usage, safety, precise control and excellent, predictable results have made ultrasound an important addition to cosmetic surgery practices. New and current uses of ultrasound include body skin-rejuvenating treatments, reduction of stretch marks, treatment of contracture and scar tissue such as around breast implants, and the pre- and post-operative treatment of plastic-surgery patients to accelerate healing and recovery after procedures such as tummy tucks, liposuction and much more. After a liposuction for example, the holes caused by the action of the cannulas end up giving rise to small fibroses. When these internal scars are small in size and small in number, they do not adversely affect the outcome of plastic surgery.

Fibroses begin to appear usually at the beginning of the postoperative period and more prominently in the first 3 months.

The mechanisms of action of ultrasound should be considered in terms of four categories. First is the thermal effect, which relates to the heat generated into the deeper tissues, especially the collagen, and the benefits derived from this. Second is the mechanical effect, which relates to the high-speed vibrations that act on the tissue just like a micro-massage. Third is the cavitation effect. This refers to the production of countless microscopic droplets of oxygen from the vibrational process. Fourth are the biological effects, which include blood-vessel dilatation, improved blood flow and circulation, sonophoresis, improved lymph flow, muscle relaxation, reduced inflammation and dissolves fibrosis. The treatments brings immediate pain relief.