The latest techniques in liposuction and liposculpting maximize the amount of fat removed, minimize bleeding, and produce a smooth contour. There are numerous different technologies that are used for liposuction, from jack-hammer like devices to ultrasonic, radio-frequency, laser, water power-assisted and new machines that come out each year. The goals of the different technologies are to make it easier for the surgeon to perform, and supposedly to improve recovery.
Dr. Schneider has used almost all of these technologies and has found that the key to beautiful contour and patient satisfaction is not in the tool, but in the hand and eye that uses it. Liposuction results are completely dependent upon the surgeon understanding how to sculpt the human form.
Liposuction is literally the sculpting of the body’s insulating layer, which is the subcutaneous tissue, by discreetly removing volume to reshape the area. Sculpting can be accomplished by removing fat at different discrete levels to alter the outward appearance.
The Liposuction Procedure
During liposuction, no incisions are utilized. Instead, small 2-millimeter punctures are made in inconspicuous locations for the placement of the liposuction tubes known as cannula. An anesthetic fluid called tumescent solution is then injected into the regions to be treated. The tumescent solution contains two medicines: one that inhibits bleeding and the second that acts as an anesthetic for 12 -24 hrs.
The procedure is performed in our AAAHC certified operating room located in Fort Myers. For most patients, intravenous sedation is utilized.
Once the solution is instilled, the liposuction process is performed. The length of time the procedure takes depends upon the size and number of areas being treated. The goal is not to remove all the fat from an area, but rather to remove the right amounts to appropriately shape and contour the patient. Dr. Schneider has developed a technique that decreases swelling and bruising without the need for an uncomfortable compression garment.
Dr. Schneider has successfully treated almost every area of the body with liposuction. These areas include the neck, chest, breasts, arms, abdomen, flanks, back, hips, outer thighs, inner thighs, knee regions, lower legs, and ankles. In some cases where the volume of fat to be removed is small, the procedure can even be performed with just a local anesthetic.
The areas treated with liposuction will have some soreness for 1-2 weeks. Depending on the volume of fat removed and the number of areas treated, patients have been able to return to their normal routine as soon as the next day. For some patients, however, it may take several days until they feel comfortable returning to their normal routine.
The patient will see some swelling in the areas that are treated. There may also be some bruising. Typically it may take several weeks for the bruising to resolve and several months for all swelling to fade. A number of treatments, including lymphatic drainage (a special form of massage), ice application, and exercise may hasten the recovery process.
We recommend that patients begin their normal exercise regime as soon as possible following the procedure. Dr. Schneider believes this speeds the recovery process.
Liposuction & Fat Transfer / Fat Injections
Harvesting an individual’s fat with liposuction, and transferring it through injections to another area, is called fat transfer or fat injections. Dr. Schneider has been using this technique since 1994 to enhance different regions of the body. Dr. Schneider likes to equate the removal of the fat as harvesting liquid gold because of the positive effects the fat transfer will have on the patient’s appearance and the tissues where it is transferred.
Fat transfer success is very dependent upon the technique used to harvest the fat, as well as the care and delicacy used to inject it. If the fat is injected as a big wad, a lot of it will disappear. If it is injected finely in delicate layers, much more of the fat will take permanently. This technique was developed by Dr. Sidney Coleman in NYC.
The fat that is transferred has healing factors in it that help the surrounding tissues. For example, when Dr. Schneider transfers the fat into breasts or other tissues that have been treated with radiation for cancer, it often improves the damaged skin and underlying blood supply.
Dr. Schneider uses fat for transfer into a variety of different areas:
- Face for facial volume loss associated with aging or trauma
- Hands for aging changes
- Breasts for enhancing size and volume
- Breasts for deformities caused by previous surgery, implants, cancer, and radiation
- Legs and Torso for contour abnormalities such as divots in the buttocks or thighs, complications after liposuction, fat atrophy from trauma
- Buttocks to make the area larger (Brazilian Butt Lift)