Let's start out with the anesthesia. You can either put someone under general anesthesia or do tumescent anesthesia. The former is obvious. Using a gas, you are put to sleep for the duration of the procedure. The pros are that you will feel nothing initially, but afterwards there is quite severe pain. The second and most distressing fact is that 95% of all adverse side effects, including death, have all occurred under general Anesthesia!! The reason is simple. Most Plastic surgeons who do it under general anesthesia do multiple procedures or multiple fatty areas all at once. And all Physicians know that the more procedures you do under general, the greater the risk. Now Tumescent anesthesia. First, you are awake for the entire procedure. Using Dr Klein's Solution, the area to be suctioned is infiltrated (filled) with the fluid, which numbs the area, and then, using your preferred catheter (we'll talk more on this later) you evacuate the fat. You are monitored, just like under general anesthesia but because the physician can and does talk to the patient during the entire procedure, you have control of the patient. Up until last year there had never been a reported death doing this method, but a very careless and cavalier doctor who used inappropriate drugs during the procedure, and then left the operating room before the end of the procedure, did cause the death of one patient. Again, I believe after reading the case that it was the inappropriate use of the drugs that killed the patient. So it had nothing to do with the actual anesthetic solution.
Catheters are like fishing lures, everyone has their own favorites and swears by their selection, but in reality, there is a specific lure, or catheter, for each specific fish, or area to be suctioned. There are catheters with vibrating tips, ultrasound tips, laser tips, oscillating tips (some of which go up and down, and others side ways.) Others whirl randomly in all directions. And then there are the straight catheters. I personally use the straight catheters because I believe that you have the most control - and while it takes a lot longer to do the procedure, the results, in my opinion, are far superior. Dr Gasparotti, perhaps the most artistic liposuctionist in the world likes to say, "It is not the catheter that counts, but the man (woman) holding the catheter". I agree.
So when would you chose liposuction over Lipodissolve? I believe the answer is, when there is a large volume of fat to remove, multiple areas that need addressing, when the patient wants it all done at once, and in the love handles in men and the knee areas in both men and women.
LIPODISSOLVE (LD), RAPID LASER LIIPODISSOLVE AND HIGH DEFINITION RAPID LASER LIPODISSOLVE
Lipodissolve is the injection of Phosphatidyl Choline (PC) directly into the fat. PC is a natural derivative of the soybean. Unfortunately, there have been freelance writers who have, out of ignorance, claimed that we do not know how it works. We do know! The PC works by causing the cell membrane to reverse its polarity and as it does, microscopic holes are produced in the cell membrane. We call this a "Zwitterionic defect". The cell membrane disintegrates, the triglycerides (which is what fat is made of) are released and the body turns them into diglycerides. The body breaks these down one step further to mono-glycerides and finally to free-fatty-acids. This is what the body uses as energy. So in essence fat is stored energy, and the PC breaks down those fat stores in specific areas and turns them into energy. This is a permanent loss of fat in the areas injected. I like to say that it is "chemical liposuction".
Rapid Laser Lipodissolve is all of the above, plus we add three sessions of a cold laser to the areas being injected. This causes more destruction of the fat cell membrane and a more rapid resolution to a thinner you.
High Definition Rapid Laser Lipodissolve is the final addition to these non-invasive ways of losing fat. In addition to all of the above, we add in a hormone injection that aids in the dissolution of fat. In our studies not only did it appear to enhance the fat loss in the injected areas, but also (as has been established over many years,) aids in the resolution of subcutaneous fat in the whole body.
LIPOCAVITRON
This is a patented French machine that uses low frequency Ultrasound to dissolve the cellulite. The low frequency ultrasound is at 27 KHz, which is just above the hearing for a human and it painlessly dissolves the fat beneath the surface of the skin. In medical terms the fat is "cavitated". In essence, ultrasound transducers are applied to the skin with a gel interface and you lie there for about 30 min. The draw back to this is that it takes about 10 sessions to see a really good result. Typically the skin is much smoother and the dimpling is greatly reduced. The positives are that there is absolutely no discomfort whatsoever, and it is completely non invasive. For the best results, the ten sessions should occur over a one-month period. The transducers can be applied to just about any part of the body.
Copyright (c) 2008 Roger Murray
Even though we are in the middle of the summer (or maybe because we are), you may have decided to get serious about getting rid of those unsightly fat areas that diet and exercise just won't. But with different methods of fat removal available, which one is right for you? It may be tempting to think that a non-surgical method such as LipoDissolve which offers low cost and no recovery time is best, but let's examine the facts first.
Traditional liposuction is still the gold standard to which all other methods of fat removal must be compared. Done through small incisions near where the fat is to be removed, a small thin hollow tube (cannula, about the width of a pencil or less)) is placed underand the dislodg the skin. By moving the cannula in and out repetitively, fat is broken loose and then vacuumed out. This is the preferred method among board certified plastic surgeons for removing larger amounts of fat tissue and has been used in the United States for almost thirty years.All liposuction today is done with the tumescent or wet technique which keeps blood loss to only about 1% of the total fat removed. Liposuctioned fat volumes removed today are kept around five or six liters in a single operation to keep the risk of complications low. Serious side effects with liposuction are very rare. The most common problem with liposuction is skin irregularities but this problem is kept limited when done by skilled and experienced hands. Very good results can be obtained in the neck, stomach, waistline, outer thighs, and knees. More modest results are seen in the arms, back, inner thighs, and buttocks.
Liposuction done with the aid of a laser, also known as Smart Lipo, is one of the newer FDA-approved types of liposuction. A laser is inserted through tiny incisions in the skin. When the laser is fired, it melts the fat purportably tightening the skin at the same time. Smart Lipo has not been proven to produce better results than traditional liposuction but may be an alternative for removing smaller fat areas. This is certainly the way it is currently being sold, particularly to non-plastic surgeons which make up a significant percent of the targeted market. Because the removed fat volume is more limited, serious side effects are unlikely. Smart Lipo to be real advantage, to me, is whether it can be used in the office under local anesthesia for smaller fat problems. This is where it would offer an advantage over traditional liposuction.
Lipodissolve, also known as injection lipolysis, uses a mixture of emulsifying chemicals (lecithin and cholic acid) which are injected under the skin to the targeted fat areas. This is a non-FDA approved treatment method although in my experience has proven to be safe. I have not seen any of the complications that are widely reported. Lipodissolve is certainly not a replacement or alternative to liposuction. It is best viewed as a fat removal technique when any form of liposuction is a bigger solution than the problem justifies. It is done as a series of injection done in the office over three or four months.I have found that it works well for small fat areas in the neck, jowls, bra rolls, stomach, flanks, thighs, and knees. Small areas, no bigger than the size of a hand, is the concept of a treatable fat area. Liposuction, like all plastic surgery, is an issue of value...what result do you get for what you pay. It is also a great method to touch-up any excess areas of fat after a liposuction procedure.
Liposuction and LipoDissolve remove fat differently and therefore should be used for different fat problems. LipoDissolve is for small fat areas that are not worth a surgical effort, whereas larger fat areas still require traditional liposuction.
Both Roger Murray & Dr Barry Eppley are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Roger Murray has sinced written about articles on various topics from Fitness. Dr. Roger Murray, M.D. is an Orlando, Fla. based cosmetic surgeon, specializing in minimally invasive cosmetic surgery and is an expert in scar minimization techniques, aesthetics and anti-aging. For more information, please visit. Roger Murray's top article generates over 2900 views. to your Favourites.
Dr Barry Eppley has sinced written about articles on various topics from Anger Control, Cosmetic Surgery and Botox. Dr Barry Eppley, board-certified plastic surgeon of Indianapolis, operates a private practice at Clarian North and West Medical Centers in suburban Indianapolis. He writes a daily blogs on topics and trends in plastic surgery at. Dr Barry Eppley's top article generates over 165000 views. to your Favourites.