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LIPOSUCTION AND FAT TRANSFER
Liposuction contours and removes fat deposits from areas of the body that don’t change with diet and exercise. The most popular form of liposuction and the most common cosmetic procedure in the U.S. is tumescent liposuction, which is more effective, safer, less painful and has a quicker recovery time than traditional liposuction. It is performed as an outpatient procedure and does not require general anesthesia.
Tumescent liposuction can safely remove fat from almost all parts of the body, including the face, neck, chin, breast, stomach, hips, flanks, back, inner and outer thighs, buttocks, knees, calves and ankles.
In your consultation with Dr. Arviv, you will meet with her to discuss your cosmetic goals and determine if liposuction is the best approach to meet your needs. She will examine your skin and the areas you would like contoured. A complete physical examination will be performed. Photographs will be taken for before and after the procedure. You will discuss your medical history, including previous surgeries, present and past health problems, medications, as well as nutritional and herbal supplements you are taking or have taken at some time.
A solution containing a local anesthetic and drug called epinephrine will be injected into the targeted areas of excessive fatty deposits. The solution fills the fatty layer of the skin and causes it to swell and become firmer, allowing the doctor to have better control when contouring the area. The solution also causes the blood vessels to temporarily shrink, greatly reducing blood loss during the procedure, and reduces bruising, swelling and pain after the procedure.
After the solution is injected, the doctor makes a small incision in the skin and inserts a cannula (a small, skinny tube that is connected to a vacuum-like machine) into the fatty layer. Using back and forth movements, the fat is sucked through the tube into a sterile collection system. An elastic compression garment is then worn to help the skin contract and heal.
Depending on the number of areas treated, surgery often takes about two to four hours. You should allow 30 minutes to one hour for recovery in our facility.
Fat transfer can be used in place of dermal fillers to fill in lines and wrinkles, for a more lasting result that saves money over time. Fat for transplantation is obtained either from abdominal or neck areas. In the abdomen, a tiny ½” incision is made in the belly button (umbilicus) so the cannula (tube with suction) can be inserted without a trace. Fat obtained from the neck requires tiny (about ½”) incisions immediately behind each ear lobe and a third incision tucked up under the chin. These incisions heal very well with minimal if any residual scaring.
Approximately 50 – 60% of the fat will be reabsorbed. As with everything in medicine, there are trade-offs to consider. Many patients prefer fat transplantation because tissue from the patient’s own body is used to make the requested improvements. Second, fat transplantation is commonly performed with some adjustments for over-correction at the time of surgery to compensate for part of the reabsorption. Also, fat for transplantation is most often readily available without an additional incision or expense.
The local anesthetic injected into the fatty tissue lasts for about 24 hours following surgery. This greatly minimizes post-operative pain. Once this wears off, most patients experience some discomfort that is usually managed with Tylenol.
Most patients are alert and able to function without nausea or grogginess. Walking is encouraged immediately after the procedure to enhance healing. You may resume exercise three to seven days after the procedure. If your job does not involve heavy physical labor, you can usually return to work within a few days.
Most of the swelling goes down in a few days. Although you will see improvement within one to two weeks, it takes at least three to four months, and in some cases as long as six months, to see the treatment’s full benefit.
Like all surgery, tumescent liposuction carries both benefits and risks. Complications are rare and typically minor. The most common include skin irregularity, lumpiness, dimpling, loose skin, numbness, infections and scarring. If these do occur, in most cases they can be easily corrected.
PREOPERATIVE ULTRASOUND-ASSISTED LIPO INSTRUCTIONS
- Two days prior to treatment, discontinue using any topical medications. If in doubt about using any product, please discontinue it and discuss with the practitioner at your appointment.
- Shave before appointment.
- If you have a history of herpes simplex virus (cold sores or fever blisters), in rare instances a reactivation of this condition could occur after treatment. Please inform your nurse or physician so that an anti-viral medication can be prescribed before the treatment.
- During the first 5 days post treatment, care should be taken to prevent trauma to the treated site: avoid scrubs, clarisonics, luffas, microderm crystals, wash cloths or anything abrasive. any mechanical or thermal damage to the area must be avoided.
- Anything that produces heat in the skin should be avoided for five days: hot baths, steam rooms, saunas, hot showers, UV exposure, and hot tubs. the gym should also be avoided for 24-48 hours.
- Cleanse the skin the following morning post treatment with our gentle cleanser. The skin should be kept clean (cleanse twice a day) to avoid contamination or infection.
Starting at $1,900
We accept several methods of payment, including cash, credit cards, and financing. You must make full payment for the surgeon’s fee two weeks before surgery. If you cancel surgery without adequate notice, we will charge a cancellation fee.