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Body Contouring Procedures

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LIPOSUCTION

PROCEDURAL STEPS:

Generally performed as an outpatient procedure under local anesthesia with sedation general anesthesia may be recommended. Working through small incision your surgeon uses a cannula or hollow surgical tube to loosen fat and remove it through attached suction.

THE INCISION

Liposuction is performed through small, inconspicuous incisions.
First, sterile liquid solution is infused to reduce bleeding and trauma. Then a thin hollow tube, or cannula, is inserted through these incisions to loosen excess fat using a controlled back and forth motion.
The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula

PROBLEM AREAS THAT CAN BE ADDRESSED WITH LIPOSUCTION:




THE RESULTS

Your improved body contour will be apparent when the swelling and fluid retention commonly experienced following liposuction subside.
With continued practices of healthy diet and fitness, the loss of excess fatty tissue should be permanently maintained. However, substantial weight gain can alter an otherwise permanent result.


SmartLipo Techniques

Smartlip Laser Body Sculpting Laserlipolysis

As more women and men want to look and feel better about them selves, body contouring and lipo-sculpture continue to grow in popularity, making liposuction the most popular cosmetic surgery performed today. SmartLipo™ is the first and only laser-assisted lipolysis system to offer a revolutionary and minimally invasive procedure for the removal of fat. Using a high-powered laser, Smartlipo™ is a new Laser Body Sculpting procedure with less down time and side effects than traditional liposuction.

How SmartLip Works

If you're seeking a cutting-edge, highly effective method to significantly improve the safety and efficiency of many surgical techniques, then laser technology is definitely the technique you'll want to consider. Routinely used in dental procedures, lasik eye surgery, reconstructive work and cosmetic procedures-including liposuction-laser technology is what sets SmartLipo apart from its competition. The word "laser" is an acronym for Light Amplification by Stimulated Emission of Radiation. Precise and safe, today's medical-grade lasers work by creating a powerful light beam that is adjusted to a specific frequency range. SmartLipo is different in that it uses a carefully calibrated laser to liquefy fat deposits through the top layers of the patient's skin. The laser actually ruptures fat cells, and the resulting oily, liquid substance is then removed through a tiny incision in the skin by the surgeon. The small laser can also seal blood vessels as it zaps fat, so there is less swelling, bleeding and bruising than with traditional liposuction. Research has shown that little, if any, fat is reabsorbed back into the body. The minimal invasiveness of the procedure allows patients to see faster results and to experience fewer complications. In addition, SmartLipo's patients need only a local anesthetic for this procedure, whereas liposuction requires general anesthesia. Because the patient is not completely unconscious, SmartLipo carries much fewer risks than traditional liposuction, and the recovery time is much shorter. SmartLipo…cutting-edge, safe and effective.

How does the Smartlipo procedure work?

If you're seeking a cutting-edge, highly effective method to significantly improve the safety and efficiency of many surgical techniques, then laser technology is definitely the technique you'll want to consider. Routinely used in dental procedures, lasik eye surgery, reconstructive work and cosmetic procedures-including liposuction-laser technology is what sets SmartLipo apart from its competition. The word "laser" is an acronym for Light Amplification by Stimulated Emission of Radiation. Precise and safe, today's medical-grade lasers work by creating a powerful light beam that is adjusted to a specific frequency range. SmartLipo is different in that it uses a carefully calibrated laser to liquefy fat deposits through the top layers of the patient's skin. The laser actually ruptures fat cells, and the resulting oily, liquid substance is then removed through a tiny incision in the skin by the surgeon. The small laser can also seal blood vessels as it zaps fat, so there is less swelling, bleeding and bruising than with traditional liposuction. Research has shown that little, if any, fat is reabsorbed back into the body. The minimal invasiveness of the procedure allows patients to see faster results and to experience fewer complications. In addition, SmartLipo's patients need only a local anesthetic for this procedure, whereas liposuction requires general anesthesia. Because the patient is not completely unconscious, SmartLipo carries much fewer risks than traditional liposuction, and the recovery time is much shorter. SmartLipo…cutting-edge, safe and effective.

How does the Smartlipo procedure work?

A very small cannula, or tube, approximately 1.0 mm to 2.0 mm in diameter containing a laser fiber is inserted into the skin. The cannula is moved back and forth delivering the laser's energy to the fat cells, causing them to rupture and easily drain away. The laser energy also interacts with the dermis it resulting in collagen shrinkage. Due to the cannula's small size, Smartlipo™ is a minimally invasive procedure and can be performed under local anesthesia. The laser causes small blood vessels to coagulate immediately on contact, resulting in less bleeding, swelling and bruising, - and a quicker recovery time than conventional liposuction. Because general anesthesia is unnecessary, the procedure is very safe with only minimal side effects.

Is SmartLipo Right for You?

Almost anyone can be a good candidate for SmartLipo. In general, the ideal candidate: (1) is in good health, exercises regularly, is within 25 lbs. of his or her ideal weight; (2) has one or more areas of local body fat deposits that have responded poorly to diet and exercise; and (3) is bothered by these fatty areas, and is motivated to get rid of them permanently. Your doctor will review the benefits and risks of SmartLipo with you during your consultation visit. He will assess whether you are a good candidate with respect to your medical health, and he will clarify what SmartLipo could do for you. Generally, SmartLipo might be right for you if. You don't have a lot of time to spend in recovery. -SmartLipo patients are typically back to work within 1-2 days following the procedure. Bandages are removed 1-2 weeks after that.

>> You've worked hard to eat right and exercise, yet you still can't lose those “love handles” or other fat deposits you consider unsightly. Human fat, or adipose tissue, can be very hard to get rid of through exercise and diet alone. SmartLipo can be a relatively simple solution to remove stubborn fat permanently.

>> You want a procedure that is FDA approved. The SmartLipo device was approved in November of 2006, and today is one of the fasting-growing, safest procedures in the cosmetic surgery field.

>>You don't want loose skin as a result of the procedure. Many patients of traditional liposuction find that their skin does not adjust to the reduction of fat deposits. This tendency often results in unattractive “droops.” These patients often require skin lifts that can lead to scars, thus rendering the initial liposuction treatment useless. But by pulling the surrounding skin inward, SmartLipo laser technology can reconstruct the layers immediately under the patient's skin, completely eliminating skin drooping.

>>You want something more affordable than traditional liposuction. The cost of the SmartLipo procedure depends on how many areas are being treated, but just your neck starts at $2,000. The average traditional liposuction procedure on an abdomen costs about $6,500. The average SmartLipo abdomen procedure costs $5,000. This difference in pricing represents a 30% cost savings.

>>You want permanent results. Once the fat is removed from a particular area of the body, it will never return. If you gain fat in the future, it will be deposited elsewhere on your body.




To be a good candidate for SmartLipo, you should have realistic expectations about the procedure's capabilities. And while SmartLipo can improve your appearance and self-confidence, it won't necessarily match your mental ideal, nor will it cause other people to act differently toward you. Before you decide to have SmartLipo, think carefully about your expectations and discuss them with the physician during your consultation visit. SmartLipo…the safe, affordable and permanent alternative.

Who is a good candidate for the SmartLipo procedure?

If you have areas of fat that will not respond to diet and exercise, then you're a candidate for SmartLipo. Ideal candidates are in good health, of normal body weight and have realistic expectations for the results.

What body regions can be treated with Smartlipo?

Smartlipo™ can be a great adjunct to traditional liposuction procedures and it is ideal for treating small areas of the face, neck, arms, knees, back, bra strap, mons pubis, breasts (gynecomastia), and areas of loose and flabby skin (floppy skin).

How many treatments will I need?

For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated.

Do I have to do anything post-treatment?

After the treatment you will have minimal pain or bruising. We recommend 1-2 days rest but most patients are able to return to work immediately “Lunch Hour Lipo”

Does Smartlip treat cellulite?

The procedure will improve the body's shape and may improve cellulite to a certain degree and will tighten sagging skin.

When can I expect to see results?

Results can be seen immediately with continued improvement over several months.

Does laser-assisted liposuction produce lasting results?

Yes! Adults do not create new fat cells. When a person gains weight, the fat cells expand. The Smartlipo procedure permanently removes the fat cells. Should you gain weight, most fat will be deposited in areas where the procedure was not performed. *Aest. Plast. Surg. 26:335-339, 2002

Advantages of Smartlipo

We have chosen Smartlipo after studying the pros and cons of various methods of liposuction. Here are some key points:

Minimal downtime

A few of our patients even return to work immediately, almost like a "lunchtime Liposuction". Of course we normally advise a day or two of rest.

Minimal discomfort

During the procedure, there is no pain. After the anesthesia has worn off, it only feels like the aches and pains that follow a vigorous workout. This is unlike in traditional liposuction where a patient feels as if a truck was driven over the body. The bruises too are much less with Smartlipo.

Less traumatic

The fiber-optic cannula is inserted through a small puncture in the skin usually along creases that conceal the scar. As the laser melts the fats, it also coagulates the loose ends of small blood vessels. Compression garments are optional as the area will not bleed very much after the laser is removed. The granulation tissue (healing-tissues) does the rest of the work in contracting the treated area as well as the overlying skin.

Post-Operative Care:

Almost "normal" skin after 3 months It would be very hard to find the insertion points or tell by looking at the skin that any liposuction has ever been done. Skin contracts with the healing-tissues that replace the melted fats.

Safety and Complications:

Smartlipo is safer than traditional liposuction because there is less bleeding and anesthetic drugs used. In fact, in doing the procedure under tumescent technique, we have eliminated a lot of risks normally associated with general anesthesia.



Abdominoplasty

Also known as tummy tuck corrects a loose protruding or sagging abdomen and creates a flatter tighter abdominal profile. It involves surgical removal of excess abdominal fat and skin. May include tightening of the abdominal wall where muscles have weakened. It can be performed in conjunction with liposuction to remove adjacent areas of excess fat.Medications are administered for your comfort during the surgical procedures. It is usually done under general anesthesia. the best choice for you.

The Incision

A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and navel. The shape and length of the incision will be determined by the degree of correction necessary. Through this incision, weakened abdominal muscles are repaired and sutured and excess fat, tissue and skin is removed. A second incision around the navel may be necessary to remove excess skin in the upper abdomen.



Closing The Incisions

Sutures, skin adhesives, tapes or clips close the skin incisions.

The Results

Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight. The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete. Within a week or two, you should be standing tall and confident about your new slimmer profile.







Post Massive Weight Loss Surgery


Body Contouring Surgery

The procedures necessary to achieve your goals will be defined along with a plan for the timing of these procedures. Plastic surgery procedures that may be recommended by your physician include:
>> Lower body lift: to correct sagging of the abdomen, buttocks, groin and outer thighs
>> Breast lift: to correct sagging, flattened breasts
>> Arm lift: to correct sagging of the upper arms
>> Thigh lift: to correct sagging of the inner, outer and mid thigh

Tummy Tuck

Removal of excessive, defatted, loose hanging abdominal skin apron from front is done to restore the shape of the abdomen. There is extensive length of scar in sides and back; following surgeries done for morbid obesity like gastric bypass, can be hidden area but it relieves the person and restores confidence to join back in society.

Arm Lift

After massive weight loss loose hanging skin on the inner arms can be tightened. The scars lie on the inner side of the arms extending sometimes into the armpit. Liposuction can be done along side.

Thigh Lift

Laxity of skin and wrinkling along the inside of the thigh, falling down of the buttocks and loose skin on the outer side of the thigh can be tightened and lifted. These procedures can be combined with abdominoplasty.

Breast Lift

The breasts, which is a pendulous structure, can hang off the chest wall when defeated following surgery. There is not only loose hanging skin but also loss of volume. This can be restored back by a combination of lift enhancement procedures.

Face Lift

The face may show signs of laxity especially in the mid and lower face and also the neck following weight loss. The shape of the face and neck can be restored by face and neck lift.

The Incision

All body-contouring procedures require incisions to remove excess skin. In many cases, these incisions may be extensive.

Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and your doctors surgical judgment.

Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing, but this is not always the case.

Body contouring is often performed in stages. Your particular condition and goals, as well as your plastic surgeons best judgment, will all influence how your doctor defines a surgical plan. While it may have taken you two years or more to lose all the excess weight, it may take equally as long for the results of your body contouring to be complete.

Body lift

A complete lower body lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure or in staged procedures. Incision patterns vary, and may include a circumferential incision around the body to remove the "belt" of excess skin andfat.


Breast lift

The incision patterns for lifting a woman?s sagging breasts will be determined based on the amount of excess skin to be removed.
These may include one or a combination of incisions in a circular pattern around the areola, in a line extending from the areola to the breast crease, and horizontally along the breast crease.
A breast implant also may be recommended to enhance breast shape and size.


Arm Lift

Sagging skin in the upper arms is treated with an incision from the underarm area extending along the inside or back of the upper arm. Additional incisions on the arms may be necessary anywhere excess skin has formed sagging pockets.
The smoother, tighter contours that result from upper arm contouring are apparent almost immediately, although initially obscured by swelling and bruising. In addition, skin quality is dramatically improved in both appearance and texture.


Thigh Lift

Reshaping of the thighs is achieved through incisions in the groin that can extend downward to the knee along the inner portion of the thigh.
Improving contours of the outer thigh may require an incision extending from the groin around the hip. Through these incisions your plastic surgeon will tighten tissues for a smoother, better-toned thigh.

The decision to have body-contouring surgery is extremely personal and you?ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

Possible Risks Of Body Contouring Following Major Weight Loss Include:


>> Unfavorable scarring
>> Bleeding (hematoma)
>> Infection
>> Fluid accumulation
>> Poor wound healing
>> Skin loss
>> Blood clots
>> Numbness or other changes in skin sensation
>> Anesthesia risks
>> Skin discoloration and/or prolonged swelling
>> Fatty tissue found deep in the skin might die (fat necrosis)
>> Major wound separation
>> Asymmetry
>> Recurrent looseness of skin
>> Pain, which may persist
>> Deep vein thrombosis, cardiac and pulmonary complications
>> Persistent swelling in the legs
>> Possibility of revisional surgery