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Dr. Linder's Blog

Beverly Hills Lipo Sculpture

Posted On: February 08, 2011 Author: The Office of Dr. Stuart Linder Posted In: Home

Liposuctioning is a surgical procedure that should be done by experienced and qualified Board Certified Plastic Surgeons.  Liposuctioning requires skill and talent.  Understanding the different tissue planes of the abdomen, thighs, chest area and facial region is essential in order to perform accurate, precise and safe liposuctioning.  I perform tumescent liposuctioning weekly in our Beverly Hills Surgery Center.  Tumescent liposculpture includes infiltration of tumescent fluid with three components.  The first component is the wetting solution known as sodium chloride or lactated Ringer’s solution.  This solution will hydrate the fat cells and allow the fat to be suctioned in a confluent, smooth manner.  The second component is epinephrine.  The epinephrine causes vasoconstriction, reducing bruising and bleeding, as well as decreasing total blood loss.  The last component is Lidocaine.  This is a numbing agent.  It is a local anesthetic that allows for up to 24 hours of pain relief in the specific area that is being lipo sculptured.  We perform our liposuction surgeries under general anesthesia with Board Certified Anesthesiologists.  This allows for complete control of the patients so they do not move on the operating table which could cause inadvertent cannula perforation of intraabdominal viscus or other important vital structures of the extremities.  No more than five liters of fat should be removed at one time in order to prevent undue blood loss which may require a blood transfusion.  In my practice, we usually stop at 3 liters of total fat removal at one operative setting.  Staged surgeries can be performed if necessary.  Three months minimum should be required before staging.

Finally, compressive garments are absolutely essential in postoperative liposuction management in order to allow for reduction of swelling, edema and allow confluence and smoothing of the tissue, especially the abdomen as well as the thighs.  In other words, girdles and abdominal binders can be combined, as well as the Dr. Linder Band which can now be worn for six to eight weeks post-surgical for abdominal lipo sculpture.