Excess subcutaneous fat that is resistant to diet and exercise. Most patients are at or near their ideal body weight and desire permanent contour changes. Commonly involved areas include the neck, jowls, abdomen, outer thighs, inner thighs, hips, waist, knees, calves, and ankles.
Permanent improvement in the contour and proportion of the treated areas. A more flattering figure or physique both in and out of clothing.
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Liposculpture procedures are done under anesthesia at our own on-site, AAAASF-Certified surgery center. We commonly use a laryngeal mask anesthetic, as well as a tumescent local anesthetic, to numb the area and make the blood vessels smaller to limit bruising. With a laryngeal mask, a rubberized insert is placed in the back of the mouth whereby inhalation gases can be given to keep you asleep. Intravenous medications are also given prior to the mask so that you do not feel or remember anything. We also use a BIS monitor to measure your brainwave activity. With this technique, we can give you just the right amount of anesthesia to keep you asleep and yet wake up quickly with little hangover effect. Smaller areas can be done with the LiteShape™ technique in-office with a local anesthetic and oral sedation. The gentlest liposuction technique available is Vaser Liposuction.
In all liposculpture procedures, a diluted solution of local anesthesia and adrenaline is placed through tiny incisions around the area to be reduced. The fat cells and the fat contained in them are removed by a gentle, power-assisted tube. Here, unlike the older method of thrusting the tube back and forth, a machine drives the motion of the tube and the physician simply guides it around the area. This is easier on the patient and leads to less bruising and a faster recovery.
Smaller areas are done with a syringe technique. Here, a very small “micro cannula” does the fat removal with the negative pressure supplied by the plunger of the syringe. Also, check out a new method of liposuction, called Ultra Definition Liposuction.
Recuperation and Healing
The areas treated with suction-assisted lipoplasty will be sore and swollen for several days. Most people describe it as “feeling like a hard workout.” A compression garment is worn for the first 2 weeks. Once the initial soreness subsides, you may be more comfortable in spandex or Lycra exercise shorts. Bruising tends to last about 10-14 days. Most of the swelling and thick feeling of the tissues will resolve in 6 weeks. The skin continues to contract and take up the slack of the removal of the underlying fat for about 5-6 months.
Additional procedures that would enhance the result are Tummy Tuck, Thigh Lift, Breast Reduction, Exilis, and LipoDissolve. We will sometimes recommend a multi-level approach to body contouring where the deep fat and contour are treated with power-assisted liposuction and the superficial cellulite component treated with LipoDissolve, Liteshape™, or Exilis.