Walnut Creek Liposuction doctors

Joseph Mele, MD Joseph Mele, MD
Walnut Creek Plastic Surgeon
130 La Casa Via Building 2, Suite 206, Walnut Creek
16 answers
M. Christine Lee, MD M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon
1479 Ygnacio Valley Rd. Suite 209 , Walnut Creek
4 answers
Jerome Potozkin, MD Jerome Potozkin, MD
Walnut Creek Dermatologic Surgeon
600 San Ramon Valley Blvd Suite 102, Danville
2 answers
Robert G. Aycock, MD Robert G. Aycock, MD
Pleasanton Plastic Surgeon
1855 San Miguel Drive #4, Walnut Creek
Andrew Barnett, MD Andrew Barnett, MD
San Francisco Plastic Surgeon
450 Sutter St Ste 1123, San Francisco

Recent Answers

Are There Special Considerations for Liposuction on Asian Patients? I Scar Easily.

I'm female, 27,5'2'', 120 pound. I'm athletic, but all my life have had fat in my lower abdomen. I'm asian and have skin that scars VERY easily. I was reading on Realself that a doctor suggested VASER lipo since it worked better on asian patients "since they tended to have fibourus fat" What type of Lipo would work best for me? Are there any special considerations for asian patients? I've found someone sites that talk about "asian liposuction"--is there such a thing?

A: Better liposuction scars.

Dear QuestionsinLA:

Thank you for your question. Addressing your tendency to scar, liposuction leaves small scars which tend to heal well. Before surgery, review with your surgeon where the scars will be placed. The bigger problem is pigmentation. The skin around the scars can get darker. Usually this is temporary, but it can be permanent.

I have found that using small, straw-like "ports", protects the skin edges from the rubbing of the liposuction cannula, and leads to scars that heal faster and that are less likely to pigment. I was very skeptical the first time I used them, but after seeing the results, I use them every case.

Addressing brand name liposuction. I hire a carpenter based his skills, not on the brand of hammer he uses. You are paying for the skill, experience and judgement of your plastic surgeon. For the vast majority of patients, the results of tumescent liposuction cannot be improved upon.

The biggest obstacle to a great result in liposuction is loose skin. Lasers, ultrasound, radio-frequency, heat, cold have been around a long time. While some studies show a small, measurable improvement  in skin shrinkage, they will not shrink-wrap loose skin. Additionally, measurable and noticeable are two different things. You need the good judgement of your plastic surgeon to guide you. If truly superior results were available with a specific machine, then every plastic surgeon would be using it.

Beware of the practitioner who makes promises too good to be true, or claims to be the only one in the world who has figured out how to achieve superior results. Plastic surgery societies are open, and we freely share results and experience. I learned about liposuction "ports" from a "competing" plastic surgeon in my local area. Great breakthroughs are accepted quickly and shared. Great marketing is tolerated, because our minds are open to improvement.

Every good plastic surgeon wants every patient to get great results. I want you to have a great result, so find a board certified plastic surgeon in your area, not a machine. And if they haven't tried using ports for liposuction, it would be worth mentioning. 

Joseph Mele, MD
Walnut Creek Plastic Surgeon
What is the Difference Between Bella Contour and Liposonix

Where can this treatment be found in the UK?

A: Liposonix is a fat melting device, Bella Contour is not

Liposonix is the first noninvasive fat melting device to receive FDA approval for fat reduction in the U.S. Nov 2011.  It uses high-intensity focused ultrasound (HIFU) to cause lysis or destruction of the fat cells.  There is no other device that can make this claim in the U.S.  It is  nonsurgical liposuction, a revolutionary technologic breakthrough.  It is not a replacement for liposuction because you cannot remove the high volumes of fat possible thru liposuction but you can get about an inch reduction (2.5 cm) in fat per treatment per area.  UltraShape also uses HIFU but has not received FDA clearance and is not available in the U.S.  Clinical trials for both devices have shown impressive and consistent results.  No other ultrasound device can make these claims of fat destruction.  The Bella Contour and Vaser Shape and other similar devices are unfocused ultrasound which does not alter or change the fat in any way--they are more like a warm massage.  The most important concept for the consumer to understand to not be misled is to know there are 2 kinds of ultrasound:  focused and unfocused.  Only high-intensity focused ultrasound causes destruction or melting of fat, unfocused ultrasound does not. 

The Bella Contour uses unfocused ultrasound couple with electrical stimulation and vacuum massage (similar to the Velashape) which is a noninvasive treatment for mild skin tightening and cellulite, but it does not affect the fat cells and is not a fat melting device.  It is more effective and longer-lasting than endermologie however.

M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon
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