Q: Liposculpture Vs Liposuction?

How does liposculpture compare to liposuction?

A. No. Liposculpture is the same as liposuction

Liposculpture is just another term for liposuction. It might imply that there will be attention to details but technically, it is the same.

Important factors to achieve a great liposuction results are:

1) Good patient selection. Patients with excess fat deposits and good overlying skin quality are good candidates.

2) Good judgment. Removing the correct amount from the correct area obviously works the best. Overzealous suction, especially in the superficial planes can lead to significant deformity. Doctor must be able to correlate the findings while the patients are standing vs when they are lying down during surgery

3) Good technique. Gentle technique with smaller cannula allows better contouring. It may take a bit longer for the surgeon, but certainly worth it for the patient.

For more information contact Santa Monica Plastic Surgeon Reza Nabavian

Q: Would It Be Safe To Have Four Cosmetic Procedures Done At Once?

I’m considering getting Rhinoplasty (just tip work), Breast implants, an inner thigh lift and Liposuction to the flanks/mid-section. I’d like to save cost and do them all at once. Is this safe and/or possible? I’m a young, healthy woman in my mid 20’s. I have lost weight in the past and have flabby skin on my thighs and deflated breasts that can’t be remedied through exercise.

A. Length of surgery and the type of cases to be combined need to be considered.

In your case, the thigh lift has the highest morbidity in relation to DVT. Combination with liposuction slightly increases that risk. Nose surgery adds to the time. My guess is the entire case would take near 5 hours.

My advice would be to take one of the procedures off the table for now. Maybe do the liposuction another time. If you decide to combine, you will need to stay in a nursing overnight recovery center.

 

Q: Fat Stored After Liposuction Not Good Anymore?

I had an abdomen Liposuction done a few years ago. The doctor gave me my fat to freeze and I have had it since then in my freezer. The problem is that my lights went out for 2-3 days. I would to like know, is the fat is not good anymore? I want to use it for fat grafting to my buttocks.

A. Say no to stored fat!

First of all, if biologic material such as fat, is to be stored for re-use in the body, it must be maintained with the standards of blood banks. So physicians’ offices or patients’ own would not qualify.

Secondly, intuitively and scientifically, fat that is harvested, traumatized, then stored, is likely not going to be a quality product. Not very difficult to harvest fresh fat at the time of injection.

 

Q: How Effective Are Post-Liposuction Touch-ups?

I had liposuction 6 months ago and up with a few contour irregularities. They look like mogul-type lumps, not dimply like cellulite. My plastic surgeon said he could do a touch-up with a cannula that resembles a cheese grater, but not remove any more fat.
He said this would help smooth the lumps. But he also mentioned that one complication of using this instrument could be damage to the blood supply to the overlying skin. He hasn’t seen this personally, but it does worry me. Is this a good procedure to smooth out lumps, and are the risks to the skin worth it?

A: It is important to know whether the bumps are excess fat or post-liposuction scars.

The bumps you are referring to could be either scar tissue that has formed after liposuction. If that is the case, time and massage should provide some improvement. A persistently hard scar may respond to corticosteroid injection, however, this injection can have its own set of complications such as tissue atrophy and telangiectasias, so not a great choice.
If the bumps are due to under-suctioned fat deposits, then liposuction with a small cannula could be helpful. The closer these deformities are to the actual skin, the less likely it is to achieve excellent correction.
Being prudent about revisional surgery is very smart. In the case evolving scars, time is usually on your side.