Archive for the ‘Liposculpture’ Category
10 Questions for Dr. Commons
1. How effective is liposuction for arm bulkiness? Is repair of the bat wing deformity possible?
Arm liposuction is one of the simplest and most gratifying procedures in plastic surgery. The great results have greatly decreased the number of skin excision surgeries necessary. The incision for liposuction is a tiny incision at the elbow that quickly gos away. Come for a consultation and simple surgery. I have done well over 1000 arm liposuctions. This is a really wonderful procedure.
2. When deciding on which route to go for a liposuction procedure, should I seek out the latest technology?
The skill of the surgeon is everything. The technology is irrelevant. 93% of the world’s liposuction is done by simply small instruments. Choose a surgeon boarded by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons who is able to prove a track record of success in liposuction procedures, take good care of yourself after surgery, and you will likely be pleased with the results.
3. Where does a dissolving fat graft go?
The fat breaks down and the lipids and by products are removed by the blood stream. The fat metabolic fragments are then further altered and removed by kidneys and liver. This dissolution process will not be harmful to you. The fat that does not survive is that that gets too little blood supply.
4. How painful is liposuction?
The pain is at most moderate. Getting more areas hurt more, of course. The good news for patients considering liposuction is that the pain medication Percocet is highly efficient in providing comfort. Do I recommend multiple areas? Possibly. If multiple areas can be done at once there is the economy of cost and recovery time off from work to consider. How long off work? Minimum one week for bigger cases but many tummy lipos go back the next day. How long to full work out? Full blast in 5-10 days. It depends on the number of areas.
5. Can patients on coumadin and other blood thinners have plastic cosmetic elective surgery?
No. It is far too dangerous to remove coumadin therapy for elective cosmetic surgery. If you are taking coumadin because of heart irregularity and stop it electively you could have a stroke and die. Don’t risk it. If you need surgery other than cosmetic to save your life or maintain health, go ahead and do it. The risk is small and you have no real choice. But for cosmetic elective surgery such as a facelift or liposuction, the answer is no. Be safe and not sorry.
6. In a tummy tuck procedure, what muscles are repaired? How long does it last?
During the tummy tuck your midline muscles are repaired. They are called the rectus muscles. When we are born these muscles are side by side parallel.
As we age, get fat, or go through pregnancies, the muscles separate and become bowed out. This means the muscles are no longer joined in the middle. You cannot get a 6-pack. You cannot even exercise because the muscles are not parallel and exercise only further separates them. This is a true hernia. During a tummy tuck, the rectus muscles are sutured together in a very strong fashion.
Once done properly, this never needs to be repeated. You are returned to pre-pregnancy condition. This also works beautifully for people who have lost weight and are now thin but have a protruding stomach because of muscle separation. Once repaired, a hernia will not return.
7. Can flank-hip liposuction make the buttocks more attractive?
Liposuction of the area above the buttocks, the flank-hip area, suddenly seems to give the buttocks a better shape. This occurs for two reasons. The removal of the fat hiding the buttock curve allows the natural attractive curve to show.
Reason two is that the skin above the buttocks contracts and pulls up the buttocks. If a person is really flat and desires a more shapely, attractive posterior, fat removed from the flank hip zone and elsewhere can be added to the buttocks. About 50% of fat permanently survives so the trick is to use twice as much as you feel you need. This works great.
8. What kind of pain is involved with getting Juvederm lip injections?
There should be no pain if the treatment is done properly with TLC and expert kindness. I have all of my patients prep one hour ahead with a full tube or two of EMLA cream. The cream must be placed on the skin 60 minutes before and applied according to my simple formula. Next, I do a tiny injection of lidocaine and block the infraorbital nerve and the mental nerve. This allows a zero pain experience when you are treated with Juvederm to your lips.
9. What is the true test of a perfect nose job?
The best test is the naturalness factor. The post operative result must have a non operated appearance.
10. Do breast implants cause breast cancer or any form of cancer?
Breast implants cause no form of cancer whatsoever. This has long been established. From time to time there are sensational articles implying the opposite, but it is 100% untrue. No cancer has ever been linked to breast implants.
Posted in Breast Procedures, Fat Transplantation, Hip Liposuction, Liposculpture, Liposuction, Nose, Plastic Surgery, Tummy Tuck, Weight Control on February 8th, 2012
What is Liposculture?
Liposculpture is very precise, exact liposuction using the Vaser Liposelection system for absolute perfection.
Very small ultrasonic probes are used to gently melt the fat and then tiny 2 to 3 mm suction cannula are used to remove the emulsified fat. This procedure takes a bit longer than traditional liposuction using larger instruments. The extra time and a little extra expense are well rewarded. See Vaser Sound Surgical.
Posted in Liposculpture on February 3rd, 2012
Why Fat Returns After Liposuction
Fat returns after liposuction in 50% of patients. Why is this? There are two reasons based on several issues here.
First off, as we age we become less active and gain weight. Being sedentary causes a larger portion of our body to turn to fat. Humans tend to gain weight and increase their fat percentage as they age.
Extra weight and a fat percentage increase ruins the effects of liposuction. As a result, the areas treated become uneven. Shoulders and breasts enlarge and take on a masculine figure.
Abdomens and thighs that have undergone liposuction often redirect fat to the shoulders, arms, and breasts. At times the fat goes inside the abdomen around the intestines. This can result in a huge abdomen bigger than the original. About 50% of those who have undergone liposuction are thought to experience this fat disaster problem.
It is absolutely vital that lipo patients dedicate their best efforts to keeping their weight down following the procedure.
- On the morning of your liposuction, carve your weight into the inside door of your pantry.
- Reflect the weight your surgeon removed when you step on your home scale. If you started at 150 and had 10 pounds removed, you now weigh 140 pounds. You must vow not to weigh more than that the following month.
- For the best results, match what your surgeon took out and get down to 130 pounds.
Getting liposuction is an investment that costs money and time. Do not squander it by being careless about your body. Do what it takes to protect your investment. Eat well, avoid fat, count calories, go to Weight Watchers.
Do not deny failure. Hit it on the head and lose the weight. What goes in goes on. You gain weight because you eat too much – eating in excess of what your body needs to energize it self becomes fat on your body. Women rarely gain appreciable weight from muscle mass, so do not fool yourself. Denial is the enemy here.
You must not become sedentary and allow your body to become fat. Get your fat percentage checked at a gym regularly, or get a scale that measures it. Nobody wants a body that is 50% fat. Exercise.
So that’s the story.
Large volume liposuction refers to any procedure in which more than 12 pounds are removed. If you need more than 12 pounds removed, I recommend starting with the staged route.
View some liposuction results here.
Posted in Ankle Liposuction, Arm Liposuction, Backrolls, Body Procedures, Liposculpture, Liposuction, Male liposuction, Plastic Surgery, Thigh Liposuction, Weight Control on December 7th, 2011
