The best NYC Liposuction / Smart lipo / Laser lipo

In conclusion, today’s woman want the sophisticated look of sculpted, voluptuous curvy and contoured body with an hourglass curvy look, a small waistline,  a prominent,  full,  round and bubble  like buttocks with full hips. This “Perfect Silhouette” look can be cosmetically achieved, to a varying degree, in almost every person by having a variety of cosmetic procedures.

Liposuction with its varieties and different techniques and modalities, fat transfer and grafting, buttock augmentation either by fat transfer, fillers, or implants, Brazilian butt lift, breast augmentation, or lift are some of the cosmetic procedures that a skilled surgeon can use to give the patient the modern curvy look she wants.

Before discussing liposuction it important to mention a few scientific facts. First, every person is born with fixed numbers of fat cells  which the main job is to store the excess fat in the body. These fat cells with the fat inside them play an important and vital role in life. Only when the quantity and quality  of fat in these fat cells is excessive do they become unhealthy and disfiguring.

The fat cells Distributed all over the body in a specific individual unique pattern and concentration that vary from one person to another. This is what makes one person look different from the other. A person becomes fat or skinny  when the quantity of fat stored  inside these  fixed fat cells increase or decrease.

Liposuction is a procedure where fat cells with their fat storage are suctioned via a thin hollow tube, the cannula. The type, size and characteristics of the cannulae vary and differ. The safest and most efficient form of liposuction in our opinion is controlled volume tumescent lipo.

Tumescent liposuction is a technique whereby a  fluid, called the tumescent fluid, made of carefully measured quantities of  physiologic normal saline, 0.9%,  lidocaine, epinephrine, and sodium bicarbonate is infused via a small needle into the fat layer under the skin, and is left there for almost 30 min plus or minus. In this thirty minutes the fat becomes soft and jelly like, therefore, it becomes easier to suction it out. The lidocaine and sodium bicarbonate, serve two purposes.

  • First, they help to numb and anesthetize the fat layer to be suctioned, therefore eliminating pain sensation fully.
  • Second, the epinephrine in the fluid helps to contract the blood vessels in the localized area temporarily, therefore, making them thicker and thus more resistant to trauma and damage.

Lidocaine has some bacteriostatic antimicrobial activity which is very important to protect against infections and thus make controlled volume  tumescent liposuction extremely safe and almost infection proof. In their quest for improvement, safety, and efficiency doctors and inventors have modified and manipulated the cannulas that suction fat and added others sources of energy to the old-fashioned liposuction cannulas including power,  mechanical or vibratory cannulae, laser, thus the name smart lipo, cool lipo, or,  laser lipo.

Vaser is an ultrasonic energy based cannulae, very useful in thick fibrous fat tissue. The laser or the SmartLipo is supposed to heat up the loose skin from underneath and, therefore, make the skin tighten and contract better. There are many other techniques and types of liposuction. many people refer to Smart lipo as any lipo where machines are used to give a better and a more defined and fine-tuned outcome, especially when sculpting the body, vs debulking. All liposuction techniques have the same basic idea of a hollow cannula that sucks the fat when connected to negative pressure  whether that is a syringe or a suction machine.

As discussed above, additional modalities usually, energy based, may be added. Of special note here is when LIVE fat is needed to be harvested by liposuction, its best to harvest the new fat cells under reduced suction pressure. This helps to minimize damage to the fat cells and promote their survival. When performing liposuction I usually remove more  fat or less fat from certain areas in order to sculpt and contour the body into the hour glass -S- shape the patient wants. This selective removal of fat for the purpose of shaping and contouring the body is  called liposculpture, body sculpture or body contouring.

All liposuction techniques have the same basic idea of a hollow cannula that sucks the fat when connected to negative pressure  whether that is a syringe or a suction machine. As discussed above,  additional modalities usually, energy based, may be added. Of special note here is when LIVE fat is needed to be harvested by liposuction, its best to harvest the new fat cells under reduced suction pressure.

This helps to minimize damage to the fat cells and promote their survival. When performing liposuction, I usually remove more  fat or less fat from certain areas in order to sculpt and contour the body into the hour glass -S- shape the patient wants. This selective removal of fat for the purpose of shaping and contouring the body is  called liposculpture, body sculpture  or body contouring.

People commonly ask what is the cost of or the price of a liposuction procedure or surgery. The price of  a liposuction  procedure depends on some variables like the quality and quantity of fat in the body, general health status of the recipient, the type of lipo, the type of machine being used, and others.

Another common question is what parts of the body can undergo liposuction. The answer is  almost any part where we can hold the lipo in our hands  can undergo liposuction, or any of its modifications like smart lipo, Vaser or ultrasonic lipo, power lipo, Tickle lipo, vibratory lipo, water get lipo, etc…

Another factor is the type of anesthesia used. General anesthesia, is usually more expensive and riskier. A relatively new and modern way of liposuction is The tumescent lipo which was a breakthrough milestone in the evolution of liposuction and has transformed liposuction into a relatively very safe, and efficient office outpatient procedure. In the Tumescent form of liposuction, a solution composed of 0.9% saline, the Normal saline, a measured dose of lidocaine, Bicarb, and Epinephrine is called the tumescent fluid, or the Klein Solution , based on Dr. Klein’s research on the subject. The saline component makes the fat softer so it is easier to suction, also, it swells the fat layer, so it is less dense, softer, and is further away from the body core, so it is safer. the fat being swelled any irregularities that may happen during the suction process will be minimized after the swelling resolves. The lidocaine component makes the fat numb and pain-free, and at the same time, it has a bacteriostatic antimicrobial activity. The epinephrine cause the blood vessels in the area to contract therefore minimal to no blood loss, less extravasated blood means less bruising, less inflammation and less pain afterward, and faster recovery. The thicker contracted blood vessels are tougher and more resistant to trauma and damage, therefore, a healthy blood vessel will reperfuse the tissue sooner and more efficiently thus faster and better healing and recovery, less pain, infection, and fewer complications.

The cost of liposuction depends on the quantity and quality of fat, like how large each area is, the number of areas to be suctioned, the quality and quantity of skin to be tightened and contracted, the general health status of the person, the type of liposuction being administered and the general setting where the liposuction is being performed in.

Who is a candidate for liposuction?

Any healthy person with an unwanted fat under their skin is a candidate for liposuction. This is a cosmetic procedure and therefore the indication is good general health and any unwanted fat for the looks. People who are very obese it is advised that they undergo liposuction in stages and to avoid large volume liposuction to avoid potential complications. There is no BMI limits or requirements for staged liposuction as this procedure is solely for shape and cosmetic purposes.

How does a person take care of himself after a liposuction procedure?

post liposuction we recommend that for the next 2 days a person eats fat rich food.fat rich food post liposuction especially if it was performed under local tumescent anesthesia helps the body dissipate and eliminate the anesthetic medications that cause nausea and vomiting and feeling of malaise and illness after the procedure. Also, every patient must wear the foam sheet under the post-surgical compression garments and keep both on for at least 5 days continuously, 24×7. this will exert positive pressure on the skin which helps it to contract and to stick to the under layers and thus prevent the accumulation of inflammatory body fluids under the skin and prevent swelling, edema, protracted healing and swelling. ( please read the five secrets of a successful liposuction authored by Dr Ayman Shahine,

The Best NYC Liposuction

Liposuction NYC, Liposculpture NYC, Smart lipo NYC, Laser lipo NYC

THE FIVE SECRETS OF A SUCCESFUL LIPO

Over the many years in practice we have concluded that most unfavorable results were caused by noncompliance especially in one of the following domains. Every patient MUST comply  fully with all in order to get a favorable result.

1- FOLLOW UP : It is your responsibility to schedule your follow up 7-10 days post op.

2- DO NOT wear tight cloths before full healing ( 6months) : Tight cloths like purse string in scrub suits, elastic of underwear or pants, belts, bras, jeans, tight girdles, waist trainers, etc., tend to leave an impression on the skin with secondary dents  and irregularities. A tight post op compression garment will also cause lines, dents and irregularities, that’s why we only recommend post op garments with moderate compression and to wear the foam sheet under the garment at all times. Wait till you fully heal  before wearing these tight clothes usually 6 months.

We recommend you only wear dresses for first 6 months after the procedure.

3-MASSAGES: Post op massages help reduce post-op pain, swelling, inflammation and  promote correct healing if done appropriately. Unfortunately  most massage parlors are medically unsupervised and unregulated, and exhibit unscientific and often dangerous practices that have resulted in unfavorable results in some of our patients. Our massages are medically supervised and engineered. Therefore we want our patients to only have their messages HERE  in the office, or don’t do them at all

4- Post-operative compression garments and foam: During Liposuction fat under the skin is removed. Within a few days, inflammatory body fluids fill the space where fat used to be. This fluid buildup under the skin is not good because it can cause pain, swelling, skin stretching and wrinkling, and increased risk of bumps and irregularities, infections, and seroma formation. Post op compression is very important because it exerts positive pressure on the skin so it attaches to the under layers, and prevents body fluids from collecting and swelling the skin. Post op compression is achieved by wearing the appropriate compression garment. The problem is that there are thousands of different types of post-operative compression garments, most of which are not designed ergonomically and may cause irregular and asymmetrical creases on the skin with multiple lines of structure, like a tight pantyhose, therefore, the compression garment may behave like the tight clothes we discussed earlier leading to skin irregularities grooves and bumps. We found that the best solution for this problem is to wrap the body with a sheet of  compressed foam that is about one inch thick (the Pilates mat) and then on top of that wear the compression girdle. This way the tight structure lines  of the compression garment are obtunded  by the foam and have minimal or no impression on the skin. The conclusion of the above is that you must wear the compression garment and must always wear the foam underneath it to prevent the lines of the structure of the compression garment.

5- Slouching, or bending over especially during sitting, leads to folding the anterior abdominal skin and causes horizontal lines of skin breakage with folds of skin rolls like an accordion, which in people who do it for extended periods of time could become permanent.