Cape Coral Liposuction doctors

I have adopted the method of SAFE(TM) liposuction and believe it is an excellent and safe method.  It does employ traditional tumescent injections before the liposuction followed by exactly what you have described.  The area is pretunneled by a basket cannula.  Traditional SAL is next performed using a angle cannula.   Then a basket cannula is used to smooth the area and avoid high and low areas.  Dr. Wall believes this last step leaves some fat that has been rearranged into a layer of newly formed fat grafts which help rejuvenate and tighten the skin because of the effect of the stem cells.

This method was presented at the last American Society of Aesthetic Plastic Surgeons national meeting in April, 2010 in Washington DC.   I was in attendance when Dr. Simeon Wall spoke and was very impressed with the candid nature of his discussion and the results he showed.

I really thought it might be time to consider adding one of the new techniques of Liposuction to our practice at Sarasota Plastic Surgery.  I also attended Dr. Gordon Sasaki's instructional course where he presented a comparison of all of the latest energized techniques of Liposuction.  This included ultrasound assisted, water assisted, laser assisted ,power assisted, etc.  He admitted that none of these techniques was clearly better in all respects than Tumescent liposuction and many had increased risked.  I asked him, point blank, which energized Liposuction machine I should buy  if I were bound and determined to add a new liposuction technique to my practice.  He said,"At this point I would not buy any of them!"  This is a world expert and a very thoughtful man saying this and I have a lot of respect for his opinion.

Since I have adopted the SAFE(TM) technique I believe my results are much improved and I am seeing some good contraction of the skin.  I hope this helps you in you search for the safest and most effective liposuction technique.

Most commonly tummy tuck (abdominoplasty) is the right choice after multiple pregnancies (3 children for you) because it removes both the extra skin, stretch marks down low on the abdomen and bulging of the abdominal muscle wall created by the pregnancies.

If you have had only one pregnancy and/or the amount of abdominal wall bulging is small, then liposuction may be all you need.

There are really three different components to the changes seen in the abdomen after pregnancy:

1. Excess Skin: Often women complain of loose skin and associated stretch marks especially down low below the belly button

2. Excess Fat: Also usually down low below the belly button. Some women have this and some don't. Often women think they have a lot of fat when most of the bulging may be from the abdominal wall bulging/stretching created by the pregnancy

3. Abdominal wall bulging: This is related to the stretching of the facial wall of the abdomen during pregnancy and separation of the abdominal muscles which often occurs. Amazingly it almost returns to normal after pregnancy but not quite. So some bulging is left behind. Each pregnancy makes this a little worse. This can't really be improved with sit-ups or crunches as my patients often ask.

Abdominoplasty corrects all three of these and gives very dramatic results. It is a bigger operation with a longer recovery and a long scar. In spite of this most women are very happy with the results because they can get back to a much flatter abdominal appearance and get rid of fat, skin and stretch marks all at the same time.

On the other hand liposuction may work well if the skin is in reasonably good shape and is not very loose or thin. Women who have had only one child may be good candidates for liposuction since they may have only a small amount of component #3, abdominal wall bulging.

To find out for sure and hear the whole story, find a board certified plastic surgeon in your area since we answer this question frequently. Sometimes I can tell even from a photograph.

Finally, there is a smaller version of a tummy tuck called a mini-abdominoplasty if you fall in between (have too much extra skin down low to do liposuction alone but not enough abdominal wall bulging or extra skin above the umbilicus to warrant a full tummy tuck.

Repairing small defects after liposuction under local anesthesia is reasonable and usually very effective. There is some mild burning just at the beginning of the injection that lasts for a few seconds. I use a very fine needle called a 30 gauge in order to minimize any discomfort. The surgeon will usually mark the area like a topographic map prior to injection of any anesthetic. He will also inject the areas evenly so as not to obscure the concavity. Any ballooning created by the injection begins to go away in just a few seconds anyway.