Roc anti cellulite

Frequently Asked Questions about liposuction: Can exercise get rid of specific areas of fat without liposuction? Is liposuction a good way to lose weight? How much weight is lost with liposuction? Does liposuction take care of cellulite? Will liposuction tighten up loose skin? What are the techniques of liposuction? What is the “tumescent technique”? What is ultrasonic liposuction? What is the cost of liposuction? Can the fat come back? Is it true that other areas get fat after liposuction? Is liposuction surgery painful? What is the recovery period after liposuction? When can exercising be resumed? How much time off work is required? Where are the scars located after liposuction?Finding a Surgeon Near You.

Answers to Frequently Asked Questions about liposuction: Can exercise get rid of specific areas of fat without liposuction?

Exercise is good for the mind and body in general, and toning the muscles can help fill out loose skin in the vicinity. By suppressing the appetite, and by slightly increasing the metabolism, exercise can assist weight loss. But, unfortunately, there is no such thing as a “spot” exercise, to make the body lose weight in a certain area. Troublesome areas, typically the chin, abdomen, hips or thighs, have an inherited tendency to accumulate fat, and there is so far no way, exercise or pills, to force the body to selectively burn away that fat. To date, only liposuction can accomplish that.

Is liposuction a good way to lose weight?

Liposuction is not a good method for weight loss. Not only is it less effective for people who are obese, but also the results would be less than ideal, and there are increased risks for the significantly overweight person. The best candidates are those who have attained their correct body weight, and yet still have one or more difficult areas which do not respond to further weight loss or exercise. After a consultation examination, Dr. Dowden often prescribes a diet program for overweight patients as preparation for liposuction.

Because fat is lighter than water, a large volume of fat does not account for as much weight as one might think. For example, say a person has 2 liters of fat removed (picture the volume of two one-liter bottles of soda) from the abdomen or the thighs. Clearly, that would make a significant difference in contour and in measurements, yet the weight removed is less than five pounds.

Does liposuction take care of cellulite?

There is nothing mystical or special about “cellulite”, it is just fat, but it is fat located just under the skin, making a rippled look that is quite apparent. Liposuction removes some of this cellulite fat also, but it is difficult to eliminate entirely. Weight loss by dieting is the best way. Sometimes, these skin irregularities can become more noticeable after liposuction.

Will liposuction tighten up loose skin?

Liposuction removes fat, and so also removes some of the weight which may be pulling the skin downwards. In this way, liposuction will sometimes permit the skin to tighten a little, but liposuction does not accomplish very much skin tightening on its own. In fact, sometimes, removal of the underlying fat can even make loose skin more apparent. If loose skin is already a problem, liposuction may not be the best solution for the person. In this case, Dr. Dowden may consider a face lift, abdominoplasty, or thigh lift.

What are the techniques of liposuction?

Basically, all the liposuction techniques have in common that a thin surgical instrument is used to loosen or disrupt the fat cells in the area, and then the applied suction removes the fat. Several years ago, a variation was developed, called the “tumescent” technique, which involves first injecting a large volume of salt-water into the fat, and then using thinner instruments to remove the fat, giving less discomfort, and an even better result, through very tiny incisions leaving miniscule scars. Dr. Dowden has been using this tumescent technique since the early 1980′s. Recently, yet another method was developed, called ultrasonic liposuction, which disrupts and emulsifies the fat by ultrasonic waves before suctioning it out. This method can help remove larger amounts of fat with minimal blood loss, and can more effectively treat some areas that are difficult to do with standard liposuction, such as male breast gynecomastia, and the upper back and the front of the thighs. However, ultrasonic liposuction is more expensive, and can produce skin damage if not used correctly. Dr Dowden has been using ultrasonic liposuction since the early 1990′s.

Costs The fees for liposuction by Dr Dowden include: pre-operative examination and testing, operating room, anesthesiologist, recovery room, medical supplies and dressings, surgeons fee, overnight stay if appropriate, and office checkups for 52 weeks. The fee depends upon several factors such as location of the area or areas being treated, the number of areas being treated, and whether the patient is staying overnight or going home. Ultrasonic liposuction slightly increases the cost. If multiple areas are being treated at the same time, the cost is of course higher, but there is some savings accomplished.

One can find surgeons offering lower fees for this surgery, and although lower fees do not necessarily mean that the surgeon is not experienced, there are several questions to which prospective patients must learn the answers:

1. Is the surgeon certified by The American Board of Plastic Surgery?
2. Does the surgeon have considerable experience with liposuction?
3. Is the surgical facility fully accredited for general anesthesia?
4. Will there be an M.D. Anesthesiologist present?
5. Will the surgeon be doing the surgery himself/herself?
6. Can you be sure the surgeon is not just supervising trainees?
7. Does the quoted fee include anesthesia, operating room, supplies and follow-ups?

You want to be certain the answer is yes to all of these before deciding.

Virtually all cosmetic surgery is prepaid, but various financing options are available. It is not appropriate for health insurance to cover cosmetic surgery, and Dr. Dowden will not participate in attempts to submit cosmetic surgery to insurance companies.

For the most current cost information, link to the cost page.

Can the fat come back?

Fat cannot come back unless one gains weight again, in which case all body areas will share in the weight gain. However, after liposuction, the treated areas have a permanently decreased capacity for additional fat, because so many of the fat cells have simply been removed. But there are still fat cells present, so some gain in that area is to be expected with weight gain.

For that reason, someone gaining weight after liposuction is more likely to notice the increased fat being deposited in other areas which did not get liposuctioned. That is the reason for the incorrect speculation that after liposuction, “some other area will just get fat”. Only if one gains weight would an increase occur.

Is liposuction surgery painful?

Afterwards, most patients say that it feels like a large bruise. Strong pain medications are generally needed for a few days, and then most patients rapidly become more comfortable. Of course, the more areas that are treated, the greater the discomfort to be expected.

What is the recovery period after liposuction?

Recovery time depends on the individual, but usually follows a general pattern. For the first few days, the patients take fairly strong pain medicine, usually a mild narcotic. During this time they generally stay at home, lying down or walking around. Patients cannot drive a car or operate machinery during this time. Near the one-week mark, when they are on milder medicine, they can start light exercise, such as treadmill or stationary bike, but not impact exercises like running or aerobics. The second week, weights or exercise machines can be added, and then after three weeks, running and aerobics can be done. The point at which work can be resumed depends upon how the work activities fit into the progression described above, and this is individualized. Dr. Dowden recommends that a compression bandage, or elastic binder, or girdle-type garment is worn nearly continuously for the first four weeks, and generally for much of the time during several weeks or months thereafter.

Where are the scars after liposuction?

The scars after tumescent technique liposuction as performed by Dr. Dowden are about 3/16 inch long. For liposuction under the chin, they are located behind each earlobe, and often another just under the chin. For liposuction of the breasts, they are located in the under-breast crease and out to the side. For the upper arms, they are located at several points along the arm. For the abdomen, they are located at the pubic hairline, and one on each side of the abdomen. For the thighs, there are several depending upon the extent of the fat excess, located around the periphery of the area being treated. For the knees, there are two or four per knee, usually in skin creases. The scars for ultrasonic liposuction are somewhat longer.

Finding a Surgeon Near You: If you are interested in liposuction and want to find a board-certified Plastic Surgeon in your area who is qualified to do it, call the referral service of the American Society of Plastic Surgeons at (800)-635-0635, or check http://www.plasticsurgery.org. Alternatively, one can ask the local plastic surgery society, or the plastic surgery department of the nearest medical school. To find out if a surgeon whose name you have been given is truly a Board-Certified Plastic Surgeon, put the name into the search engine at http://www.abms.org to find out.

This page Copyright R.V. Dowden, MD, 1995, 1996, 1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010. This information may not be reproduced or distributed electronically or in print without permission from Dr. Dowden. Note that while the information given by Dr. Dowden during a consultation is completely current and up-to-date, the information of this website is only as current as the date of last update, and therefore may become out-of-date.

Cosmetic and Plastic Surgery 6770 Mayfield Road, Suite 410 (Mayfield Heights) Cleveland, Ohio 44124 (440) 449-7470 Note: To ensure privacy for our patients, all of our outgoing phone lines have their caller ID permanently blocked; if your phone does not accept blocked ID calls you will not be able to receive any calls back from our office.

Last Update: 7:04 PM on 01/12/2010

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