Stay Goodbye to Stubborn Pockets of Fat

Dr. Cappuccino uses the latest methods and equipment including power assisted liposuction (PAL),  the SAFE method (separation, aspiration, fat equilization), the tumescent technique, and the super-wet technique.  These advances in liposuction help  plastic surgeons to provide patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, Power-assisted liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

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What Areas Can Be Addressed?

Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas. It can address these problem areas with an impressive level of precision, enabling you to touch up a wide range of sections, including the:

  • Abdomen
  • Back
  • Hips
  • Buttocks
  • Thighs
  • Knees
  • Upper arms
  • Chin
  • Cheeks
  • Neck

Is Liposuction Right for Me?

The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable, and have realistic expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as younger patients with tighter skin.

Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured. Dr. Cappuccino will get to know your health history during your in-person consultation, and he’ll advise you if he thinks that another procedure might be better for you.

Before & After

Getting the Answers You Need

Individuals considering liposuction in Maryland often feel a bit overwhelmed by the number of options and techniques being promoted today. Dr. Cappuccino is here to help. In deciding which is the right treatment approach for you, he’ll consider effectiveness, safety, cost, and appropriateness for your needs. Dr. Cappuccino uses his surgical judgment to prevent complications, to handle unexpected occurrences during surgery, and to treat complications when they occur.

Dr. Cappuccino’s education, training, and years of experience have helped him develop an exceptionally keen sense of surgical judgment, so don’t hesitate to ask as many questions as you can during your consultation. This is your chance to learn about everything from incision placement to the scarring you’ll have after your recovery. Dr. Cappuccino will make sure that you have all the information you need.

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Preparing For Your Surgery

You’ll receive specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed.

While making preparations, be sure to arrange for someone to drive you home after the procedure and help you at home for a day or two.

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Anesthesia for Power-Assisted Liposuction

If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs only the affected areas. 

However, if you prefer, the local is usually used along with intravenous sedation to keep you more relaxed during the procedure. However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed.

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The Power Assisted Liposuction Surgery

The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia, and the technique used. There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcomes.

Liposuction is a procedure in which localized deposits of fat are removed to contour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out.

The suction action is provided by a vacuum pump or a large syringe, depending on the specifics of your surgery. If many sites are being treated, Dr. Cappuccino will then move on to the next area, working to keep the incisions as inconspicuous as possible.

Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.

Technique Variation

The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been developed and refined, several variations have been introduced.

Fluid Injection

Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid — a mixture of intravenous salt solution, lidocaine (a local anesthetic), epinephrine (a drug that contracts blood vessels), and TXA- tranexamic acid (reduces bleeding) — helps the fat be removed more easily, reduces blood loss, and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.

Tumescent Liposuction

Large volumes of fluid — sometimes as much as three times the amount of fat to be removed — are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as four to five hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or tumescent state of the fatty tissues when they are filled with solution.

Super-Wet Technique

The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.

Power-Assisted Lipoplasty

This technique requires the use of a special motorized handpick that creates a fast reciprocating motion of the cannula.  This helps move the cannula through the tissue helping your surgeon achieve more precise results. This improves the ease and effectiveness of liposuction.

SAFE Technique

The SAFE technique (separation, aspiration, fat equalization) is a sequence of steps designed to achieve the safest and best looking liposuction results. Specialized equipment is used to create a reverse flow through the microaire power-assisted liposuction system for injection of the wetting solution.  This helps to separate the fat which eases removal and decreases bleeding. After removal of the fat, a final pass without suction is performed to smooth out and equalize the remaining fat across the treatment area, yielding the most natural looking contours.   

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Potential Risks and Uncertainties with Liposuction

Liposuction is normally safe, as Dr. Cappuccino works to select his patients carefully and utilizes an operating facility that is properly equipped with state-of-the-art equipment. Risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size. Removal of a large amount of fat and fluid may require longer operating times.

The combination of these factors can create greater hazards for infection; delays in healing; the formation of fat clots or blood clots, which may migrate to the lungs and cause death; excessive fluid loss, which can lead to shock or fluid accumulation that must be drained; and friction burns or other damage to the skin or nerves or perforation injury to the vital organs. There are also points to consider with the newer techniques. For example, in UAL, the heat from the ultrasound device used to liquefy the fat cells may cause injury to the skin or deeper tissues. Also, you should be aware that even though UAL has been performed successfully on several thousand people worldwide, the long-term effects are not yet known.

In the tumescent and super-wet techniques, the anesthetic fluid that is injected may cause lidocaine toxicity (if the solution's lidocaine content is too high), or the collection of fluid in the lungs (if too much fluid is administered). Dr. Cappuccino will talk you through any potential complications, and the steps he takes to minimize them. The scars from liposuction are small and strategically placed to be hidden from view. However, imperfections in the final appearance are not uncommon after lipoplasty. The skin surface may be irregular, asymmetric, or even baggy, especially in older patients. Numbness and pigmentation changes may occur. Sometimes, additional surgery may be recommended.

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After Your Surgery

After surgery, you will likely experience some fluid drainage from the incisions. Occasionally, a small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. You may also prescribe antibiotics to prevent infection.

Pain, burning, swelling, bleeding, and temporary numbness are all a normal part of the recovery process. Pain can be controlled with medications prescribed by Dr. Cappuccino, though you may still feel stiff and sore for a few days. Dr. Cappuccino will schedule follow-up appointments with you so that he can monitor your healing process and ensure that you are recovering properly and expediently.

Getting Back to Normal

Healing is a gradual process. Dr. Cappuccino will probably tell you to start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery. The stitches are removed or dissolve on their own within the first week to 10 days.

Activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappear within three weeks, some swelling may remain for six months or more. If you have any unusual symptoms between visits—for example, heavy bleeding or a sudden increase in pain—or any questions about what you can and can't do, don’t hesitate to reach out to us.

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Enjoying Your Incredible Results

If you’re wondering how you can eliminate those problem areas that just aren’t responding to diet and exercise, Dr. Cappuccino is here to help. He’s proud to be offering the liposuction procedure to patients in Mount Airy, Frederick Maryland, and around the world. When you’re ready to learn more, simply reach out and set up your consultation with a member of our devoted team.

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