Surgeons Can Replace Breast Implants with Fat in â??Reverse Liposuctionâ? Procedure

A reverse liposuction procedure may soon become a popular alternative to using breast implants and revision surgery. This procedure replaces breast implants with the patient’s own body fat, rather than new implants, providing natural-looking results, according to a report in the latest issue of Plastic and Reconstructive Surgery.

Properly known as simultaneous implant exchange with fat (SIEF), reverse liposuction is a conceptual paradigm shift of using natural fat for volumetric augmentation and breast reshaping, says report author Dr. Daniel Del Vecchio. He used the technique to help a 42-year-old woman who was dissatisfied with the appearance of her breast implants after seven years. She felt that they were too full and rounded, and appeared unnatural.

Although she wanted the implants removed, she was concerned about how her breasts would look afterwards. Dr. Del Vecchio designed the SIEF technique as a way to maintain the natural shape of her breasts after the removal of the implants. Here’s how the reverse liposuction technique works:

  • Over the course of three weeks prior to surgery, the patient uses a bra-like device to gradually expand her breast. The device uses negative pressure  basically vacuum suction to stretch the tissue.
  • Before performing the implant removal surgery, the surgeon harvest fat cells from the patient’s thighs and/or abdomen with liposuction.
  • The fat cells are injected into the space over the implants. This allows the surgeon to sculpt and reshape the breast.
  • The breast implants are removed, and the surgeon can inject additional fat beneath the skin.

When he followed up with his patient one year later, Dr. Del Vecchio discovered that her breasts were roughly the same volume as they had been with breast implants. He was also pleased to find that they looked better than before, with a smoother transition at the top.

“Voice Lift” Surgery, In Most Cases, Not Worth It

new set of nonsurgical procedures known as the “voice lift” is making waves on both sides of the Atlantic  although many doctors feel that it offers too few benefits. A recent post on RealSelf discusses the trend towards adding volume to the vocal cords to boost vocal performance, which is becoming more popular in the US and UK. Human voices naturally age as our vocal cords thin over time. This makes the voice sound crackly and reedy. Plastic surgeons are able to restore some of the natural fullness of the voice by restoring some of this volume to the vocal cords. Some of the same techniques that can be used to and volume and definition to the face are being used for the so-called “voice lift.” One of these approaches is fat grafting. During this procedure, unwanted fat is removed from elsewhere in the body, specially processed, and then grafted onto the vocal folds in the larynx. The other approach is through dermal fillers such as Juvederm. Unlike with fat grafting, injectable fillers do not require an additional surgical procedure to remove fat from elsewhere in the body. However, injectable fillers usually don’t last as long as fat grafts. They are typically absorbed by the body after a few months. Regardless of the method, the voice lift is severely limited in its effectiveness. These procedures only tend to improve the voice over the course of weeks, maybe months, but certainly not years. Some might ask whether there might be a surgical approach to the voice lift. While it is possible, no responsible surgeon would perform that kind of surgery. Unless the voice box is seriously impaired, no cosmetic voice enhancement is worth the risk of complications. Until these injectable techniques become more advanced, and provide longer lasting results, the voice lift is one procedure that is likely more trouble than it’s worth. Photo credit: Dinozauris, Wikimedia Commons

Liposuction May Not Be Best Option for Sedentary Patients, According to New Study

Each year liposuction lands on the list of most popular cosmetic procedures. It’s no surprise liposuction results in rapid fat loss. But according to a new study, abdominal liposuction may put you at a higher risk for gaining unhealthy fat if you’re sedentary.

The study, published by Brazilian researchers at the University of Sao Paulo, found that women who have undergone abdominal liposuction may actually gain deeper “visceral” fat which surrounds the abdominal organs. Visceral fat is often associated with a higher risk of type 2 diabetes and heart disease.

Fat is not “inert tissue,” said study leader Fabiana Benatti of the University of Sao Paulo. “Removing it by surgery may have important consequences, such as the compensatory growth of visceral fat.”

But there’s good news regular exercise can prevent this fat from developing after liposuction.

The study followed 36 normal-weight women who elected liposuction to remove localized stomach fat. Prior to surgery, each of these women prescribed to a mostly sedentary lifestyle. Two months following surgery, half of the women were randomly assigned to an exercise group, while the remaining half resumed their sedentary lifestyle.

Four months later, both groups still exhibited flatter stomachs, but those who remained sedentary were already showing signs of visceral fat gain  approximately a 10 percent increase. The exercise group on the other hand, showed no signs of visceral fat gain.

More research is needed to replicate these findings, but that shouldn’t deter you from initiating a healthy diet and exercise routine. This will maintain the long-term benefits of your liposuction procedure.

Liposuction results can dramatically improve the appearance of your abdomen, thighs, hips back and neck. Learn more about liposuction Seattle, WA.

Source: Chicago Tribune

Couples Liposuction

LiposuctionThe cosmetic industry is seeing a new trend couples plastic surgery. Just last year, nine percent of all cosmetic procedures were elected by male patients, so it’s clear that male plastic surgery no longer carries the same social stigma it once did, and plastic surgeons are seeing more and more men coming in for consultations with their wives or girlfriends.

“Men are often initially introduced when they come in with their wives, who are looking at having this or that done. When the husband is in there, he sees some of the information, and then he sort of gets interested. Then, when the wife comes in for a post-operation appointment, we’ll talk about his eyes or neck,” said Dr. Richard Chaffoo, a board-certified plastic surgeon in California.

Liposuction Ranks Top Plastic Surgery Procedure

Liposuction in particular, has grown immensely in popularity over the past few years among both men and women. In 2011, over 300,000 liposuction procedures were performed in the U.S., exceeding the number of breast augmentations for the first time since 2008, according to recent statistics released by the American Society of Aesthetic Plastic Surgery (ASAPS).

In addition to liposuction, the most popular anti-aging procedures for women in the past year included tummy tucks and eyelid procedures. For men, eyelid surgery was also at the top of the list, as well as male breast reduction, according to the ASAPS.

Though couples plastic surgery is not a trend that been recognized by the American Society of Aesthetic Plastic Surgery or the American Society of Plastic Surgeons, most plastic surgeons who have noticed this trend between couples agree that their patients are typically between their late 30s and early 60s.

Find out more about liposuction in Seattle.

Source: LA Times

Survey Shows ASAPS Members Prefer Traditional Lipo

ASAPS Members Prefer Traditional LipoA survey conducted by the American Society for Aesthetic Plastic Surgery examined plastic surgeons’ liposuction preferences, given the variety of techniques that can be used for the procedure. It found that over half of the 492 plastic surgeons who responded prefer suction-assisted lipectomy (SAL), which is considered traditional liposuction.

â??In a field that is so rapidly advancing, it is essential to continually evaluate new technologies and methods to ensure that we maintain the safety of our patients,â? said Jamil Ahmad, MD, lead author of the survey, which was published in the February issue of the Aesthetic Surgery Journal.

Results showed that the preferred method of fat removal from most to least popular was:

  • Suction-assisted lipo (SAL) (51.4 percent)
  • Power-assisted lipo (PAL) (23.0 percent)
  • Ultrasound-assisted lipo (UAL) (20.9 percent)
  • Laser-assisted lipo (LAL) (3.9 percent)

Most of the surgeons who responded perform between 51 and 100 liposuctions per year; those surveyed have the most experience with SAL, UAL and PAL.

The surgeons had less experience with laser-assisted liposuction (12.8 percent), mesotherapy (5.7 percent), and noninvasive devices (12.8 percent). They also felt these newer fat removal technologies were associated with a disproportionately higher rate of complications compared to  more established methods.

â??Our survey found that ASAPS members tend to more frequently employ the fat removal methods that have the longest track records and the most data to support their efficacy and safety, said Ahmad. â??In the future, we may notice preferences shift as we see additional prospective data comparing techniques, and as we gain more experience with newer methods. These factors will also help us continue to improve safety-related standards of care.

Learn more about liposuction.

Survey Finds Psychosocial Predictors for Interest in Plastic Surgery

An article published in the current issue of Plastic and Reconstructive Surgery discusses the factors that motivate young women to undergo procedures such as breast augmentation, rhinoplasty, liposuction, and abdominoplasty.

A survey conducted on 3500 (1862 respondents) young women in northern Norway revealed specific factors –both physical and psychological that can predict an interest in specific procedures.

Respondents who were interested in rhinoplasty, breast augmentation, and liposuction were motivated by complex psychological factors. Researchers found correlations with lifestyle factors such as divorce, history of teasing, education, self-image, body dysmorphic disorder, and the “Big-Five personality traits.”

Questions about tummy tuck surgery presented some unique findings. Most participants who were interested in the procedure were interested in it exclusively. Having children and having a desire to repair the bodily changes occurring after childbirth were a consistent predictor of interest for the procedure.

Read the abstract online on Plastic and Reconstructive Surgery Journal

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