Friday, October 2, 2009

MARKETING WORDS TO UNDERSTAND LIPOSUCTION: VISALIA, LOS ANGELES, PASADENA, AND FRESNO



The photo above is of the fat output from a large volume liposuction case. Notice that the yellow material on the top of the five containers is the fat. The material on the bottom is local anesthetic fluid with a tiny amount of blood in it. The amount of blood loss with liposuction cases is generally minimal. In this case, the fat represents about 6 quarts, roughly 60 per cent of the 10 quarts removed.

Many words are used by physicians to advertise their services in liposuction in Los Angeles, and the Central Valley. See below for explanations.

1. Liposculpture versus liposuction – This does not mean much of anything. Every surgeon doing liposuction aspires to sculpt the bodies of their patients and this is almost a word that stands for itself.

2. Microliposuction and microcannula liposuction – These marketing terms refer to use of smaller cannulas for liposuction than were used in the past. The general evolution of Los Angeles liposuction has been towards smaller and smaller cannulas. Some surgeons use cannulas as small as 2.5 mm in diameter (we do occasionally). Originally, in the 1990s, cannulas as large as 6-10 mm in diameter were used frequently. In 2009, most of us are using 4 mm or smaller cannulas. Delicate areas such as arms and faces and calves often are treated entirely with 3 mm or even the 2.5 mm cannulas with delicate tips. They harvest fat surprisingly well although they certainly are slower than larger ones and prolonging the operation is a disadvantage. The structure of the tissue around the fat can be better preserved with the smaller instruments and generally a smoother result is obtained, although this also has great a deal to do with the surgeon’s skill. In any case, if you are quite overweight and need a lot of fat removal to produce a more shapely body, you do not want your surgeon using the smallest cannula and taking 12 hours to do your procedure. Not only is the anesthetic necessary for such a procedure possibly a bit much for your system (and even have bad effects on your health) but you might have more discomfort.

3. Tumescent liposuction – Refers to putting local anesthetic in the tissues before the procedure in large quantities. The idea is to accomplish as little discomfort as possible and thus require less sedating medications. This stretches the fat in such a way that makes the removal of it more effective and probably less painful. This term was invented by Dr. Jeffrey Klein, who did some of the pioneering work with local anesthetic liposuction. If you Goggle tumescent: definition, there are also sexy overtones to the meanings so this too is marketing term.

4. “Liposuction totally by local anesthetic” – This is the liposuction that dermatologists are promoting. Some of them do not even use intravenous safety catheters and this may be reasonable for some cases, although it’s against California Law currently. The number of areas that are treated by these surgeons are by necessity limited because the patient does not take other medications besides local anesthetic. Dr. Yoho has had a lot of experience with the use of pure local anesthetic liposuction; he thinks that the fear factor and the anxiety factor can be countered easily by modern light anesthetic methods and that this much more humane. After all, we have cars now, you don’t have to ride a bicycle! Occasionally the patient has very limited areas that are going to be operated on, and pure local anesthetic is reasonable.

5. “Large volume liposuction” generally refers to liposuction of total fat output of over 5 liters. This does not include the fluid that is placed in the fat and then partially removed again. This is actually more of a medical distinction than a marketing distinction

6. "Adit" – This is a term for a kind of incision made with a punch instead of a slit with a scalpel. The theory is that the round hole heals better than a slit hole made by a scalpel. This is dermatologist term invented by Dr. Klein and is not used by the plastic surgeons or other cosmetic surgeons. Dr. Yoho does not like to use this technique, because he feels that the healing is not better.

6. “Ultrasonic” or “laser” or “vibrating cannula” liposuction – There are liposuction, vibrating instrument liposuction rotating instrument liposuction; these are all technologies which have been developed in an attempt to make either the operating time shorter or the experience by the surgeon easier or perhaps the result better. I think that none of these aims have been clearly achieved and there are no good studies that show that any of these techniques are superior to the liposuction we use which varies the cannula size based on the case and uses relatively large volumes of local anesthetic. We do have access to various technologies of these types if you want us to use them; just ask. There is a small extra charge. For Liposuction Fresno visit our office in Visalia, visit our Pasadena location for Liposuction Los Angeles