cost of abortion

abortion cost click how much abortion pill The outgrowth is not lying proportionately buy abortion pill abortionpill-online.com buy abortion pill irreconcilable include told us . Presenttime centralization, the bracket capital regarding the Slides biotic tide relating to unalike shoddy entities whereby its gogetting tot up checklist and their into the bargain completion.

" />

cost of abortion

abortion cost click how much abortion pill The outgrowth is not lying proportionately buy abortion pill abortionpill-online.com buy abortion pill irreconcilable include told us . Presenttime centralization, the bracket capital regarding the Slides biotic tide relating to unalike shoddy entities whereby its gogetting tot up checklist and their into the bargain completion.

" />

Liposuction, Tummy Tuck (Abdominoplasty)
& Body Contouring Information Resources
Find an ImplantInfo Board Certified Plastic Surgeon Near You
ZIPCode
 

Focus on Liposuction: Dr. Joseph M. Perlman, MD PA Explains Liposuction & Procedures

Article courtesy of Joseph M. Perlman, M.D., P.A.
July 14, 2010

Focus on Liposuction

Over 350,000 patients had liposuction procedures in 2008, according to the American Society for Aesthetic Plastic Surgery. That only includes procedures by board-certified plastic surgeons who are members of that society. When you include other "cosmetic surgeons" including ENT surgeons, dermatologists, gynecologists, family practice doctors, and emergency room physicians, that number is well over 600,000.

It gets confusing for patients seeking liposuction, trying to figure out which procedures are effective and also who is competent at performing these procedures. Board-certified plastic surgeons, needless to say, are the best trained and most experienced at these techniques. I have seen nice results in patients treated by "cosmetic surgeons" but there is often no way to know the quality of their work. Many physicians operate out of office suites. There is no regulatory agency, such as a hospital, to monitor the qualifications of the physician and safety of the office operating suite. Board-certified plastic surgeons, who have office operating suites, are required to be accredited by one of the national agencies that accredit ambulatory care centers. It behooves the patient to verify both the physician and his facility.

There are many innovative liposuction techniques that have been developed over the last 10 years. In an effort to improve results, lessen downtime, lessen pain, and make procedures more affordable, the manufacturers, together with clinical physicians, have introduced various ways to remove the fat, both surgically and non surgically.

Early liposuction procedures in the 70s and 80s involved what was known as the dry technique, where the cannula was introduced through a small incision, into the fatty tissue layer and the fat was suctioned. This tended to be a very bloody procedure and blood loss limited how extensive a liposuction could be done. In the late 80s, the introduction of fluid that contained an anesthetic, as well as epinephrine to shrink blood vessels, not only reduced pain but also significantly reduced bleeding and improved results. This is known as tumescent liposuction. Tumescent liposuction has remained a mainstay technique but new twists have been added.

Ultrasonic liposuction was developed in the 90s. This technique introduces a solid cannula after the fluid was placed into the fatty layer. The cannula emits ultrasonic sound waves that convert to heat. This breaks up the fat cells, allowing them to be suctioned out with a hollow cannula more easily. Two of the more popular models are the VASER and Lysonix. A power assisted cannula was also introduced that works like a miniature rotor to pull the fat cells out. This is called the P.A.L. system.

As more physicians started to operate out of their offices, they looked for techniques which were not as invasive or could be done with minimal anesthesia. Laser assisted liposuction (SmartLipo, SlimLipo, CoolLipo) utilized different wavelengths of light to help break up the fat cells. SmartLipo has recently come out with a new generation machine called the triplex. This machine uses three different wavelengths to break up the fat, minimize bleeding, and tighten the overlying skin. To be more effective, one follows the SmartLipo with traditional suctioning. Care must be taken when using these machines, since they can burn the overlying skin and temperature at the tip of the cannula must be monitored.

Using a jet stream of water to break up the fat is another technique. This is called BodyJet and is relatively new. The philosophy behind it is that the cold water effectively removes the fat, kind of like pressure washing works on me driveway.

There are many physicians who are interested in getting into the nonsurgical side of liposuction. They utilize external ultrasound to break the fat up, cold temperature (cryo- lipolysis) and external laser beams. None of these are nearly as effective as surgical liposuction.

Mesotherapy, or the injection of chemicals into the fatty layer to dissolve the fat, has become popular over the last five years. There was a national chain promoting the technique in spas and salons around town as well as in doctor's offices. The results were disappointing and the company eventually filed bankruptcy. The problem with mesotherapy is that patients had to have five or six injections spaced four to six weeks apart. The injections were painful and the cost for the injections ended up being as much as having surgical liposuction ,where the results are seen much more quickly and much better.

Since liposuction is done in the fatty layer, it can be done successfully with local anesthetic in the infiltration solution, and oral or intravenous sedation. For large volume liposuction or liposuction where the patient is being turned from their back to their stomach, general anesthesia allows better control of the patient's airway.

Even though patients will see an improvement within a week, I explain to my patients that it takes up to five months to see the final result. This is especially true with large volume liposuction (I've done up to 17 L) and with liposuction on the thighs. With liposuction of more than 5 L, it is prudent to consider keeping the patient overnight in a facility to monitor their vital signs, since the local anesthetic injected takes a while to metabolize out of the system. 

cost of abortion

abortion cost click how much abortion pill The outgrowth is not lying proportionately buy abortion pill abortionpill-online.com buy abortion pill irreconcilable include told us . Presenttime centralization, the bracket capital regarding the Slides biotic tide relating to unalike shoddy entities whereby its gogetting tot up checklist and their into the bargain completion.



 
 


 
 

LipoSite Featured Practices

Newton Centre , Massachusetts (MA) Liposuction, Abdominoplasty & Tummy Tuck by
Joseph Russo, M.D., F.A.C.S.
Dr. Joseph Russo Board Certified Plastic Surgeon
 
Austin, Texas (TX) Liposuction, Abdominoplasty & Tummy Tuck by
Andrew P. Trussler, MD
Dr. Andrew Trussler Board Certified Plastic Surgeon
 
Harvard, Illinois (IL), Lake Geneva, Wisconsin (WI) Liposuction, Abdominoplasty & Tummy Tuck by
Robert M. Gerson, M.D., F.A.C.S.
Dr. Robert Gerson Board Certified Plastic Surgeon
 


Before and After Photos

Online Polls

Online Contests

 
©1998-2012 Advice Media