Liposuction surgery has become the most commonly performed operation in the field of plastic surgery. This procedure involves the removal of fatty tissue from under the skin by use of a suction device; it is used to improve the patient’s figure in one specific problem area, or in several locations as part of more comprehensive body contouring strategy. For the plastic surgeon, liposuction is both a surgical procedure and an artistic one, combining direct benefits to the health of the patient and the creativity to sculpt body tissue in a visually authentic manner.
There are multiple terms used to describe the different liposuction techniques, which vary slightly depending on the objectives of the procedure. “Liposuction”, “Suction-Assisted Lipectomy”, “Liposculpture” even the informal “lipo” all refer to the same basic procedure. Recent advances include Ultrasound Assisted Lipectomy, which involves the use of a cannula tube that vibrates with ultrasonic energy liquifying the fat to facilitate more effective removal.
Most patients seeking liposuction for body contouring have tried multiple diets and exercise programs, but certain problem areas remain. It is important to realize that suction-assisted lipectomy is not a method of weight reduction in itself, as relatively little weight (in terms of fat) is removed from the body when the surgery is performed safely. The procedure is designed specifically to improve body contour. Therefore, it is important for a patient contemplating a lipectomy to be at or close to his or her "set point" weight.
Liposuction will not change the appearance of the skin. Skin that is loose, dimpled, wrinkled conditions often referred to as “cellulite” or has multiple depressions or waves prior to surgery will not be improved by the lipectomy. In general, patients with firm elastic skin with minimal wrinkling and redundancy, well-controlled and stable weight, and limited areas of fatty-tissue excess can expect the most favorable results. Localized deposits of excess fat in the hips and "saddle bag" areas as well as the inner and outer thigh areas are usually quite improved following the procedure.
Assuming a similar diet and activity levels as before the surgery, a patient will typically maintain a slightly lower weight, with much less trouble from the "trouble spots". It is the obligation of the patient to continue to watch their diet and exercise as much as possible.
In the performance of any liposuction procedure, the surgeon must not exceed the safe limits of fat removal or administration of local anesthetic, and must consider the health of the patient before proceeding with the operation.
Liposuction is generally performed in an outpatient operating suite, rather than a formal operating room. The duration of the procedure varies depending upon how many areas are receiving attention and what type of anesthesia is used. Incisions made during the procedure are generally one-quarter inch in length and are made in inconspicuous skin folds, with minimal or no shaving of hair required. The cost of the procedure depends on the extent of the areas treated and the amount of fat removed.
Any pain, swelling and bruising experienced by the patient are at their height in the first week after surgery. Between week one and week two, it is not uncommon to feel somewhat fatigued. During the third week, some patients may experience symptoms akin to mild depression. During the fourth week post-surgery, swelling and pain are diminished and the patient generally reaches a state of satisfaction with the outcome.
A flat stomach is important for a physically fit appearance. However, sometimes a healthy diet and regular workouts don't eliminate excess fat or the loose, sagging skin that sometimes plagues the abdominal area. If your tummy's appearance bothers you, abdominoplasty may be a good solution.
Abdominoplasty, or the less formal “tummy tuck” surgery, is designed to firm and smooth the abdomen. This cosmetic procedure removes excess skin and fat from the abdomen and may also tighten the muscles of the abdominal wall. The result is a flatter, tighter abdominal profile.
When women have had children, the lining of the abdominal muscles can stretch or rip and the abdomen can develop a bulge. Men may also have tummy tucks if they suffer from excess abdominal skin and fat.
There are several types of abdominoplasty: from a minor removal of hanging skin (a mini-tuck), to a major abdominoplasty to tighten the entire abdomen. In every case, the procedure is designed to remove only as much excess skin and fatty tissue as is practical and safe. To further improve appearance, any stretch marks below the bellybutton are removed along with the excess skin.
A full abdominoplasty typically takes about four hours to complete under general anesthesia, while a mini-tuck requires less operating time. The exact cost for a tummy tuck varies depending on the extent of the procedure, with the surgery package price including the surgeon's fee, anesthesiologist's fee, hospital expenses and operating room expenses.
Patients are restricted to bed rest for two to three days after surgery, with limited periods of walking ust enough to eat and go to the bathroom. Coughing, laughing, sneezing, or anything that exerts the abdominal muscles will produce discomfort. Often, it takes several days for the patient to be able to stand and walk fully erect.
Perfected in Brazil, buttock augmentation with solid silicone implants is gaining popularity in this country, especially among people with HIV-related lipoatrophy of the buttocks. The implants are placed through a mid-line incision, which heals to be inconspicuous. The implants sit under the fascial covering of the gluteus maximus muscle in a position high enough that one does not actually sit on the implants. The implants mimic the feel of well worked-out gluteus muscles, without doing a lot of squats at the gym.
Gluteal implant surgery takes an experienced plastic surgeon about two hours to perform. It involves general anesthetic and, usually, an overnight stay in the hospital. The exact cost of this procedure varies depending on the extent of the procedure, with the surgery package price including the surgeon's fee, the anesthesiologist's fee, and the hospital and operating room expenses.
Immediately after surgery, patients find they must spend most of their time lying on their side. Tenderness and swelling start to subside after a few days.
When an overweight person loses a great deal of weight, the formerly stretched skin in unable to return to its original level of tautness. A thigh lift and/or buttock lift removes excess sagging skin most often attributable to this weight loss from the thigh and buttock areas. The result is a more natural appearance for those who have worked so hard to trim down their weight.
Inner thigh lifts are performed by Dr. DeWeese by making incisions above the inner thigh, hidden in the groin crease. Outer thigh and buttock lifts are done with incisions extending from the groin around the back, which are well hidden by bathing suit or underwear. All scars from these cosmetic surgery procedures fade with time.
The exact cost varies depending on the extent of this procedure. The surgery package price includes the surgeon's fee, the anesthesiologist's fee, the hospital and operating room expenses.
Patients usually spend the first night after surgery in the hospital. Bruising and swelling are to be expected as well as a “tight” feeling in the thighs. Bed rest and elevation of the lower extremities serve to facilitate healing.
Arm tissue relaxes with age, gravity and weight loss. Drooping skin is caused by the stretching of the anchoring system of the arm and loss of supporting fat. Many patients are very unhappy with flabby "loose hammock" appearance. An upper arm lift procedure, or brachioplasty, removes excess tissue and reduces the circumference of the upper arm. Surgical correction depends on the amount of extra skin and how loose the supporting tissues have become.
Extra skin is removed from incisions along the inner arm. The incision must be placed where the tissue can be best tightened, and it must be hidden from view as well. An alternative to the standard brachioplasty is an "Ultrasound Assisted Lipectomy," which involves much smaller incisions and no skin removal. This procedure can only be used effectively when there is minimal excess skin. The exact cost of either of these procedures varies depending on the extent of procedure, and they typically last around three hours.
The dressing around the arms may be extensive and the patient must wear a compression garment for a month following the procedure. It is imperative to protect the incisions after surgery. Limiting the lifting of weights or heavy objects is an important part of this. Many patients find that elevating the arms with pillows decreases swelling and discomfort.
UPPER ARM LIFT
Open Mon, Tues, Thurs 8am-5pm | Wed & Fri 8am-6pm | Every Other Saturday 8am-6pm | Sunday CLOSED
1199 Bush St, Suite 590
San Francisco, CA 94109