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Frequently Asked Questions

 

Questions:
Am I a good candidate for Liposuction?
How much downtime will I have?
Will I be awake or under general anesthesia?
Why don't we use heavy anesthesia?
Does liposuction produce permanent results?
Will I get fat in weird places after I have liposculpture?
What happens if I gain weight after liposculpture?
How much fat can I have removed with liposculpture?
How long until I can exercise?
How much bruising or swelling will I have?
How long will it be until I see results?
Will liposuction help cellulite (cottage-cheese like dimpling) or sagging skin?
Can liposuction still work if I am older or don't have much skin elasticity?
How long after liposuction will the soreness or tenderness persist?
Why is tumescent liposuction totally by local anesthesia typically less painful than liposuction under general anesthesia?
How long before I can go back to work?

Answers:
Am I a good candidate for Liposuction?
If you are unhappy with the shape of your body and are in good health then you are likely a good candidate for liposuction. Age and genetics alter the shapes of our bodies, causing fat accumulation that is resistant to diet or exercise. Liposuction is usually the best way to get rid of areas of unwanted fat in specific areas. Almost all liposuction patients find that they can wear one smaller clothing size and that their current clothing fits much better.
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How much downtime will I have?
Immediately after your procedure you will walk out and be able to perform mild activities. Unlike the need for prolonged recovery and possible overnight stay when liposuction is performed with heavy anesthesia, downtime is minimized by our micro-liposuction techniques which significantly reduce tissue trauma and post-procedural pain while completely eliminating post-anesthesia recovery. Most patients are able to return to normal desk-type work within 1 to 2 days and some patients are able to return to work the same day, depending on the areas treated.
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Will I be awake or under general anesthesia?
You will be wide awake because we perform liposuction in a more advanced, less traumatic manner that requires only local numbing - not heavy anesthesia. This translates into faster recovery, less downtime and, most importantly, the safest possible means of performing liposuction. By having all patients remain awake during the procedure, we avoids not only the risks of heavy anesthesia, but the potential serious complications that can occur from patients being unresponsive during the procedure.
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Why don't we use heavy anesthesia?
We only uses local numbing to ensure patient safety and improved recovery. In traditional liposuction procedures, heavy anesthesia allows the surgeon to use larger instruments with more aggressive and quick movements, which results in faster overall procedure times. Faster procedure times means that typical surgeons can do many procedures in a day, but because they are using heavy anesthesia and aggressive movements, their patients are exposed to greater risks and have longer and more painful recoveries. In contrast,we perform liposuction with only local numbing and because his micro-liposuction technique utilizes smaller instruments, patients have more uniformity, less bruising, and better cosmetic results.
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Does liposuction produce permanent results?
Yes. Liposuction immediately and permanently removes fat safely with minimal downtime. Fat cells that are removed by liposuction do not grow back. Of course after liposuction, the clock keeps ticking — no procedure can stop the aging process. Advancing age will produce the usual changes in the shape of the body associated with the aging process even after liposculpture. Nevertheless, the benefits of liposuction will always be apparent.
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Will I get fat in weird places after I have liposculpture?
No. It is a common false myth that the fat removed by liposculpture grows back in other places after the procedure. The number of fat cells your body has was determined by the time you went through puberty. Once you become an adult, your body does not make any more fat cells. Despite the impossibility of new fat growth, some patients do feel as though other areas of their body get bigger after liposculpture, but it is a problem of perspective, not physiological change. For example, a woman who has had her upper arms treated may feel that her back has grown fatter after the procedure. The true issue is not that her back is growing fatter, but rather that her arms have gotten smaller by comparison. Similarly, patients occasionally feel as thought their knees have gotten fatter after they have their thighs treated — their knees are unchanged but now that their thighs are smaller, the knees become more noticible.
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What happens if I gain weight after liposculpture?
If you gain weight after liposculpture, you will gain it proportionally, including in areas that were treated. It is possible to gain weigh again in the treated areas, but not to the same extent as prior to the procedure.
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How much fat can I have removed with liposculpture?
The only limits to the amount of fat removed is the amount of fat present (we can't remove what you don't have) and the aesthetic result to be achieved. A guideline in estimating how much fat you will have removed is to pinch the area you wish to have treated between your fingers and imagine a reduction of 50 to 80%. In some patients the reduction translates into a very large amount of fat to be removed (over a gallon!) and in other patients the volume reduction is small, but the aesthetic change is still very dramatic.
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How long until I can exercise?
Within one to two days after surgery, all patients should be physically able to walk around inside the house, cook, clean and shower. You are encouraged to go for short walks around the neighborhood. Do not plan to remain in bed. Most patients can resume their routine exercising within a few days after liposuction. Initially, patients should not attempt too much exercise. It is recommended that patients start out by doing about 25% of their usual amount of exercise, and thereafter increase their daily exercise as tolerated. Some patients who are joggers or enjoy vigorous aerobics often wear their compression garment for 3 to 4 weeks or until their skin fully retracts.

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How much bruising or swelling will I have?
Because our micro-liposculpture technique causes less tissue trauma and less inflammation, bruising and swelling are minimized. Liposculpture uses only small punctures and does not use stitches, so patients experience less bruising and swelling than with the traditional liposuction technique used by other surgeons. The amount of bruising depends not only on individual healing tendencies and the amount of fat removed, but also on the areas treated. For example, outer thighs rarely bruise, while inner thighs almost always bruise. Similarly, the amount of swelling a patient might experience is difficult to predict. Some patients experience almost no swelling, while others experience weeks of swelling. A consultation can help you guage how much swelling or bruising you might expect after your procedure..
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How long will it be until I see results?
Final results vary from patient to patient and depend on patient age, areas treated, the amount of fat removed, and individual healing speeds. Some patients see immediate results that improve steadily while others have weeks of swelling that keep them at about the same size as they were pre-procedure, even though large amounts of fat have been removed. Young patients tend to heal much quicker and have less discomfort, but final results often take longer because young patients retain fluid longer than older patients. There is no way to accurately predict your healing speed or how quickly you will see final results. Most patients will see 80% of their ultimate liposuction results within one to three months after their procedure. Some areas, like the chin, show almost immediate improvement while other areas, such as the abdomen, take longer for final results. For the first few weeks after surgery there is postoperative swelling in most treated areas and women typically have more swelling than men. Our liposculpture technique uses adits (tiny round holes) that are left open, instead of linear incisions closed with stitches, so patients can expect to recover within a few days and as the painless swelling subsides patients see 80% of the ultimate results within one to three months.
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Will liposuction help cellulite (cottage-cheese like dimpling) or sagging skin? Maybe. Our liposculpture technique can improve the appearance of cellulite and can help promote skin tightening, however the degree to which each patient will see improvement is uncertain. Some patients see remarkable changes in their cellulite and others will see no change. Because the amount of cellulite improvement you may (or may not) see cannot be predicted, liposculpture is not considered a treatment for cellulite. If you are over age 60 and have very little skin elasticity or have undergone a massive weight loss, your skin my have permanent wrinkling that looks somewhat like cellulite.
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Can liposuction still work if I am older or don't have much skin elasticity?
Yes. Our technique helps promote skin tightening. Many patients with poor skin elasticity have excellent results with liposculpture and are very pleased with the amount of skin retraction. Some areas of the body such as the inner thighs naturally have thinner skin and may show some degree of skin wrinkling even in patients with good skin elasticity. The degree of wrinkling after liposuction is approximately the same as one might expect if the patient had lost the same amount of fat from the area by dieting. Even with poor skin elasticity, the cosmetic benefits of liposuction often outweigh any noticeable increase in skin wrinkling.
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How long after liposuction will the soreness or tenderness persist?
Our technique is gentle and because only local anesthesia is used, you should recover quickly. Some patients go back to work or activities the same day. The recovery period after liposuction is similar to a strenuous workout. You will feel very good the day of the procedure, but will likely wake up sore the second day. You should expect to feel sore, but not in pain. Almost all patients are able to manage discomfort with ibuprophen or Tylenol. Recovery is aided by light exercise, like walking, so do not plan to stay in bed. The compression garment helps minimize discomfort and should be worn for the first three to four days. Some patients find that they wear the compression garment during exercise or strenuous activities (when skin is likely to jiggle) for up to four weeks after the procedure.
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Why is tumescent liposuction totally by local anesthesia typically less painful than liposuction under general anesthesia?
Pain associated with liposuction can occur at three different stages: during the infiltration of the tumescent solution, during liposuction, and postoperatively. We are very experienced with the infiltration process and he uses very small instruments, which cause little tissue damage and little pain. We are trained in minimally invasive surgeries and his technique for infiltrating the solution of tumescent anesthesia is comfortable and effective. After the tumescent local anesthesia has been thoroughly infiltrated into the fat, the subsequent liposuction should be painless.

The postoperative pain after liposuction is much worse for liposuction under general anesthesia compared to liposuction by local anesthesia. After tumescent liposuction, the local anesthesia persists for many hours after surgery and patients need only take Tylenol for discomfort. In contrast, with general anesthesia, patients typically require narcotic analgesics to control post operative pain.

Finally, general anesthesia, and the use of intravenous sedatives and narcotics are associated with high incidence of nausea, vomiting and postoperative chills. We have never had a problem with patients recovering from local anesthesia and in fact, most patients drive themselves home from the procedure and return immediately back to activities.

How long before I can go back to work?
Patients should be able to return to normal desk-type work within 1 to 3 days and some patients are able to return to work the same day, depending on the areas treated. Although soreness and tenderness will limit the speed with which a patient can move about, patients should be reasonably comfortable while sitting at a desk or working at a computer.
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