WHAT ARE THE COSTS AND RISKS OF A LIPOSUCTION/LIPOSCULPTURE? WHERE SHOULD I HAVE IT DONE? ARTICLE 5 OF 5

WHAT ARE THE COSTS AND RISKS OF A LIPOSUCTION/LIPOSCULPTURE? WHERE SHOULD I HAVE IT DONE? ARTICLE 5 OF 5

Angelina Cooper is pleased to provide you with an abundant amount of insight and information on LIPOSUCTION cosmetic surgery – including tips, suggestions, prices and recovery. With the following 100 Q&A’s, you will gain an indepth knowledge and thorough grasp of LIPOSUCTION in order to decide whether a LIPO is right for you.

81)How Long does the Tumescent Liposuction surgery take?

The length of Tumescent Liposuction surgery depends on what needs to be done and where. Some patients ask for only one small area to be sculpted, while others have many regions treated. It can take from 45 minutes for a small case to six or more hours for more extensive surgery.

82) What garment do I wear after Tumescent Liposuction?

Stabilizing your tissues in a special garment increases your comfort and ability to do things. Your tissues will be more comfortable after Tumescent Liposuction when they are not jiggling around. Compression also helps control swelling and bruising. Our patients wear this for about six weeks full time and then part time for 2 more weeks. Different styles are available for the various zones treated by the Tumescent Liposuction. We help fit our patients in an elastic garment specially designed for this surgery. A girdle like pants is used for the buttocks and thighs. An elastic vest is used for the male chest. Hooks and zippers on side openings assist in getting the garments on and taking them off.

83) Can I gain weight after Tumescent Liposuction surgery?

Tumescent Liposuction removes fat cells from localized parts of the body. Some cells are left behind intentionally. If too much fat is removed, the skin will stick unnaturally to the underlying muscle and tissues. The remaining fat cells can still store unused energy. For those who eat more than they use with exercise, the extra energy will be put away as fat. The distribution of where you put on the fat may be different after Tumescent Liposuction surgery.

84) Will Tumescent Liposuction get me rid of cellulite?

Cellulite is a condition that gives the skin a rippled, dimpled appearance. Tumescent Liposuction is not an effective treatment for cellulite.

85) Can I have Tumescent Liposuction done in combination with other procedures?

Yes. Tumescent Liposuction can be performed on several areas of the body at the same time. The Suction Lipectomy can be combined with other aesthetic operations. It can be integrated into a Facelift, Neck Lift, Abdominoplasty (Tummy Tuck), Mini-Tummy Tuck, Brazilian Butt Augmentation-Lift and other body contouring operations.

86) What is the cost for Tumescent Lipo? Anesthesia cost? Fee cost?

The price for Liposuction varies, depending on how many areas are treated. There are fees for the surgeon, for use of a facility and for anesthesia if it is required. The surgeon’s fee for Liposuction of the abdomen and love handles would typically cost approximately ,200-,000 USD. Anesthesia and facility fees can vary greatly; the ballpark range is around 0-,000 for the facility fee and 0-0 USD for anesthesia. But again, if your skin is stretched out with bad stretch marks, it may be better off with an abdominoplasy (Tummy Tuck). It’s recommended to make an appointment for a consultation with a plastic surgeon to get a better idea of desired goals and needs.

87) What are the benefits of Tumescent Liposuction?

Tumescent Liposuction can significantly reduce some of the unpleasant side effects of other techniques. Because the anesthetic solution temporarily reduces the size of the capillaries, it can significantly reduce blood loss during surgery and the pain, bruising, and swelling that occur post-surgery. And because Tumescent Liposuction provides local anesthesia, patients can avoid the side effects of general anesthesia, such as vomiting and nausea.

88) Can I undergo Tumescent Liposuction for weight loss purposes?

Tumescent Liposuction is not a good way to lose weight. Actually, very little weight is removed by this operation. Suction lipectomy is a technique to sculpt localized collections of fat. It is a tool of refinement. You are better off getting closer to your ideal weight first and then using plastic surgery to refine the resistant localized problem areas. Some doctors are trying to expand the boundaries of safe Tumescent Liposuction by removing massive amounts of fat from very obese people. This large volume Liposuction has very significant risks and can be dangerous despite some excellent results.

89) Will Tumescent Liposuction helps me with loose skin?

Tumescent Liposuction does not help loose skin. Suction lipectomy removes extra fat only. When skin has good elasticity, it shrinks nicely after fat sculpture. Excess fat and skin are better managed by operations such as tummy tuck (abdominoplasty), thigh lift, arm lift, and face lift or neck lift. It can be confusing for a patient to figure what type of plastic surgery is best for their problem on their own. At cosmetic Harmony we help our patients explore the array of plastic and cosmetic surgery options best suited for the patient’s desired results.

90) What areas are treated by Tumescent Liposuction?

In women the most frequently areas treated by Tumescent Liposuction are the outer thighs followed by the abdomen. In men the most common area is the flank or “love handle” region. Other areas commonly treated include: the face, neck, upper arms, upper and lower abdomen, lower back, hips, thighs inner and outer, sides of the knees, and lower legs. It is uncommon to treat all of these areas at one time (if all areas were involved weight loss may be a better option). Usually there are only a few regions that require Tumescent Liposuction.

91) How do I prepare for Tumescent Liposuction surgery?

Tumescent Liposuction preparation requires avoiding medicines that can cause bleeding. Aspirin, Ibuprofen, and many arthritis medications interfere with platelet function and must be stopped 2 weeks before surgery. Many cold, sinus, and other medications contain these drugs and must also be stopped. Vitamin E interferes with the blood clotting factors from Vitamin K. If applicable, stop taking Vitamin E at least 3-4 weeks before surgery. Cigarette smoking can hinder wound healing, so please stop at least 3 weeks before your operation.

To avoid ingrown hairs, don’t shave or remove hair near the regions to be sculpted the day of surgery. You will not be able to eat after midnight in order to arrive with an empty stomach the morning of surgery. You will be able to take your medications with a small sip of water that morning. Check with your cosmetic surgeon about any medications that you will be taking. Wear loose fitting clothing that opens in the front or pulls over easily; this will make it easier to dress over your pressure garment and dressings.

92) How is the recovery time for Tumescent Liposuction?

Tumescent Liposuction leaves local anesthetic solution in the tissues providing greater comfort after surgery than the older techniques. This prolonged relief can be of value in cases done under general anesthesia or sedation. Once this wears off, however, most patients experience some discomfort that is usually easily managed with some oral medication for a few days.

You may weigh more, about the same, or less right after surgery. Some of this is from the extra fluids used during the Tumescent technique that you will urinate over the next day or so. Some weight will be from the fluid of tissue swelling. How much and where depends on what was done. Since there is less bruising and bleeding from Tumescent Liposuction, there is less blood to be absorbed and irritate tissues. The lack of this irritation means that the swelling goes down much faster.

After sedation or general anesthesia, eat lightly at first to avoid an upset stomach. Drinking some extra liquids will help your body adjust its fluid balance. Since there is a lot of fluid injected during Tumescent Liposuction, some does leak out of the tiny wounds after surgery. This is normal and should end within a week. Using feminine pads or dressings to catch this liquid is an effective way to deal with this minor inconvenience. You can resume showering by the second day after surgery.

Tumescent Liposuction results in a rapid improvement of your shape. Most of the swelling goes down within 10 days but part of the result is from the contraction of tissue that has been treated. Although patients see a dramatic improvement within 7-14 days, it will take 3 to 4 months to see most of the changes in your contour.

93) When can I resume my work and activities?

You will need to limit your activity for the first couple of days – no strenuous exercise, lifting or bending over. Avoid any type of aerobic exercise (any activity that raises your pulse above 90) for at least three weeks. That much work may increase your swelling. Many are able to return to work almost immediately. It depends on what you do and the activity level of your job. Resumption of activities also depends on the extent of your Tumescent Liposuction, your health, and how you heal. In general the discomfort lessens significantly in 2-4 days. Stabilizing your tissues in a special girdle (garment) increases your comfort and ability to get around.

ULTRASONIC ASSISTED LIPOSUCTION

94) Ultrasonic Assisted Liposuction. What is it?

Ultrasonic Liposuction, or UAL, is a procedure that uses high-pitched sound waves to liquefy fat in a specific area before it is removed. UAL is a type of Liposuction that is primarily used for fat removal in hard-to-treat areas such as the chin, neck, cheeks, knees, calves and ankles. It usually serves as an addition to Tumescent Liposuction for patients who require more precise body contouring.

95) How do I know whether or not I am a candidate for Ultrasonic Liposculpture?

Traditional Tumescent Liposuction has been very effective in young patients with mild to moderate amounts of fat. Ultrasonic Liposuction expanded the number of patients suitable for body sculpting. This includes patients with larger amounts of fat and less elastic skin tone. It also allows surgeons to treat areas not easily or effectively treated in past years. This would include fibrous areas such as the back, male breast and upper abdomen. A physical examination is required in order to verify whether you are a candidate for this procedure.

96) What medical conditions might exclude me from being a candidate?

A patient needs to be in good medical condition in order to undergo this or other elective procedures. A patient should have the ability to heal incisions and adequately fight infections, and no medical contraindications such as a heart or lung disease. Heavier patients are now candidates for this type of procedure; however, obese patients with medical contraindications are not candidates. Patients with excessive amounts of redundant skin are not candidates for this procedure.

97) What sets Ultrasonic Liposuction apart from traditional Tumescent Liposuction?

What makes this so unique is the ability to gently liquefy or emulsify the fat without injuring the adjacent structures. This is a non-mechanical method of dissolving the fat that also appears to tighten the skin. There has been less blood loss, less bruising and decreased tissue trauma observed. Ultrasonic Liposuction allows us to also removed fat in areas that were preciously unable to have Liposuction such as the back, upper abdomen and male breast.

98) What is Internal Ultrasonic Liposuction?

Ultrasonic Liposuction, (Ultrasound Assisted Lipoplasty) or “Ultrasound Assisted Liposuction” (U.A.L.) is a technique of Liposuction where the fatty tissue is removed with the assistance of sound waves which are beyond the range of human hearing. Because the sound waves are doing the work the surgeon is able to more precisely guide the cannula. This increases safety. The Ultrasonic energy is targeted to fat cells and creates less damage to other tissues such as nerves, blood vessels and muscles.

99) What Areas of the Body Does UAL Treat?

Ultrasonic Liposuction can be used in all areas that traditional Liposuction treats, but it works especially well on areas that require more precision. The stomach, midsection or “love handles,” male breast tissue, chin, and neck all respond well to UAL, as do areas that have been previously treated with Liposuction but are in need of further contouring.

100) How can the plastic surgeon see what his doing?

The Ultrasonic Liposuction equipment is highly sophisticated. The fat is dissolved by the Ultrasonic waves that are emitted from the end of a cannula. This liquefied fat is then gently aspirated away. While endoscopic techniques have been utilized to inspect the areas in which the fat has been removed, it is not necessary on a routine basis. This is because the results are immediately visible, just as when ice or snow melts in the sun.

101) How do I decide whether to have Liposuction-Liposculpture, or Ultrasonic Liposuction?

The surgeon should review his experience with the various methods and analyze your body type. Some surgeons may advise Ultrasonic Liposuction for large volume extractions, especially in tough areas such as the back, flanks and hips. It was designed principally for the hard to extract deep fat and to reduce surgeon fatigue. External Ultrasonic energy can be applied and is recommended by some surgeons before or after the fat is removed by regular Liposuction. Ultrasonic Liposuction must ordinarily be combined with traditional Liposuction when deep and surface fat is being removed. This does add to the operating time or to the cost of the surgery and may offer no advantage for most surgeons. For gynecomastia (large breasts in the male), some experts advocate the sole use of Ultrasonic Liposuction but it should not be used aggressively near the nipple skin.

102) How the Ultrasonic Liposuction Procedure is done?

UAL is a form of Liposuction that uses Ultrasonic sound waves to essentially “melt” fat deposits into a liquid state. When combined with the injected Tumescent fluid, the liquid fat emulsifies, making its removal much easier.

Tumescent Fluid Injections

The first step in the Ultrasonic Liposuction procedure is the injection of Tumescent fluid, which is a mixture of anesthetic, salt water solution, and epinephrine, into the area being treated. This helps prevent fluid loss during the fat removal process and makes the deposits easier to remove.

Ultrasonic Sound Waves Liquefy Fat

During Ultrasonic Liposuction, fat removal is initiated by sound waves produced by a generator. The Ultrasonic waves are transmitted to a thin, vacuum-like tube, called a cannula. When the cannula comes into contact with the fat cells, they quickly liquefy, and are easily vacuumed out.

103) How long has Ultrasonic Liposuction been available?

Ultrasonic Liposuction began in Europe in the early 90s and became popular in the United States in early 1997.

104) Does Ultrasonic Liposuction cost more?

Because of the added cost of the equipment, some of which is disposable, most plastic surgeons charge slightly higher fees for Ultrasonic Liposuction. Because Cosmetic Harmony often combines traditional and Ultrasonic Liposuction to obtain the maximum benefit for each patient, there is only minimal added cost.

105) How the Ultrasonic Liposuction Procedure is done?

UAL is a form of Liposuction that uses Ultrasonic sound waves to essentially “melt” fat deposits into a liquid state. When combined with the injected Tumescent fluid, the liquid fat emulsifies, making its removal much easier.

Tumescent Fluid Injections

The first step in the Ultrasonic Liposuction procedure is the injection of Tumescent fluid, which is a mixture of anesthetic, salt water solution, and epinephrine, into the area being treated. This helps prevent fluid loss during the fat removal process and makes the deposits easier to remove.

Ultrasonic Sound Waves Liquefy Fat

During Ultrasonic Liposuction, fat removal is initiated by sound waves produced by a generator. The Ultrasonic waves are transmitted to a thin, vacuum-like tube, called a cannula. When the cannula comes into contact with the fat cells, they quickly liquefy, and are easily vacuumed out.

106) What are the Ultrasonic Liposuction risks?

Because a large amount of heat is created during Ultrasonic Liposuction, there is a greater risk of burns, blistering, and scarring. A UAL surgeon with Liposuction experience will know how to avoid this problem, but the danger should still be noted. Another risk is a condition called seroma, which occurs when the body tries to fill the void created by fat removal by producing excess fluid. This fluid must be removed continuously with a syringe until the cavity has closed.

LIPOSELECTION® / VASER®

107) What is the LipoSelection® developed by VASER®, and How this procedure is done?

VASER® Liposuction emulsifies fat prior to removal, facilitating the Liposuction process and reducing pain and tissue damage. LipoSelection® uses an ultrasound probe to break up fat before it is removed. This type of Liposuction reduces pain and results in a faster healing time.

LipoSelection®, developed by VASER®, is an Ultrasonic (UAL) Liposuction procedure, meaning it uses Ultrasonic energy as a means of fat removal. The ultrasound technology breaks up and emulsifies the fat that is to be removed. Unlike other fat removal methods, LipoSelection® leaves the surrounding nerves, blood vessels, and tissue virtually unharmed. After a local anesthetic is applied, the surgeon will fill the area to be treated with a saline wetting solution to numb the site and shrink blood vessels. This helps minimize post-surgical bruising and swelling. A small probe emitting high frequency sound energy is used to break up fat on contact with minimal damage to surrounding tissues. Fat may then be easily extracted with Liposuction tubes.

108) What areas of the body can LipoSelection® Treat?

The level of precision and safety LipoSelection® provides allows physicians to sculpt and shape delicate areas of the body, such as the arms, chin, neck and inner thighs. VASER® Liposuction can remove fat from any area treatable with traditional Liposuction techniques: abdomen, thighs, buttocks, knees, hips, back, arms, male breasts, love handles, chin and neck areas. Because LipoSelection® does not harm the tissues surrounding the treated area, patients experience only minimal bruising.

109) What is the benefit of getting a LipoSelection® procedure done?

This proprietary method by VASER® is considered an advanced Liposuction method in terms of both precision and diminished pain for the patient. LipoSelection® uses ultrasound technology to emulsify fat prior to removal. The liquefied fat can then be removed with ease, leaving surrounding tissue relatively undamaged. Not only will you experience less bruising and swelling following surgery, LipoSelection® is less painful than traditional Liposuction. This is because the sensitive nerves, blood vessels, and connective tissue beneath your skin will remain largely undisturbed during the procedure.

110) Is there any type of Risks about LipoSelection® I should know?

The risks of VASER® Liposuction are very similar to the Liposuction risks associated with any other method. However, because LipoSelection® minimizes damage to other body tissues, patients typically experience less pain and fewer side effects than with other forms of Liposuction. Serious Liposuction complications are quite rare. Fat clots or blood clots may form, and there is a chance these will migrate to the lungs and cause serious illness. The fluid loss that results from Liposuction will be anticipated by a qualified doctor, as it can cause low blood pressure, friction burns, or fluid buildup. The LipoSelection® probe’s ultrasound energy may injure the skin or deeper tissues, although in most cases the benefits of the ultrasound system make it safer than traditional Liposuction. If a doctor inexperienced with the LipoSelection® procedure applies too much fluid, the wetting solution may collect in the lungs. If there is too much lidocaine in the Liposuction solution, lidocaine toxicity may develop.

PAL (POWER ASSISTED LIPOSUCTION)

111) What is PAL (Power Assisted Liposuction)?

PAL uses a powerized cannula which moves back and forth through the fat tissue in a rapid motion. PAL is not Ultrasonic. No heat is generated to harm healthy tissues. With PAL, less force is required to remove unwanted fat, especially in areas of more fibrous tissue. That makes the procedure easier on both patients and surgeons.

112) Who can be treated with power assisted Liposuction?

Both men and women can benefit from Power Assisted Liposculpture. Weight and age restrictions have been lifted. Most patients who have localized fatty deposits, are within thirty pounds of their ideal weight, and have been stable at that weight for years.

113) Who are the best candidates for PAL?

The best candidates are as follows:

• have firm, elastic skin and are in good health;
• have tried diet, exercise and weight loss programs;
• have disproportionate fat deposits in their body;
• have realistic expectations; and
• don’t expect liposuction to change their lives dramatically.

114) Which areas of the body are most frequently treated with PAL?

The most frequent areas treated by PAL in men are the “love handles,” breasts, abdomen and neckline. In women they include: thighs, hips, buttocks (saddle bags), stomach, knees, lower leg, ankles, jowls, and chins. Some women elect to have their fat recycled. Through a procedure called lipo-augmentation, their fat is transferred to other parts of their body, like their lips, for example.