Liposuction

Liposuction Las Vegas

Liposuction involves the removal of fat by small tubes, or cannulas, attached to a vacuum aspiration device. Only fat in the subcutaneous layers of the body are accessible for liposuction. Patients with fat inside their abdomen, for example, are not helped by liposuction, but instead must resort to dieting and exercise for this visceral fat loss. Liposuction is not a substitute for proper diet and exercise.Once the fat cells are removed, your net fat cell number is reduced permanently.

The Consultation

A comprehensive assessment of each patient on an individual basis is essential to the development of a specific treatment plan directed at identifying those specific areas that may be responsive to liposuction. In many instances, patients seek consultation for what amounts to a desire to lose weight. A stable weight of less than 50% over the ideal body weight is necessary to be considered a candidate for liposuction. The ideal candidates have very specific areas of their bodies which cause them concern and seem to be unresponsive to dieting and/or exercise. Liposuction affords us the ability to sculpt those specific areas with very small incisions (and thus very inconspicuous scars), thus bringing the patient into proportion with the rest of his or her features.

The patient is marked pre-operatively to indicate the areas of that must be removed. Under anesthesia, fluid, mixed with drugs to reduce bleeding, is injected into the fat. This is the “Tumescent Liposuction” method. It is a safer way to perform Liposuction because it lessens the fluid loss from your body. Small incisions, one inch or less are made in body creases (in order to hide them) and then a tube is inserted to remove the fat. Liposuction can be performed on several different regions of the body during the same procedure. At the conclusion of the operation, absorbable sutures are placed in the wounds and a compression garment is applied. A slimmer more beautiful physique is now yours.

Dr. Parker offers a complimentary consultation during which he gathers a medical history, including the patient’s weight gain and loss pattern, diet and exercise regimen, and goals for the procedure. Any previous medical conditions need to be identified prior to assessing the patient for surgical candidacy. Height and weight measurements are taken and a physical examination is done to assess the skin tone and texture, skeletal abnormalities such as scoliosis, and muscle bulk and tone.

Pre-Procedure

It is imperative that patients refrain from ingesting any medications or other substances which could potentially be the cause of surgical complications. A list of medications should be reviewed and discontinued at least two weeks prior to operation. Patients are seen just prior to their surgery date for a general physical examination to ensure that no underlying medical problems exist which may interfere with the safety of their surgery. Specifically, any infections which arise prior to operation, however seemingly trivial, should be reported to our office. Even an otherwise innocent infection can result in a disastrous surgical wound infection, and must be treated prior to surgery.

Prophylactic antibiotics are prescribed prior to and for a few days after surgery to reduce the risk of surgical wound infection. A prescription for pain medication is also written, so that you have your pain pills when you return home from the operation.

Pre-operative photographs are taken so that you can see the improvement from your surgery afterwards. We generally take post-operative photographs at 3 months after your procedure.

You will need to arrange for an escort to drive you to and from our surgical center. Patients cannot operate motor vehicles after surgery, and we will not place recently sedated patients into taxis for transport home. We can arrange for medical transport in the event you cannot find an escort. It is mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety.

The Liposuction Procedure

Most liposuction procedures are performed under a combination of local and general anesthesia, with some small volume procedures being done under local anesthesia with sedation. The anesthesia requirements for your procedure will be discussed with you by Dr. Parker at the time of your consultation.

Skin markings are made to outline the sites to be treated. The anesthesia is then administered, and in every instance the fat is infused with a very dilute local anesthetic to distend the fat cells, which makes it easier to extract them and improves the ability to contour the areas smoothly. Dr. Parker uses a technique known as ULTRASONIC LIPOPLASTY (UAL) to treat many areas of the body. This involves the use of a cannula which has ultrasound waves emanating from the tip. These sound waves break apart the fat cells, releasing their contents and making it less traumatic to sculpt the tissue. Rather than just suctioning the whole fat cell out, often in clumps, this technique removes the free contents of the cells and the ruptured membranes of the cells separately. The rationale is that smoother results can be obtained with this technology. One of the problems with liposuction in the past has been visible irregularities in the skin of treated areas. UAL has made this less of a problem, in general. Another advantage is the ability to remove much more fat without any appreciable blood loss. Yet another advantage is the ability to remove fat from very fibrous areas, such as the back and the upper abdomen, which is much more difficult with conventional suction-assisted lipectomy (SAL).

After a period of at least an hour to monitor you in our recovery room, you will be discharged into the company of an escort.

Recovery Period

The compression garment is worn for several weeks. Most people can return to work and regular activity in a few days. However the level of activity is dependent on the amount of fat removed and the number of areas effected.

You will almost certainly experience some fluid drainage from the incisions. which is minimal. This drainage usually stops within 48 hours. At that point, you will be seen in the office and the initial dressings removed and all incisions checked. You will then be able to shower, but you will be asked to wear your compressive garment for approximately a month. This helps to control swelling and to assist in contouring the skin back down to the underlying muscle. The garment can be laundered after the first follow-up visit.

Certain side effects of liposuction, whether UAL or SAL, include pain, burning, swelling, bruising, oozing (blood-tinged fluid), and temporary numbness. The pain is usually well controlled with the prescribed medication, but a feeling of soreness persists for several days to several weeks. It takes at least six weeks to begin to feel normal again. The skin is usually quite numb and feels very hard to the touch. It may even take as long as six months for the tissues to feel absolutely normal, depending on the extent of the procedure.

Most patients return to sedentary type work in a few days to a week, to physical work in one to two weeks. Though moderate exercise (e.g. walking) is encouraged in the early post-operative period, vigorous exercise such as swimming, jogging, aerobics, and weight training should generally be avoided for about a month. Dr. Parker will be following you on a regular basis to give you specific feedback about your activity level.

Frequently Asked Questions

1. I need to lose a lot of weight in a hurry. Can Liposuction help?
Liposuction can remove localized pockets of fat. There is a limit to the amount of fat that can be removed during one operation. Therefore liposuction is not a diet substitute. It is simply intended to eliminate unsightly fat deposits in unwanted areas.

2. Since I had my kids my stomach makes me look fat. Am I a candidate for Liposuction?
A fat stomach after childbirth is usually due to the stretching of the abdominal skin and muscles. Liposuction may not be effective treatment for this problem. A tummy tuck, which would eliminate excess skin and tighten the stomach wall, would be a better treatment choice.

Las Vegas Plastic Surgery