International Academy of Cosmetic Gynecology

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Lipoinjertos y Lipoescultura

Liposuction is Safe and Effective

Sometimes it’s good to reflect on where we have been and where are we now. Sometimes it even leads to where are we going, but for this blog that will have to wait another day. I have practiced liposculpture since 1984 so I have seen the fads and the promises and the disappointments and mostly I have seen an incredible evolution in body contouring.

For what must be first and foremost, the procedure is safe when performed by well trained surgeons in certified surgical centers. Blood loss has been all but eliminated and pain has been minimized. Most cases can be done using local anesthesia and recovery time has been minimized. Virtually all patients can walk 3 miles per day the morning after surgery if they could walk 4 miles per day before surgery.

A decade ago total body liposuction meant one procedure to sculpt the abdomen, waist, back, and hips and another procedure to sculpt the circumference of the thighs. This was unsafe and dangerous for the health of the patient. Today liposculpture can be performed in different areas, in aesthetic unit, so now we have a safety procedure. I can do liposculpture on the face, neck, breasts, abdomen, waist, back, thighs, legs, and ankles but in aesthetic unit NOT all in the same procedure.

Fat can be transferred from one part of the body and used to make the face more youthful or enhance the fullness of the buttocks, female breast or legs.

A decade ago our notions of what constituted an ideal body appearance was grandiose and existed only in the mind of the beholder because there were no criteria for what a normal body looked like or how people with different body types could achieve their ideal form. Today we know that it is the musculoskeletal appearance which dictates body shape and the purpose of body sculpting is to show that as best as possible.

A decade ago we understood that removing fat would cause skin to retract but we didn’t know how to enhance it. One of the banes of the procedure was loose or hanging skin after a procedure and while we haven’t completely solved the problem laser lipolysis and the preparation of the skin with PRP has greatly improved results in addition to shortening healing time.

So now we have liposculpting for women and liposculpting for men. We have new cannulas, laser lipolysis, nutational liposculpture, among others to enhance skin appearance. We have liposculpting for thighs and torsos, and liposuction for breast reduction for men and wmen. Stove-pipe legs and ankles can be shaped and sagging arms tightened.

Perhaps my one concern is the safety of the patients, under a good diagnosis, with real expectations and working in aesthetic units.


Fat Injections

Fat injections can be used to fill in wrinkles and lines, to create contours in the face, and to fill in scars. Because they use fat from one area of a patient's body to fill in another, there is little chance of allergy or incompatibility. Fat injections are usually done on an outpatient basis with local anesthetic or under anesthesia when combined with other procedures such as brow lift or forehead lift.

The donor site (often the buttocks or abdomen) is first numbed and injected with fluid to make extracting the fat easier. The donor fat is collected through a needle and syringe. After the fluid is removed, another needle is used to reinsert the fat into the treatment area. We will at first slightly overfill the treatment area because some of the injected fat will be reabsorbed by the body. Most patients can resume normal activities soon after undergoing fat injection. Some minor swelling and bruising can occur during the first few days following fat injection. Fat injections are not usually permanent. How long the results last varies among individuals, but fat injections can be repeated as necessary. To learn more about fat injections, please contact us today.

Fat Transfer

Fat transfer moves fat cells from one area of the body to a location of deficiency. It can be used to fill in wrinkles, scars, and other imperfections as well as to plump up the lips or cheeks. Donor sites may include the abdomen, buttocks, hips, and other areas where fat cells are available. Fat transfer is sometimes preferable to other procedures because it uses cells from your own body. There is no chance of allergy with this procedure. If you would like to learn more, please contact us today.


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