Can you have Vaser Lipo if you have ANCA Vasculitis?

Question

Have been in remission for many years, and medication-free remission for the past 2 years ) Am otherwise fit, healthy and robust. Non-smoker etc. Weigh 59 kg at 5 ft 4. Would I be a suitable candidate for Vaser liposuction? Would be looking to have the procedure done under local anaesthetic to reduce risk and can have multiple visit ie few areas at a time to make it safer. Any surgeons in London that you could recommend, that are familiar with my rare disease. Thanks )

Jason Emer, MD · Answer

liposuction can be done with proper medical clearance in those who have any medical conditions.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

There is no yes or no answer to your question. The answer depends on how advanced your disease was, if I left you with kidney impairment, if you’re into remission and what the chances of having some flareup.

Also, if you’re currently on medications for auto immune disease than these can be contra indicated for surgery.

Really the correct person to talk to you about the appropriateness of having elective surgery is your rheumatologist.

Plastic surgeons can help you decide if you’re a candidate for Liposuction and the rheumatologist make sure that you’re safe to have the procedure and should help manage your condition and appropriateness before and after.

If you’re into remission and have normal kidney function then there’s a good chance you could have Liposuction if you’re a good candidate for the procedure.

If you’re into remission and have normal kidney function then there’s a good chance you could have Liposuction if you’re a good candidate for the procedure. Patients who are not ideal candidates should not consider taking significant medical risks to have elective surgery.

Personally I do all liposuction with patients awake using local anesthesia. I suggest finding plastic surgeons who routinely do liposuction with patients awake and not ask someone who typically uses general anesthesia to convert to local anesthesia for your case.

Getting patients through awake Liposuction requires skill and practice. There’s a very real learning curve to doing awake Liposuction.

I have no particular preference for VHS ER. It’s a powerful tool that can deliver good results in the hands of surgeons will have sufficient experience and skill. This particular device can also lead to the worst disfigurement when used by providers who lack skill and experience.

There’s no difference in regards for the need for general anesthesia depending on the type of Liposuction.

I suggest first and foremost talking to your primary care doctor and or rheumatologist. Also schedule multiple in person consultations with local experienced board-certified plastic surgeons who have some proven track record for doing awake Liposuction.

In your case consider having multiple consultations.

Best,

Mats Hagstrom MD

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Can you have Vaser Lipo if you have ANCA Vasculitis?

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