Posts Tagged VASER
I want liposuction to make my belly flatter after babies. There are so many different types though. Which is better SmartLipo or Hi Def Lipo?
Welcome to the wonderful world of marketing in plastic surgery. Your attention has been captured by two of the companies that market in the area of liposuction – Sound Surgical Technologies (SST) and Cynosure. SST makes the Vaser Hi Def system and Cynosure makes the Smartlipo platform. Vaser uses ultrasound to liquefy your fat and Smartlipo uses a laser.
Is one system better than the other or better than traditional liposuction for you? Probably not.
You would be better served looking for a good doctor in your area than centering upon a marketed platform which may not may not benefit you. Let your doctor guide you. That is part of the care for which you pay him or her.
John Di Saia MD
Originally posted 2011-05-23 07:30:18.
Reader Laura’s Comment:
The ladies in this story have had a “new” form of lipo instead of a tummy tuck. Their stomachs do look thinner but their skin in wrinkly. Would they have been better served by having a tummy tuck and then lipo? Is it just their age that has their skin looking that way?
VASER liposuction has been around for a while. I have used it and it is effective. The main question with newer lipo technologies is: “Are they worth the added expense and can they increase problems?”
Many of them (VASER included) make it even easier to take out more and more fat. As we have discussed here before of course more fat removal is not always desirable.
The concept of “oversuctioning” has been around far longer than these newer tweaked lipo technologies. It can happen with liposuction in any of its forms as each technique requires a judgment call. When a surgeon over suctions an area it can lead to an increased tendency for the skin sag unattractively making some of these people almost look like prunes. In the UK they are calling it “Turkey Tummy.” The age of the patient and any previous surgery are part of the story making the judgment call harder at times. Of course some patients will not agree to a tummy tuck even if it offers real skin tightening and this might also be part of the problem. I can do the “right” operation but only if the patient allows it.
John Di Saia MD
Originally posted 2009-12-30 07:30:54.
Not infrequently we see potential clients in the office who come in with requests foreshadowing later dissatisfaction. One of those statements is believe it or not: “I want lipo.” Yes, you read that right. Liposuction, one of the most popular of the cosmetic surgical procedures, does not deliver in all cases.
When people come in “shopping a procedure” it can be difficult to explain to them that their chosen operation might not get them where they might like. This goes part and parcel to the commercialization of plastic surgery. Ten or twenty years ago people shopped to find a good surgeon. These days clients more commonly choose their procedure and then shop to find someone to do it. This approach can produce problems at times.
When done correctly on the right client, liposuction is a pleasing operation with pretty low key recovery. It is substantially advertised and in this advertising the negatives are frequently minimized. This in part explains the attraction, but the actual procedure can be pretty limited in the results department. When patients coming in for lipo consults grab their tummies and say, “I want this gone” this is cause for concern. Lipo does not really make things disappear. It makes fatty areas smaller. Liposuction is the operation of “thinner.”
The best way to conceptualize this is that liposuction can make a person thinner if a significant amount of fat is present under the skin in the right areas. It will not make the skin tighter over the fat that is removed. Some areas are better treated than others. For skin tightening, a tummy tuck might be in order. The shape of your tummy relates to fat, as well as the quantity of skin and the muscle around that fat. Liposuction (including the tweaked versions of it – SmartLipo, Vaser and laser-assisted lipo) do not substantially affect anything other than that fat. I have used these “advanced lipo modalities” and have gone back to more traditional liposuction, as the results are quite similar and less costly. This of course assumes your surgeon knows what he or she is doing. Liposuction should not be performed by your local butcher. The unfortunate truth is that it has been.
When patients who might have been better served by tummy tuck surgery have tummy lipo, they sometimes complain of lumpiness and looseness afterward. This has been referred to as bad lipo. They are more like “not so great” lipo candidates who had lipo anyway.
When you want “tighter,” liposuction alone will not usually get you there. There are body lifts (of which tummy tuck surgery is one) that balance the benefits of tightening with longer incisions and larger scale surgery. When tightening is to be the main goal, skin more commonly than not must be removed and re-arranged. Sure there are scars but there are results too. Good surgeons know how to hide those scars and minimize them.
The common denominator is “good surgeons.” You need them when you consider plastic surgery so you can stay out of the news.
John Di Saia MD
Originally posted 2011-07-18 07:30:55.