High Definition Liposuction

High definition liposuction involves a customized algorithm and surgical plan to maximize the removal of excess fat and elimination of skin redundancy in order to maximize contouring outcomes. Comprehensive removal of fat is achieved using Vaser technology. The technique for removal of skin is based on the degree of skin redundancy and may involve Vaser skin retraction (minimal skin redundancy), Renuvion J plasma (minimal to moderate skin redundancy), and/or skin tucking (moderate to severe skin redundancy).

Any and all patients who suffer from excess fat and/or skin redundancy will benefit from HD liposuction. During your initial consultation, you will receive a customized surgical plan to address all of your concerns and to ensure that your results are transformative.

High Definition liposuction requires a commitment to your HD liposuction specialist. The surgery does require general anesthesia and thus a brief 2 to 3 days of assisted care will be required; this means a responsible adult that can hang out with you until the effects of the anesthesia have resolved. In addition, patients are required to undergo an aggressive 10-day course of lymphatic messaging that requires a driver to bring you to the office.

Several measures are critical to preparing for your Hi-Def Lipo procedure. The first requires optimizing your nutrition. This will require an intake of 150 grams of protein daily. In order to achieve this, protein shakes may be considered between meals. In addition, patients are asked to avoid all foods/supplements/vitamins that contain blood thinners. This includes all Aspirin products as well as fish oil/omega-3 fatty acids/Ginko Biloba. Finally, ANY and ALL smoking must be stopped to eliminate Nicotine from your body; this includes avoiding vaporizers, gums, and patches. All of the above measures must be initiated at least one month prior to surgery.

HD liposuction provides prospective patients with the opportunity to attain "jaw-dropping" contouring results. Patients will appreciate circumferential contouring results that will impress ALL onlookers. For men, it will mean chiseled abdominal muscles, bold armor plate chest, and elimination of love handles resulting in a "V" shaped back. For women, they will have a lean abdominal contour, an exaggerated waistline curve, and exaggerated lower back and buttocks differential.

Your HD liposuction will be performed at one of our accredited surgery centers. Since the fat is removed comprehensively it requires scraping of the fat off of the muscles which can be painful if awake. As such, patients are provided general anesthesia to alleviate any pain in an accredited state of the art surgical center.

Your HD liposuction will be performed while you are comfortable under general anesthesia. General anesthesia is recommended to patients since etching of your underlying muscles can be painful. This is because the sensory nerves (which produce a pain signal) are at their highest density in the muscle layers.

When you wake up from surgery, you will find yourself wrapped in a customized compression garment with a foam in-lay. This foam will not only minimize pain but also limit swelling and bruising in the treated areas. You will be expected to wear this garment for a minimum of two weeks.

Patients who undergo HD liposuction will return to work between 10 days and 2 weeks following surgery depending on your pain tolerance. When only Vaser liposuction is performed, patients may return to work as early as 10 days following surgery and be at the gym working out at 2 weeks. If a tucking procedure is required to supplement skin tightening, patients are recommended to delay their return to work date to 2 - 3 weeks and return to the gym date to 3 - 4 weeks.

Patients who desire improvement of their body contour are excellent candidates for high definition liposuction. Regardless of your start point, you should expect to have a transformative improvement of your contour. Patients are asked to have their surgery when they are at their comfort weight. The comfort weight is the weight that you are comfortable maintaining as part of your normal lifestyle. This will ensure that the changes provided by high definition liposuction will be stable for the rest of your life.

Patients who undergo comprehensive fat removal with VASER liposuction have the potential to be left with redundant skin (think of an orange that has its pulp removed). The redundant skin can be quite extensive and may create unsightly contour irregularities (think of a Shar-Pei dog).

This redundant skin may have the capacity to resorb itself if it still maintains its “recoil” protein called elastin. Unfortunately, after the age of 40 years of age, the elastin protein is lost from the skin resulting in non-elastic and non-resorbable skin. For those under 40 years of age and those who are patient, the redundant skin will tighten back down over several years. For those patients older than 40 years of age, a skin reduction procedure performed at the time of the Vaser liposuction is advocated

Patients undergoing high definition liposuction surgery are evaluated much in the same manner as other surgical patients. If patients are undergoing extensive surgeries lasting longer than six hours or if they have comorbidities they are more inclined to require more aggressive medical care.

Measures requiring nursing care become mandatory if patients have high volume liposuction greater than 5 L of infiltration/aspiration. This is because high volumes of liposuction infiltration and aspiration increase the risk of lidocaine toxicity, as well as fluid shifts, form the vasculature causing hypotensive episodes. As such, all tumescent solutions used in high volume liposuction is made with ½ the lidocaine dose when compared to traditional liposuction thus minimizing the risk of lidocaine toxicity.

In addition, aggressive IV hydration is utilized to counter any fluid shifts thus avoiding hypotensive episodes. Another consideration includes the body mass index (BMI), a parameter that measures the degree the patient is overweight. When the BMI is greater than 33, the patient is considered a high-risk candidate and recommended to spend the night with one of our registered nurses. Finally, patients are monitored in the postoperative setting and if they display hypotensive episodes, desaturation of their oxygenation, or have pain out of proportion to that expected, arrangements are made for nursing care.

One of the greatest benefits of high definition liposuction using Vaser technology is that the fat is removed comprehensively. This means that patients are protected from weight gain in the areas treated as there are no fat cells left.

When circumferential Vaser liposuction is performed to remove fat from all problem areas, this has a universally protective effect against volume gain even with increasing patient weight. Instead, the gained weight is diffusely gained everywhere thus protecting you from looking fat. 

Despite its protective effect, patients are expected to maintain their weight. In fact, we have observed that our post high definition liposuction patients are more motivated to work out and live a healthy lifestyle since they look and feel more confident.

For patients undergoing HD liposuction surgery, there is a safe time limit of 6 hours and a volume of infiltration limit of 5 Liters within which surgeries should be completed.

As such, it is important to prioritize the regions such that problem areas may be treated in an optimal and expedited manner without going over the above safe parameters. Most patients are able to complete circumferential HD liposuction procedures under the above safety parameters.

Infrequently, the HD liposuction procedure must be completed in two sessions usually combined with the need to first have significant skin reduction, such as a Total Body Lift. A total body lift may comprise any and all of extended tummy tuck, breast lift with or without an implant, medial thigh tuck, upper arm tuck,  and lower body lift (lateral thigh tuck).

As early as 3 months following the tucking procedures above, patients can return to undergo comprehensive fat removal using Vaser technology