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LIPOSUCTION

What is the history?

The orginial description occurred in 1921 when Dujarrier used a curette to remove fat from the backside of the knee on a ballerina.  Unfortunately this procedure was not successful and the technique was abandoned.  The 1960’s brought a rekindle to the procedure and newer cannulas and techniques to reduce blood loss where described.  With the advent of ultrasonic and laser liposuction and tumescent anesthesia, modern liposuction is now extremely safe, effective, and  simple operation which not only removes unwanted fat but can sculpt the body.

Who are candidates?

Patients must be healthy, active, and maintain an active lifestyle and diet control.  Patients with localized fat deposits, realistic expectations, BMI (body mass index)<32, and elastic skin tone without stretch marks are best candidates.  Ultrasonic liposuction techniques have made the technique more realiable for larger fat removal and heavier patients, however, abdominoplasty (tummy tuck) is a better solution.  Your board certified plastic surgeon should discuss all of the options during the consultation.

What should you expect?

Liposuction can be performed under general anesthesia or local anesthesia.  Depending on the areas treated, 30 minutes to several hours are necessary but rarely an overnight hospital admission required.  Compression garments are mandatory for 6 to 8 weeks.  Return to work usually occurs within 3-5 days and results are noticeable once swelling as resolved in 6 weeks.  Final results usually take 6-9 months. Small touch-up procedures are sometimes necessary.

What are the latest advances?

Ultrasonic and Laser liposuction has allowed plastic surgeons to remove fat in deliacate areas such as the face, and in a  more precise manner, in essence, sculpt the body.  The cannule are smaller, the procedure can be performed under local anesthesia (awake), and in some instances re-injected for volume deficiencies in other body areas.  The most promising development is high intensity focused external ultrasonic energy which is currently being studied for its efficacy.  This technique requires no incisions or anesthesia and can be completed in your board certified plastic surgeons office.  However, strict diet control and daily exercise are still the preferred method for improved figure.

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As cosmetic surgeries go, liposuction is one that’s an extremely sought-after procedure because of the perceived dramatic results it can achieve. It’s the second-most popular aesthetic surgical procedure in the United States, and is often seen as an instant weight reduction technique. Although liposuction does make you look better in a month or so after the surgery, there are certain factors about this procedure that you need to know before you agree to go under the surgeon’s knife:

· Liposuction does not cause a dramatic reduction in weight. It only removes excess fat from certain areas with the aim of making you look better.

· The maximum amount of fat that can be removed in a single day without any undue complications is between 6 and 8 pounds. If you do need to remove much more than that, your surgeon will schedule more than one operation, each performed 3 to 4 weeks apart.

· The results show between 1 and 3 months after your surgery.

· Liposuction is not an alternative to a healthy diet and a regular exercise routine. While you do look better after the surgery, it’s up to you to ensure that you continue to look good by eating the right kinds of food and exercising regularly to prevent fat from accumulating in your body.

· Research has proved that liposuction patients are three times more likely to gain weight if they don’t follow a proper diet after the surgery.

· They’re four times likely to add on the pounds if they do not exercise regularly.

· If you gain 10 percent of your body weight after the surgery, you’re going to find yourself with fat deposits in areas that were not surgically treated. So if you had liposuction on your stomach, inner and outer thighs, and your buttocks, you may find yourself putting on weight on your face, breasts, back and legs.

· If you gain a large amount of weight, you will start showing signs of fat around the areas where you had liposuction too.

· Liposuction helps remove fat that’s under the skin, not the deposits that are in your abdominal cavity. So you may not have a flat stomach after the surgery. You have to follow a proper diet and exercise routine to get rid of this fat.

· It also does not change the natural shape of your abdomen. You need to get rid of a rounded tummy by training your abdominal muscles.

· Liposuction does not improve the quality of your skin. So you’re bound to be left with sagging skin and cellulite after the surgery. Only proper exercise can get rid of these for you.

· Liposuction does not remove all the fat from the targeted areas in your body. Some cells are left behind to prevent your skin from sticking unnaturally to your muscles and tissues. These cells are capable of storing energy, and when this energy is not expended in the form of exercise, it turns into fat.

Liposuction is the easy way to reducing and controlling your weight. It’s not a shortcut to a great looking body, one you can take bypassing the roads of diet and exercise altogether. It only makes you look better by removing the stubborn deposits of fat from certain areas of your body that refuse to go even after exercising and dieting correctly. Besides, you need to ensure that your body weight does not vary drastically during the 6 months prior to your surgery. Talk to your healthcare provider and be well informed before you decide that this surgical procedure is for you.

By-line:

This article is contributed by Sarah Scrafford, who regularly writes on the topic of ultrasound tech school. She invites your questions, comments and freelancing job inquiries at her email address: sarah.scrafford25@gmail.com.

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In tough economic times, although everyones tends to “shelter in place” and reducing spending, that doesn’t mean the we should forget about our health, our family and friends, or our looks!!!!  Yes, the larger ticket cosmetic procedures could be on the “editing room floor” of your budget for 2009, however, Botox and soft tissue fillers are relatively inexpensive and could refresh the tired and stressed look that you might see in the mirror after the market continues to “tank”.  Botox is used for forehead wrinkles and crows feet while soft tissue fillers (Juvaderm, Restylane,  Preville Silk, Radiasse, ect) are used to correct the deeper wrinkles around the mouth and can be used to augment the lips.  Each procedure literally takes only minutes and is essentially pain free with topical anesthesia.  The results can last several months and are usually immediate.  2009 could be an excellent year!!!!!!

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