Is Liposuction different than Liposculpture?
Liposcultpure is another term maybe more elegant and catchy for what the philosophy for body contouring is about. You see these today we can not consider liposuction as a just “removal” procedure. Its a shape altering procedure. That means we remove fat from some areas and add fat to other in order to reshape the body not just slim it. So the way to think is “reshape”.
Do you use any technology when you perform liposuction?
Technology is growing in medicine and also in liposuction in particular. Vibrating liposuction, laser liposuction, radiofrequency liposuction are some of the technologies available. I prefer using ultrasound assisted liposuction called VASER.
Vaser is a third generation device that offers many advantages compared to all other available options. It allows surgeons to precise remove fat superficially. This is very important to you because by removing the superficial fat layer we can “force” the skin to shrink which is what we need in order to reshape your body. All other options can be dangerous when used superficially.
Can the fat that is harvested after Vaser be used for grafting?
Vaser is the only technology that is scientifically proved to produce viable fat for grafting. The reason is that Vaser doesn’t burn the fat cells like laser or radiofrequency liposuction do. The ultrasound works by separating fat cells from the clusters they are, so it makes removal easier, less traumatic and safe.
Who’s the best candidate for liposuction?
As always being in good health is very important. Patients that have good health habits, on diet and exercise are best suited for the procedure. Local fat deposits should be the targeted areas. Then we can expect best outcomes. Being overweight or obese will not yield optimal results, on the contrary it raises the possibility for complications. Liposuction is not a weight loss option.
Does liposuction give permanent results?
Unless you gain lots of weight and as long as you continue a healthy life style your results can be considered permanent. Liposuction should not be considered an excuse for excessive food intake.
If i gain weight , will it show somewhere else on my body?
If you gain weight after surgery it will show equally on your body. The areas liposucted that would otherwise show more now they will not. So patients tend to notice other areas and “think” the fat cells moved. Our fat cells don’t change in numbers they just grow or shrink depending on weight fluctuations.
What’s your choice for anesthesia?
My personal preference is epidural anesthesia. There are many advantages compared to sedation, local or general anesthetic. The main advantage is that you can move and take any position necessary during surgery so you actually assist me on producing better results. At the same time you have no anxiety about feeling pain, so your blood pressure is low and bleeding is reduced.
Compared to general anesthetic, epidural anesthesia produces a peripheral vasodilation therefore reducing the possibility of venus thrombosis that is related to pulmonary embolism a much dreaded complication.
How much fat do you extract?
Patients are always impressed by numbers, the bigger the better. The good thing about Vaser is that the volume we take out is mostly fat and less fluid or blood. You should focus on the “sculpting” plan and not on the “removal” procedure. Reshape is our goal.
Does liposuction cause dimpling or indentations in the skin?
Dimpling and indentations in the skin is a known risk of liposuction. However skin irregularities are unusual in the hands of a skilled surgeon. The use of large diameter cannulas tends to increase the risk of irregularities, while the use of microcannulas (less than 2.8 mm in outside diameter) reduces this risk.
The use of microcannulas and multiple adits (very tiny 1.5 mm round holes placed in the skin) allows the surgeon to make a criss-cross pattern of tiny tunnels throughout the fat which produces smoother liposuction results compared to using larger cannulas and only two or three entrance incisions. When large cannulas are used, any inadvertent passage of the cannula too close to the skin may leave a depression or furrow, whereas one pass too close to the skin with a microcannula will not leave a visible depression.
Will my cellulite improve?
Cellulite is a condition that is partially affected by liposuction contrary to common belief. Its multifactorial “disease” so nobody would expect to “cure” it by just dealing with the fat. Liposuction does reduce the degree of cellulite to a minor degree but it is unlikely to produce a significant improvement or to completely eliminate cellulite.
Why do I need to wear corset afterwards? Do I need to do anything more?
The special garments that patients wear after liposuction have a dual purpose. First they reduce swelling and second they help the skin adjust to the new position. I advice my patients to wear the garment continuously except when they sower for the first month. From then on they can wear a secondary lighter garment for a few hours a day for a couple of hours. What is also very important is to have a few sessions of lymphatic massage. It will reduce swelling and will help the skin re-drape better.
When are the results visible?
Even during the first days, that you are very swollen you will start to notice the change in shape. Most of the swelling will go down in the next 3-6 weeks. You can expect final results by the 6 months mark.
If you are one step before going into a plastic surgery book an appointment today with dr. FilGood!