Liposuction

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Chandler AZ 85224
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COSMETIC SURGERY

Liposuction

If you're considering liposuction...

Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as "lipoplasty" or "suction lipectomy," has benefited from several new refinements. Today, a number of new techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique, and the super-wet technique, are helping many surgeons to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

If you're considering liposuction, this brochure will give you a basic understanding of the procedure: when it can help, how it is performed and how you might look and feel after surgery. It won't answer all of your questions, since much depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don't understand.

The best candidates for liposuction

To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. It's important to understand that liposuction can enhance your appearance and self confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin.

Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured.

Planning your surgery

In your initial consultation, your surgeon will evaluate your health, determine where your fat deposits lie and assess the condition of your skin. Your surgeon will explain the body-contouring methods that may be most appropriate for you. For example, if you believe you want liposuction in the abdominal area, you may learn that an abdominoplasty or "tummy tuck" may more effectively meet your goals; or that a combination of traditional liposuction and UAL would be the best choice for you. Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail and explaining its risks and limitations.

Getting the answers you need

Individuals considering liposuction often feel a bit overwhelmed by the number of options and techniques being promoted today. However, your surgeon can help. In deciding which is the right treatment approach for you, your doctor will consider effectiveness, safety, cost, and appropriateness for your needs. This is called surgical judgment, a skill that is developed through surgical training and experience. Your doctor also uses this judgment to prevent complications, to handle unexpected occurrences during surgery, and to treat complications when they occur.

Preparing for your surgery

our surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed. Though it is rarely necessary, your doctor may recommend that you have blood drawn ahead of time in case it is needed during surgery. Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at home for a day or two.

Where your surgery will be performed

The procedure will be at a surgical center.

Anesthesia for liposuction

You will be comfortable and awake, but will feel no pain.

The surgery

The time required to perform liposuction may vary considerably, depending on the size of the area and the amount of fat being removed.

Liposuction is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe, depending on the surgeon's preference. If many sites are being treated, your surgeon will then move on to the next area, working to keep the incisions as inconspicuous as possible.

Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.

All surgery carries some uncertainty and risk

Liposuction is normally safe, as long as patients are carefully selected, the operating facility is properly equipped, and the physician is adequately trained.

However, it's important to keep in mind that even though a well-trained surgeon and a state-of-the art facility can improve your chance of having a good result, there are no guarantees. Though they are rare, complications can and do occur. Risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size. Removal of a large amount of fat and fluid may require longer operating times than may be required for smaller operations.

The combination of these factors can create greater hazards for infection, delays in healing, the formation of fat clots or blood clots (which may migrate to the lungs and cause death), excessive fluid loss, which can lead to shock or fluid accumulation that must be drained, friction burns or other damage to the skin or nerves or perforation injury to the vital organs, and unfavorable drug reactions. In the tumescent and super-wet techniques, the anesthetic fluid that is injected may cause lidocaine toxicity (if the solution's lidocaine content is too high), or the collection of fluid in the lungs (if too much fluid is administered).

The scars from liposuction are small and strategically placed to be hidden from view. However, imperfections in the final appearance are not uncommon after liposuction. The skin surface may be irregular, asymmetric or even "baggy," especially in the older patient. Numbness and pigmentation changes may occur. Sometimes additional surgery may be recommended.

After your surgery

After surgery, you will likely experience some fluid drainage from the incisions. Occasionally, a small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. Your doctor may also prescribe antibiotics to prevent infection.

Don't expect to look or feel great right after surgery. Even though the newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications prescribed by your surgeon, though you may still feel stiff and sore for a few days.

It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better.

Getting back to normal

Healing is a gradual process. Your surgeon will probably tell you to start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery. The stitches are removed or dissolve on their own within the first week to 10 days.

Activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappear within three weeks, some swelling may remain for six months or more.

Your surgeon will schedule follow-up visits to monitor your progress and to see if any additional procedures are needed.

If you have any unusual symptoms between visits, for example, heavy bleeding or a sudden increase in pain, or any questions about what you can and can't do, call your doctor.

Your new look

You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible.

If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape. We are always up front about your fees, and they are mainly determined by the amount of fat, difficulty of the case, medical/surgical history, etc. We'd be glad to quote you a price after a free consultation.

So what are you waiting for? Call today at 480-788-5621

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Tumescent Liposuction Totally By Local Anesthesia

K. Alex Kim, M.D.

Board Certified in American Board of Surgery

www.bellagiomedspa.com

Email: bellagioclinic@gmail.com

Tel (480) 788-5621, Fax (480) 779-1277

INTRODUCTION
Thank you for your interest in Tumescent Liposuction totally by local anesthesia. This information provides answers to the most common questions about Tumescent Liposuction. You will find all the details you will need to make a decision about having Tumescent Liposuction totally by local anesthesia. Tumescent Liposuction totally by local anesthesia was invented in 1985 by Dr. Jeffrey Klein, and with whom Dr. Kim received his liposuction training. Subsequently, the Tumescent Technique has become the worldwide standard of care for maximizing the safety of liposuction. Dr. Alex Kim’s top priorities are safety first, then excellent cosmetic results and rapid post-operative return to normal activities.

SAFETY FIRST
Because cosmetic surgery is elective surgery, it is important that patients have the benefit of the safest surgical and anesthetic techniques. The safest form of liposuction utilizes the Tumescent Technique which permits liposuction totally by local anesthesia. By having liposuction totally by local anesthesia one obviously avoids all of the potential dangers associated with general anesthesia. Due to the fact that there is a limitation to the total dosage of local anesthetic that can be used in a single surgery, the total amount of liposuction that can be accomplished totally by local anesthesia is also limited.

Liposuction is far safer when excessive liposuction is avoided. Serious liposuction complications are most commonly the result of excessive liposuction. Excessive liposuction typically occurs when a surgeon and patient use poor judgment and attempt to remove too much fat on a single day, or attempt to treat too many body areas on a single day. Most patients and some surgeons allow the convenience of doing all the liposuction at one time to outweigh the common sense fact that too much surgical trauma is dangerous. When a patient has multiple areas that would benefit from liposuction, it is far safer to divide the liposuction into two or more separate procedures, each separated by about a month or more.

The risk of complications also dramatically increases when a surgeon or patient carelessly undertakes one or more surgeries unrelated to liposuction on the same day as liposuction. In particular, liposuction on the same day as a gynecologic surgery is particularly dangerous.
By avoiding these obvious risk factors, Tumescent Liposuction totally by local anesthesia has an unsurpassed record of patient safety. To the best of our knowledge, there has never been a death associated with liposuction totally by local anesthesia.

YOUR CONSULTATION
Dr. Alex Kim and our surgical staff are dedicated to helping you achieve your goals of self-improvement. Your consultations will be personal and private. Of course you may bring your spouse, relative or friend if you wish. Our staff looks forward to meeting you.
You should not feel compelled to make any decision about having liposuction at the time of your initial consultation. The consultation is your opportunity to ask questions and acquire information. Your goal should be to appraise the personality, knowledge, experience, skill, friendliness and professionalism of the surgeon and staff. At the same time the surgeon and staff will want to make sure that you are a good candidate for liposuction. Please feel free to ask any questions which you feel are not adequately addressed by this brochure. As you read this brochure, take notes or highlight areas of concern so that you can ask for further clarification and more detailed information.

FOR PATIENTS FROM OUT-OF-TOWN, AND FROM ABROAD
We have a number of patients who travel from out-of-town, out-of-state and from abroad to have Tumescent Liposuction totally by local anesthesia. Upon your request we would be happy to send you information about special arrangements for our out-of-town patients. For additional information in this regard, please contact us.

WHAT IS THE TUMESCENT TECHNIQUE?
The Tumescent Liposuction totally by local anesthesia involves the injection of large volumes of very dilute lidocaine (local anesthetic) and epinephrine (vasoconstrictor that shrinks capillaries) into subcutaneous fat. The word tumescent means swollen and firm. With the Tumescent Technique, the volume of dilute lidocaine that is injected into fat is so large that the targeted areas literally become tumescent (swollen and firm). The Tumescent Technique produces profound and long-lasting local anesthesia of the skin and subcutaneous fat. Tumescent Liposuction designates a form of liposuction that uses tumescent local anesthesia.

LIPOSUCTION AND BODY SCULPTURE
Body sculpture by Tumescent Liposuction totally by local anesthesia is literally a dream come true. Localized accumulations of fat, which are often inherited and frequently impossible to eliminate by exercise or dieting, can now be removed permanently by liposuction surgery. Tumescent Liposuction totally by local anesthesia involves the use of a microcannula, a small hollow stainless steel tube connected to a strong vacuum device. When the microcannula is inserted through a tiny adit (round hole) in the skin and then moved to and fro in a reciprocating motion, fat is suctioned out of the targeted fat deposit. With the use of multiple adits and a careful attention to detail, liposuction can provide gratifying results with minimal risks of noticeable irregularities. Our goal is to achieve a significant improvement that appears natural with virtually imperceptible scars.

ABOUT FAT
Body fat on an adult tends to increase gradually over the years. After the age of 30, an individual often gains fat according to a genetically predetermined pattern. For example, the abdomen hips and under the chin are areas where fat begins to accumulate in adults. Fat in these areas is often resistant to diet or exercise. After pregnancy, the fat on the abdomen and hips may persist despite concerted efforts at dieting and exercising. For many people who have an inherited tendency to accumulate localized deposits of fat, liposuction is the only realistic means of significantly changing the body's silhouette. In effect, liposuction is equivalent to being able to focus the effects of dieting to specific areas of the body.

WHAT IS LIPOSUCTION?
The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body's contour by removing excess fat from deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula (from the Latin word for reed, tube, cane). The cannula is connected to a powerful suction pump and inserted into the fat through small incisions in the skin. Fat removal is accomplished as the suction cannula creates tiny tunnels through the fatty layers. By wearing post-operative compression garments specifically designed for Tumescent Liposuction, these tiny tunnels collapse and disappear, resulting in an improved body contour.

AREAS TREATED BY LIPOSUCTION
The most frequently treated areas for women are the abdomen, hips & outer thighs, inner thighs & knees, face & neck, arms, back, buttocks and breasts. In men, who comprise about 15% to 20% of liposuction patients, the most commonly treated areas include the chin & neck area, abdomen, breasts and "love-handles" or flanks.

PERMANENCE OF RESULTS
Fat cells that are removed by liposuction do not grow back. As long as the patient does not gain excessive amounts of weight, the new, more pleasing silhouette is permanent. Of course after liposuction the clock keeps ticking, and advancing age will produce the usual subtle changes of the body. But overall, the new body shape after liposuction is more or less permanent. If a woman has a tendency to accumulate fat on the thighs and knees when she gains weight, then after liposuction these areas will not accumulate as much fat as other areas that have not been treated. If the patient does gain a moderate amount of weight after liposuction, then her figure will simply be a larger version of her new body shape. Pregnancy does not alter the results of liposuction. If a woman has liposuction and subsequently becomes pregnant, gains weight, gives birth and finally loses the excess weight of pregnancy, then her original liposuction improvements will return, just as if she had never been pregnant.

WHO IS A GOOD CANDIDATE FOR LIPOSUCTION?
The best candidates for liposuction are in good health and have realistic expectations of liposuction. There is no definite age limit or weight limit for patients who are "good candidates for liposuction. Many liposuction patients are of average size but are concerned about localized accumulations of fat. However, some of the happiest patients have been individuals who are somewhat obese. It is important to emphasize that liposuction is not a treatment for general obesity. Liposuction is not effective as a last resort for people who are unable to maintain reasonable weight by dieting. However, an overweight person whose weight has been stable for many years and has certain problem areas of fat may be an excellent candidate for liposuction.

WHAT IS A SUCCESSFUL LIPOSUCTION SURGERY?
A liposuction surgery is a success when the patient is happy with the results. The surgeon's goal is to obtain an optimal aesthetic result rather than to maximize the amount of fat removed. One of the most common causes for disappointment in the results of liposuction surgery is the removal of too much fat, which produces a disfigured or abnormal appearance. The cosmetic success of a liposuction surgery is often the result of removing an amount of fat equivalent to a half-pound of butter from a woman's saddlebag area or from a man's love handle area. While this amount of fat is relatively small compared to a person's total body weight, it can produce a dramatic change in the patient's silhouette.

LIPOSUCTION TOTALLY BY LOCAL ANESTHESIA
The word "tumescent" means swollen and firm. The Tumescent Technique uses large volumes of a dilute solution of lidocaine, a local anesthetic, in combination with the vasoconstrictive drug epinephrine, which temporarily shrinks capillaries. Local anesthesia used in the Tumescent Liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics, or general anesthesia. Over the years, virtually all the patients who have previously had liposuction under general anesthesia, found the Tumescent Liposuction to be less painful, to provide better results, and to produce more rapid healing and recovery.

VIRTUALLY NO BLOOD LOSS
As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after surgery. The use of tumescent local anesthesia is a major improvement in liposuction, compared to the older methods that simply used general anesthesia.
In the days before the advent of Tumescent Liposuction the biggest risk of liposuction was excessive loss of blood during surgery. In fact, many surgeons required that their patients donate their own blood several weeks before surgery and then during surgery the blood would be returned to the patient by transfusion. With the Tumescent Technique blood transfusions are no longer a part of liposuction surgery.

WHAT ARE THE RISKS OF GENERAL ANESTHESIA?
The drugs that are used to produce general anesthesia are relatively dangerous compared to those used for local anesthesia. It is estimated that fatal complications associated with general anesthesia occur somewhere in the neighborhood of 1 in every 10,000 patients. The severe complications associated with general anesthesia are eliminated as serious risk factors by not using these medications. It is well recognized that local anesthesia is considerably safer than general anesthesia.

IS AN ANESTHESIOLOGIST NECESSARY?
Anesthesiologists are specialists who are trained in the safe use of dangerous anesthetic drugs. Even with this expert training, dangers of general anesthesia persist. The safest approach is simply to avoid using these drugs altogether. An anesthesiologist is not necessary when dangerous general anesthetic drugs are not used, and local anesthesia is the only anesthetic.

SAFETY FIRST
Surgical complications in liposuction are quite rare. The greatest risk with liposuction by general anesthesia is respiratory arrest as a result of either an allergic reaction, mechanical malfunction of the anesthesia machine, or human error associated with general anesthesia.
Thus, from the perspective of safety, being able to take care of a medical emergency, such as a cardio-pulmonary arrest, is of primary importance. None of the patients of Dr. Alex Kim have ever had any serious complications. Dr. Alex Kim and his surgical staff are well trained and experienced in Advanced Cardiac Life Support (ACLS). They are equipped and able to diagnose and treat all true emergencies immediately.

TUMESCENT TECHNIQUE IS LESS PAINFUL THAN GENERAL ANESTHESIA
With Tumescent Liposuction totally by local anesthesia, patients avoid the postoperative nausea and vomiting so frequently associated with general anesthesia. Infiltrating the local anesthesia by the Tumescent Technique is typically associated with minimal discomfort. Once the area has been completely numbed, surgery in the area is essentially painless. In addition, because the local anesthesia persists in the treated area for more than 12 hours, there is no pain immediately after the surgery. Approximately 99 percent of our Tumescent Liposuction patients only require acetaminophen (Tylenol8) for post-operative discomfort.

RISKS OF ANY SURGERY
As with any surgical procedure, liposuction is associated with certain common side effects such as bruising, swelling and temporary numbness. Although irregularities of the skin are possible following any type of liposuction surgery, the risk of significant irregularities is minimized by Tumescent Liposuction. When larger cannulas are used, there is an increased risk of occasional irregularities of the skin. When microcannulas are used, noticeable irregularities are less
common.

As judged by current worldwide experience, liposuction is amazingly safe. Rare problems that can potentially occur with any surgical procedure include infections, bleeding, nerve injury and scaring, which may or may not be correctable. Tumescent Liposuction totally by local anesthesia minimizes these risks. To the best of our knowledge, there have been no reported deaths using the Tumescent Technique for liposuction totally by local anesthesia. Virtually all reported liposuction related deaths have been associated with general anesthesia or heavy IV sedation or narcotic analgesia.

METHODS OF POST-LIPOSUCTION CARE
New techniques for post-liposuction care allow more rapid recovery, less bruising, less swelling and less prolonged tenderness. This is achieved by encouraging rapid "open drainage" of residual blood-tinged solution of tumescent local anesthesia. This is accomplished by allowing the tiny adit incision sites to remain open without being closed with stitches, and by the use of superabsorbent post-operative compression pads together with post-operative elastic compression garments. With this open drainage technique, patients can usually see dramatic improvements within two to four weeks after surgery, and they can expect to see 90 percent of the final result within 4 to 6 weeks. With older techniques that closed incisions with sutures, the ultimate results following liposuction usually require 12 to 16 weeks to become fully apparent.

DOES LIPOSUCTION REMOVE CELLULITE?
Although the results of liposuction are often quite spectacular, it is not realistic to expect perfection. Liposuction of the thighs, while improving the silhouette, does not necessarily eliminate the subtle "puckering" of the skin that is often referred to as "cellulite." Tumescent Liposuction does reduce the degree of cellulite but it is unlikely to eliminate it.

DECREASED RISKS OF INFECTION WITH TUMESCENT TECHNIQUE
Infections are extremely rare, irrespective of whether or not the anesthetic technique is that of general anesthesia or local anesthesia. Although there have been reports in medical literature of patients who have had serious infections following liposuction surgery, to the best of our knowledge, there have never been any patients who have had such infection following liposuction totally by local anesthesia. Lidocaine, the local anesthetic that is a component of the tumescent local anesthesia, kills bacteria.

BETTER AND SMOOTHER RESULTS
The large volumes of dilute local anesthetics infiltrated into the fatty tissue cause the tissue to become swollen and firm, or tumescent. The use of tumescent local anesthesia magnifies the fatty area that is to be treated by liposuction. If there is an area that has not been completely treated, this is more easily detected because the area is swollen and enlarged. Thus the risk of post-surgical irregularities and unevenness is reduced. With the Tumescent Liposuction very small cannulas (microcannulas) are used. This permits a more delicate and gentle approach to liposuction. The liposuction cannulas which have been specifically designed for the Tumescent Technique are 2.5 and 3.1 mm in diameter. These microcannulas require a minimal amount of force in order to advance them into the fatty tissue. As a result, this surgery is much gentler and the surgeon can control the direction and position of the cannula with much more accuracy. The ultimate result is a greatly reduced risk of inadvertently approaching too close to the undersurface of the skin and unintentionally causing irregularities.

ARE THE SCARS VISIBLE?
Because Tumescent Liposuction uses very small cannulas, only tiny adit incisions are required. The incisions are so small that no stitches are used. The wounds heal by themselves and virtually disappear with time.

HOW IS THE SKIN AFFECTED?
The degree of skin change after liposuction is the same as one would expect if it were possible to lose an equal amount of fat in these localized areas simply by dieting. Because the small cannulas make small tunnels through the fat, there remain multiple connections between the skin and the underlying tissue. These fibrous connections contract with the healing process and maintain the skin in its natural position. After Tumescent Liposuction, one does not have to worry about excessive folds of skin in the areas treated by liposuction. After Tumescent Liposuction of the abdomen, this effect is so dramatic that many patients who previously would have required a surgical excision of skin, called a tummy tuck, can now have excellent results simply by having liposuction.

DECREASED BRUISING
There is dramatically less bruising using local anesthesia for liposuction as compared to general anesthesia. There are two reasons for this significant decrease in bruising. First, because there is so little bleeding with the Tumescent Technique, there is almost no blood that remains beneath the skin after surgery to cause bruising. The second reason for decreased postoperative bruising is the use of adits (tiny round holes) which facilitate the drainage of any residual blood tinged anesthetic solution. These tiny adit incisions are so small that they do not require stitches or drainage tubes. These tiny round holes remain open for two to three days after the surgery and permit most of the residual blood-tinged anesthetic solution to drain out. In order to avoid soiling clothing and furniture with the drainage, we have superabsorbent pads which collect the drainage, and postoperative compression garments maximize the rate of drainage. By minimizing bruising, swelling and tenderness, this technique for postoperative care accelerates the rate of healing.

IMMEDIATE POST-OPERATIVE RECOVERY
After liposuction by general anesthesia, patients must be observed in a recovery room until it can be determined that they have not lost too much blood, and that the post-operative nausea and vomiting is not too profound. With the Tumescent Liposuction there is virtually no blood loss, and with local anesthesia there is rarely any nausea. Because it does take additional time to inject the tumescent local anesthesia the patient does remain on the surgical table longer than with liposuction by general anesthesia. However, because the recovery time is so short, the total amount of time that the patient is in the surgical facility is often shorter with the Tumescent Liposuction than with liposuction by general anesthesia. After Tumescent Liposuction patients are discharged home about 30 minutes after completion of the surgery.

QUICKER RETURN TO NORMAL ACTIVITIES
As a result of not using stitches to close incision sites, the rate of healing is accelerated. Open incision sites permit drainage of the slightly blood-tinged anesthetic solution. This dramatically minimizes bruising. Most patients now notice that bruising is nearly absent five to 10 days after surgery. Because the tumescent local anesthesia eliminates bleeding and because the residual anesthetic solution drains out so quickly, there is less inflammation and the healing process is significantly accelerated. Because of the significant decrease in swelling and decrease in inflammation and pain after the surgery, patients are able to return to normal physical activities very soon after surgery. There is no limitation to physical activity other than what common sense would dictate. Some patients are able to return to jogging, golf and light aerobic exercise within a day or two after surgery. Some patients do find the soreness after surgery more significant than others, but on the average, most patients are quite surprised at how quickly they are able to return to normal activity.

WHICH SPECIALISTS DO LIPOSUCTION?
Liposuction is a type of surgery that is appropriately performed by surgeons of several different specialties. The specialists who most commonly perform liposuction are dermatologic surgeons (dermatologists), cosmetic surgeons, plastic surgeons, gynecologic surgeons, facial plastic surgeons, and general surgeons. Dermatologic surgeons and plastic surgeons are often taught liposuction surgery during their residency training.

WHY DON'T OTHER SURGEONS USE THE TUMESCENT TECHNIQUE? From the surgeon's point of view, it takes much less time to do the surgery when general anesthesia is used. This is probably one of the most significant factors in determining which technique the surgeon will use. There are other factors involved as well, however. Most American cosmetic and plastic surgeons use general anesthesia. Currently, there is an increasing trend toward the use of the tumescent local anesthesia by all specialties.

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