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Questions About Liposuction? Ask Us.

Monday, January 4th, 2010

Q: What is the best liposuction technique?Oklahoma_smartlipo

A: There is no best method because each platform has particular benefits.  For example, water-assisted liposuction is said to be effective for removing a large volume of fat, while laser liposuction is great for precise body contouring.  Remember, the operator is the most important factor.

Q: Why do I keep hearing about new liposuction methods?

A: Plastic and cosmetic surgeons are trying to set themselves apart with more advanced liposuction techniques. You will often hear about “reduced downtime” or “reduced trauma to surrounding tissues” in the marketing for all of these procedures; just know that any proven liposuction technique will utilize the same basic tools as the standard tumescent liposuction procedure.

Q: Can I get liposuction anywhere on my body? What is the most common area to treat?

A: Many people are surprised to learn that liposuction can be performed on so many areas of the body. The abdomen and thighs are probably most common, but you can also get liposuction below your chin or even on your ankles.

Q: What type of doctor is most qualified to perform liposuction?

A: See a board-certified cosmetic surgeon for your liposuction.

Q: Is liposuction “minimally-invasive” like some of the advertising says?

A: The techniques have improved over time, making recovery quicker and incisions smaller, but liposuction is still cosmetic surgery. It’s not like getting a quick Botox injection.

Medial or Superomedial Pedicle for Breast Lift or Breast Reduction*

Monday, December 7th, 2009

Fig. 1

Fig. 1

What is the best pedicle for breast lifting or breast reduction?

It seems that every pedicle type imaginable has been tried and everyone tends to have their favorite (Fig. 1). In general, this does imply an overall robust blood supply to the breast. However, it would be nice to know without a doubt which technique offers the best blood supply to the nipple areolar complex (NAC), best nerve supply and gives the most aesthetic breast shape and long-term stability. The problem is that there are hundreds of general articles on this topic but few are well done on specific blood supply volumes and how it relates to final breast lifting or breast reduction results.

For years, many believed that a sternal notch to nipple distance of greater than 30cm was an indication for a free nipple graft. A careful inferior pedicle proved that it could be used for SN-N distances of greater than 40cm with very low ischemic issues, but this technique has problems with ‘bottoming out’ of the inferior pole of the breast over time.

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