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Liposuction (Lipolysis)

Below are some dramatic before and after pictures illustrating the results possible from the Liposuction procedure. Click on the small image for a larger version.

Liposuction


"Lipolysis" has been performed and refined in France by it's originator, Dr. Illouz. Dr. Sevinor was priviledged to study this technique with Dr. Illouz in Paris. Lipolysis results in the permanent removal of localized fatty tissues. This procedure is remarkable because of the size of the surgical incision, less than 1/2 inch in length.

IT IS MOST USEFUL FOR THE REMOVAL OF LOCALIZED FATTY DEPOSITS FROM THE "SADDLE BAG" AREA, ABDOMEN, HIPS, BUTTOCKS, CHIN, NECK, ARMS, CALVES, ANKLES AND KNEES. IT IS NOT USEFUL FOR GENERALIZED OBESITY.

The procedure is most useful in people who have localized fatty deposits, but who are not, themselves, fat. It cannot perform miracles. Cosmetic plastic surgery is a combination of art and science. Surgery is not an exact science and results are not always under the control of the surgeon or the patient. It is impossible to guarantee or warrant any results. The end result is dependent upon a great number of factors which are different in each individual patient, including - among others - age, physical condition, elasticity of the skin, genetic makeup (heredity), diet, exercise, smoking, alcoholic intake, exercise and physical condition, etc. No two persons are exactly alike and no two persons, despite similar appearance, will have exactly the same result.

In general, the localization of fatty deposits is determined by heredity and hormonal factors. Think about the body build of your parents, grandparents, aunts and uncles.

The surgery consists of (1) small incisions, less than 1/2 inch in length, (2) with or without the injection of a hypotonic solution into the fatty tissues, and (3) the subsequent removal of fat by surgical suction with a blunt cannula. The end result will be better in some persons than in others. Some who do not have normal elasticity of the skin will develop some waviness of the skin, although the general contours will be improved. The end result will be dependent upon the condition and elasticity of the skin, amount and the location of the fat, the underlying bone structure and the inherent proportions of the remainder of the body, whether harmonious or disharmonious.

What is "cellulite?"

"Cellulite" has been shown to be fat cells. Present research knowledge demonstrates that these cells are larger, more resistant to fasting, enlarge quicker after overeating and respond differently to hormones than other fat cells. Clinically it is known that ordinary fat is responsive to diet, whereas areas of "cellulite" are not equally responsive. Often in areas of what is referred to as "cellulite," there is a skin change or dimpling referred to as "orange Peel skin" or "cottage cheese skin." Liposuction will improve the localized areas of fat and bulges, not the "dimpling."

Many women can diet down to almost skin and bone and exercise every day and yet, their "saddle bags" remain. Other women who have a lovely upper portion of their body have a drastic disproportion with an unattractive lower half of the body characterized by heavy localized fatty deposits.

Why do Fat Deposits localize?

Certain areas are predisposed to this condition which is determined by heredity and hormonal balance. The areas of the thighs, hips, waist, buttocks, knees and ankles are the most common. Until now, people could do little about it. Neither diet, nor workouts at the spa were helpful in the long run. The heredity factor is very important. Not only does it determine where the localized fatty deposits will occur, but also other elements. For example, protrusion of the buttocks caused by accentuated angle of the lower spine, wide hips and short thigh bones which are inherited may produce disharmonies.

When does "cellulite" begin?

Almost always "saddle bags" begin to develop at the time of puberty. Although the numberof fat cells in the body has already been fixed prior to the time of puberty and does not change, the hormonal changes at the time of puberty cause the increase in size and shape of these unattractive deposits. Unfortunately, "cellulite" resists dietary restriction and has a lower rate of fat breakdown and often is associated with the orange peel or cottage cheese skin deformity.

How to remove localized Fat Deposits

Until now, unless the deposits were extraordinarily heavy and unattractive, plastic surgeons were reluctant to undertake large defatting procedures of the thighs because of the long, obvious and unattractive scars that resulted on highly visible areas preventing the use of summer bathing attire. Women with modest deformities of the abdomen were also unwilling to accept a long (15") abdominoplasty scar as the price for the removal of modest amounts of belly fat. Now these modest deformities can be treated by Lipolysis suction.

Lipolysis

This is a method for the reduction of these localized fatty deposits. This method is remarkable in view of the size of the incision and the rapid convalescence. This technique was named "lipolysis" by it's developer, Dr. Gerard Illouz of Paris. It was based on the injection of saline solution in the fatty deposits under general anesthesia. The fat is then removed by suction through a small incision. By this method one may achieve more harmonious body proportions while the scars are very small, each incision being closed by only a few stitches. The fatty deposits which may be removed by this surgery are on the thighs ("saddle bags"), neck, abdomen, hips, buttocks, knees, ankles and upper arms. These are areas where the classic methods of removal have had serious drawbacks. Drains are sometimes used 24-48 hours. The elastic bandages or garments are worn for 4 weeks.

Light massage is started on the 14th day. After the operation, exercises are recommended beginning on the 14th day. Results are visible after two or three weeks, but final results take four months to a year.

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