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Simply removing isolated areas of fat from the stomach, hips, or
waist will not achieve narrower waist. In fact, because the body
might distribute weight, or the patient may gain weight after the
procedure, this would create an appearance that the body is out
of balance.
The most artistic lipo sculpture of the body shapes the body, rather
than merely removing the fat. Dr. Rapaport considers the entire
three dimensional unit, so that the body will be in proper proportion,
and clothing will fit better.
The abdomen, flanks, and under the the bra area all make up the
borders of the waist. These areas should be treated during any single
procedure if one is attempting to achieve "Narrower Waist"
Liposuction. If other areas need to be treated, a separate procedure
should be planned. The two procedures should be designed to complement
each other. Top
Ultrasonically Assisted Lipoplasty is done in conjunction with Tumescent
Liposuction. With the Tumescent technique, large volumes of saline
solution, local anesthesia, & adrenaline are infused into the
area being treated to cause swelling. This enables Dr. Rapaport
to go more superficially under the skin. UAL uses a probe with ultrasound
at the tip to liquefy subcutaneous fat cells and easier sculpting.
The Ultrasonic energy acts primarily on the fat cells and has minimal
effect on the vascular, nervous or connective tissues. With UAL
Dr. Rapaport believes he can achieve smoother results, remove difficult
fibrous fatty deposits and aspirate more fat. Top
The most frequent areas treated by Dr. Rapaport using UAL in men
are the love handles, chest area, abdomen and neckline. In women
they include: thighs, hips, buttocks, stomach, knees, lower leg,
cheeks and double chins. Some women elect to have their fat recycled
to other parts of their body, most commonly face using lipo-augmentation.
Top
There are no definite weight or age guidelines or restrictions.
Most patients have localized fatty deposits, are within 30lbs of
their ideal weight, and have been stable at that weight for years.
Dr. Rapaport feels that best candidates for body sculpting are patients
who:
a) Have reasonable expectations of results.
b) Are only slightly to modestly overweight.
c) Have good skin tone and are in good health.
d) Have localized areas of fat.
e) Believe that liposuction is not a weight loss program.
f) .Whose weight is stable and are exercising. Top
You will wear an elastic binder, girdle or body stocking over the
treated area for the next 2 -4 weeks. You will go home after the
procedure and rest for at least 24 hours, after which you may gradually
increase your activity as tolerated. Dr. Rapaport encourages people
to walk. Most people return to work in about a week. Top
Most likely one procedure will be sufficient. Dr. Rapaport's revision
rate is less than 8%. Top
Dimples, ripples and stretch marks remain unchanged. The changes
following liposuction are similar to what you would expect if you
could lose an equal amount of localized fat through diet or exercise
alone. The use of smaller cannulas allows the fibrous connections
between your skin and body to remain. These connections will help
the skin retract over time. For the lower abdomen the skin contracts
extremely well, thereby seldomly needing any skin excisions. Top
Yes! After puberty we do not create new fat cells. Therefore, when
you gain weight, you expand the existing fat cells that you have.
Tumescent liposuction permanently removes fat cells to improve your
body's shape. Should you gain weight after liposuction, it goes
to the fat cells that remain in your body. The localized fatty deposits
that existed prior to liposuction can no longer enlarge. Top
UAL is not a treatment for cellulite, although many patients do
notice an improvement in the appearance of cellulite after the fat
calls are removed. Top
The Tumescent Technique for liposuction by local anesthesia is a
significant improvement in liposuction surgery. It is so effective
that liposuction patients may no longer need intravenous sedatives,
narcotic analgesics, or general anesthesia. Postoperative discomfort
is minimized since the local anesthesia remains in the surgically
treated areas for approximately 18 hours after surgery.
The Tumescent Technique uses large volumes of a dilute solution
of lidocaine, a local anesthetic, in combination with the drug epinephrine,
which temporarily shrinks capillaries.
The Tumescent Technique dramatically reduces both the bleeding during
surgery and the postoperative bruising and swelling compared to
liposuction by general anesthesia. Minimal bleeding reduces postoperative
recovery time. Most patients can return to work within a week after
surgery. (Every patient is different and Dr. Rapaport can give you
an estimate). An elastic support garment is worn for 2-4 weeks.
About 90% of patients can actually see at least some improvement
in their silhouette by one week after surgery. However, because
of the slow resolution of post-surgical swelling, the ultimate results
following liposuction usually require 12 to 16 weeks to be achieved.
The change of silhouette produced by liposuction is equivalent
to being able to focus the effects of dieting to specific areas
of the body. The degree of skin change after liposuction is the
same as one would expect after having lost an equal amount of localized
fat by dieting. Since the fat is removed by suctioning small "tunnels"
through the fat, the skin remains intimately connected to the underlying
muscles by multiple attachments. It is this process which assures
that the skin will not hang in loose folds after liposuction. Because
Dr. Rapaport is careful to leave a thin blanket of fat attached
to the skin, the Tumescent Technique permits more accurate removal
of fat, with greater assurance that the liposuction cannula will
not inadvertently be allowed to approach too near the under surface
of the skin which would cause irregularities. Thus, the Tumescent
Technique helps to minimize the risk of post-surgical irregularities
or rippling of the skin.
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, which is often called
"cellulite". Cellulite results from the pull of fibrous
tissue that connects skin to underlying muscle. Liposuction with
the Tumescent Technique may reduce the degree of cellulite but it
is unlikely to eliminate it. As with any surgical procedure, liposuction
is associated with certain expected side effects such as bruising,
swelling, and temporary numbness. Although irregularities of the
skin are possible following liposuction, this side effect is minimized
by the Tumescent Technique. As judged by current worldwide experience,
liposuction is amazingly safe. Serious complications, such as blood
clots, infections, and allergic reactions are extremely rare. Most
of the dangers associated with surgery are related to the type of
anesthesia that is used. Surgery of the skin and subcutaneous fat
is safest using local anesthesia with the patient awake. Top
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