We are currently in a fat transfer revolution. With the theoretical benefits of stem cells, the possibilities are abound. Interestingly enough, VASER® Lipo is leading the charge as it is the only energy assisted liposuction device that preserves fat cells. With this selectivity for fat, this device has streamlined our abilities to transfer a patient’s own fat to areas like the buttocks, breast and the face.
The VASER® Lipo device is a workhorse in our Denver clinic. It is the go to device for body contouring because it is safe, reliable and extremely efficient at removing unwanted body fat. It avoids the harsh techniques of traditional liposuction, reducing the discomfort and recovery time by 50% . Due to its state-of-the-art ultrasound technology, the VASER® Lipo device is uniquely able to differentiate targeted fat from important tissues such as nerves, blood vessels and connective tissue. This ability not only protects these important tissues, but it ensures that the fat cells stay alive during the removal. With this selectivity, VASER® Lipo procedures are ideally combined with fat transfer procedures. The unwanted fat can be removed then placed into other areas where the volume is desired (e.g. breast). It is a win win for the patient.
As with the SmartLipo™ device, I primarily utilize the VASER® Lipo device in my office for body contouring procedures. A surgical center or hospital is not required. I.V. sedation or general anesthesia is rarely necessary and the expensive operating room anesthesia fees are avoided. The procedure is completed under local anesthesia and with minimal associated pain or discomfort. In less than 3 hours, the problem areas are removed and you walk out of the office a new person. It is that simple.
- Combination cases with SmartLipo™, Cellulaze and VASER® Lipo are the norm in our offices. But differences do exist with these devices. The VASER® Lipo device:
a. Is the device of choice with fat transfer as it maintains the viability of fat cells.
b. Has a better safety profile when compared to laser based devices like SmartLipo™. Specifically, the potential for burns is much less.
c. Has strong skin tightening capabilities but it is not equal to the power of the SmartLipo™ device.
d. Is extremely reliable and rarely malfunctions or requires maintenance.
e. Has the longest clinical history of any current energy assisted body-contouring device.
- This procedure is simple and affective:
a. First, the selected area is filled with a lidocaine solution that helps numb the area of surgery and shrink the blood vessels (minimizing blood loss and reducing bruising).
b. Next, a small probe is inserted, transmitting sound energy to break up and liquefy fat, while preserving other important tissues.
c. Lastly, the liquefied fat is removed through a gentle suction process designed to minimize trauma to surrounding tissue structures.
- Most areas of the body are amenable to treatment with VASER® Lipo. These include the abdomen, thighs, buttocks, hips, knees, ankles, calves, back, arms, male and female breasts, love handles, chin, and face.
- Almost anyone could benefit from VASER® Lipo, but the ideal candidate:
a. Is in good health, exercises regularly and is within 25 lbs. of his or her ideal weight.
b. Has one or more areas of fat that have responded poorly to diet and exercise.
c. Is bothered by these fatty areas, and is motivated to get rid of them permanently.
- The treatment times on average are between 2 to 2.5 hours. My patients are given pain and relaxation medication before the procedure. During the procedure, discomfort is limited. Recovery time is around 7 to 10 days and it can be shortened with the addition of Smooth Shapes treatments. Our patients usually return to work duties usually occurs in 3 to 4 days.
Frequently Asked Questions
1. What is liposuction? Is liposuction different than liposculpting?
Liposuction was introduced in the United States over 30 years ago. Initially popularized by both plastic surgeons and dermatologist, the safety record has been well established. In the past decade, this procedure has changed significantly with the introduction of newer technologies and surgical techniques.
Liposuction refers to the removal of unwanted areas of subcutaneous fat (fat that exist between the skin and muscle) with an aspiration cannula (metal tube that is the width of a straw and is hollow in the middle). The areas of fat are injected with tumescent fluid (a mixture of saline, lidocaine and epinephrine) before the fat is removed. With the addition of epinephrine and lidocaine, the surgery area is anesthetized, making the procedure fairly painless. Most importantly, general anesthesia or intravenous sedation is not required.
Liposcultping refers to the advanced surgical techniques that are often combined with liposuction procedures. Although other names like ‘Hi-Def’ are used, it all refers to the same approach. In our clinic, we use these techniques to improve the definition of the body while simultaneously removing unwanted fat. These consist of 80% of the cases we perform in the clinic and the results have continued to improve with the addition of VASER® Lipo and/or SmartLipo™ procedures.
How do you know if you are a good candidate for liposuction or liposculpting?
Liposuction procedures are transformative. Those areas of unwanted fat that persist on the face, neck and body, even with active dieting and exercise, can be easily removed. This drastically improves a person’s appearance by improving the body contour and emphasizing body definition. In those individuals who have less fat and want more toning, advanced liposculpting techniques are used to give them a more athletic appearance. Although this is a highly advanced surgery, these techniques can really enhance definition, especially in those areas that are resistant to even the most intensive work out regimen.
Clearly, liposculpting is not meant for individuals with notable weight issues. Diet and exercise should be emphasized before proceeding with these types of procedures. Contrary to what some physicians may tell you, these procedures will not have a measurable change in the appearance of cellulite unless a separate cellulite treatment is added to the procedure regimen. Furthermore, it will have no affect on the appearance of stretch marks and may actually worsen their appearance.
2. What body areas can be treated with liposuction?
Nearly all the areas of the body are potential treatment areas for liposuction. The standard areas for treatment include the upper and lower abdomen, flanks (upper hip), upper and lower back, bra line, saddlebags, inner thighs and knees. More advanced areas of treatment include the neck and face, breast, arms, buttocks, circumferential thighs, calves and ankles.
3. Why do you prefer VASER® Lipo or SmartLipo™ procedures versus traditional liposuction?
With a standard liposuction procedure, there is little associated skin tightening. For young patients with thick elastic skin, this is not a concern. But for patients with loose skin after pregnancy and weight loss, standard liposuction has the potential to make the treated area look worse. This is especially true for places like the neck, which often have loose skin related issues.
With the advent of ultrasound (VASER® Lipo) and laser (SmartLipo™) assisted liposuction devices, the concerns regarding loose skin have been greatly reduced. Due to their skin tightening abilities, these devices have revolutionized the body-contouring field and have allowed for the integration of more advanced liposculpting techniques. Over 90% of our body-contouring cases use VASER® Lipo and SmartLipo™ devices.
In contrast to standard liposuction, there is also an extreme reduction in post-operative swelling, bruising and discomfort with these devices. In general these devices reduce the recovery time and discomfort by 50%. With the addition of post-procedure Smooth Shapes treatments, the recovery time in some cases is negligible (limited to less than 1 week)
4. What are the important qualifications of a liposuction surgeon?
Although medical doctors of any specialty can attend weekend courses offered for liposuction training, these only address the rudimentary requirements to complete these procedures safely. On the contrary, 2 to 5 year plastic surgery fellowship programs universally focus on advanced liposuction training of the face and body. Therefore, a plastic surgeon certified by the American Board of Plastic Surgery would be the most well equipped to complete these procedures.
Once the competency of a liposuction surgeon is established, it is important to review the technology that they utilize for their procedures. Integration of newer devices like VASER® Lipo, SmartLipo™ and Smooth Shapes are integral to achieving superb results with advanced liposculpting techniques.
It is important to thoroughly review a surgeon’s credentials, before and after pictures and operative facilities before proceeding with a liposuction surgery. When in doubt, ask for patient references, specific to the area of the body being treated with liposuction. In the end, choosing a surgeon that has a focus on body contouring, and most importantly, advanced liposculpting procedures, will give a patient the best opportunity to have a desirable result.
5. What to expect after surgery?
Recovery from more advanced liposculpting procedures that utilize newer technologies like VASER® Lipo or SmartLipo™ on average is 7 to 10 days. If the procedure is completed in the office and is contained to 1 or 2 areas, the recovery time is reduced further. Most patients complain of only mild discomfort after surgery and that resolves within 5 to 10 days. Swelling and bruising does occur but is minimized with these devices. A compressive garment over the area of treatment will be worn daily for at least 2 weeks. Exercise can begin 2 weeks after surgery and clearance for full activity begins at three weeks after surgery. Return to work, depending on the job duties, can be as early as 3 to 4 days after surgery if needed. At 1 month after surgery, 90% of the healing will be completed and the final results are seen after 6 months.
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