Liposuction Los Angeles, CA
Dr. Kenneth Hughes, MD has performed thousands of liposuction and liposculpture procedures for his very satisfied patients in the Los Angeles and Beverly Hills areas and patients around the world. At this point in his career, about 50% of Dr. Hughes’s patients venture from other states or countries to seek his expertise.
Many varieties of liposuction are available including ultrasonic, smart lipo, vaser lipo, power assisted liposuction, and conventional tumescent liposuction. The results depend very little on the method used and very much on the surgeon selected. Dr. Hughes prefers conventional tumescent liposuction with small cannulae to produce the finest result. The energy components of other methods can lead to unsightly skin changes and burns that cannot be corrected.
Dr. Hughes has extensive experience in large volume liposuctions of 5 L, the safe maximum amount that can be liposuctioned out in an outpatient settting. While less volume can be suctioned safely,the less the fat that is suctioned the less of a change in body form that is produced. And no patient wants to go through two or three surgeries when one surgery would have sufficed. In fact, about 30% of Dr. Hughes’s practice is comprised of liposuction revision cases, which are very challenging. Sometimes more liposuction is needed. Sometimes fat grafting is needed and sometimes skin removal is needed.
The liposuction or liposculpture procedure involves making a few small (4 mm) incisions through which instruments called cannulae are inserted to remove the fat in a very precise fashion. Dr. Hughes uses small cannulae of 3, 4 or 5 mm in diameter to allow for a more precise fat extraction and sculpting. Any area of the body can be sculpted including abdomen, flanks, back, medial thighs, lateral thighs, upper arms, and chin. The areas are sculpted as the patient desires. Please look at the liposuction before and after photos to see some of the dramatic transformations performed by Dr. Hughes.
In addition, Dr. Hughes can use some of the liposuctioned fat to augment and fill facial areas due to aging (facial fat grafting procedure). He can also use the liposuctioned fat to create larger, shapelier buttocks(Brazilian butt lift procedure). Dr. Hughes performs hundreds of Brazilian buttlift procedures each year.
In some patients, Dr. Hughes performs a large volume liposuction of 5 L of the front, sides, and back and can avoid a tummy tuck and its associated scar. Please see some of Dr. Hughes’s liposuction pictures for his patients of the Los Angeles and Beverly Hills areas.
Although Dr. Hughes has extensive experience with suctioning larger volumes, it is of paramount importance that the patient follow postoperative instructions to the letter and that the compression garment is worn as instructed. A less than desirable result may occur when a patient develops massive fluid collections postoperatively or repeated small fluid collections, which will cause a wavy nature to the skin or wrinkles in the skin. When the proper postoperative regimen is followed, the risk for contour irregularity is exceedingly small. The reason for this is that Dr. Hughes will liposuction the subcutaneous fat as evenly as possible so that every area is liposuctioned to the exact same thickness with machine-like precision. Dr. Hughes’s physical gifts and prowess really pay big dividends for patients who are looking for dramatic results as liposuction is an extremely labor intensive surgery, so labor intensive that many surgeons will give up before optimal results are obtained. Dr. Hughes will not give up on you, and he never leaves the operating room until your best result is achieved.
The typical liposuction patient can go back to work in a week’s time, while wearing the compression garment for the first 3 to 4 weeks. Strenuous exercise can usually be resumed in 6 weeks. For more information, see the articles below.
Types of Liposuction and Efficacy
The final common pathway for any liposuction procedure is removal of fat with a cannula. The cannula is attached to suction tubing which is able to extract fat through suction generated by a suction vacuum. The cannula can have one or many holes in many orientations.
Blunt cannulae are used to reduce the risk of inadvertent puncture of deeper structures. Some of the energy based technologies essentially kill the fat cells and cause them to die. This material is then extracted by the cannula. These cell death causing technologies cannot be used prior to harvesting fat for a fat transfer procedure like a Brazilian buttlift.
Every day, a new purported better way of performing liposuction is heralded by a company or the media. The truth is that there is very little difference in the various modalities. Some of them report that there is more skin tightening but a higher chance of burn. Dr. Hughes deals in the scientific realm where studies must demonstrate definitive skin tightening to merit the risk of burns. Previous modalities have been less than impressive in their demonstration of results of contraction or skin tightening. However, the risk of large surface area third degree burns is present in many of the older and newer modalities.
With the advent of BodyTite and FaceTite, the risk for burns is minimized, though not eliminated, and the published percentage of contraction is 40% (compared to 8 to 20% reported for other modalities). Once again, though, this is not just about the technology; it is the surgeon who is wielding the technology. Dr. Hughes performs this procedure through multiple different passes at different depths and from crossing and overlapping angles to create the smoothest result. Dr. Hughes also used the highest settings to produce the most contraction. If higher settings are not used, the contraction is not meaningful and the procedure is done with little benefit. Dr. Hughes exerts extreme care to avoid burns, but burns are a known complication of this surgery. However, the burns will not occupy a large surface area as was the case with some of the older technology.
Article 2 : History and Physical for the Liposuction Patient
Article 3: Types of Liposuction Available
Article 4 : Complications of Liposuction
Article 5: Complications of Liposuction 2
Article 6: Postoperative Management in Liposuction
Commonly Asked Questions about Liposuction:
1) Can liposuction Be Combined with Other Procedures?
Yes. Liposuction can be combined with breast surgery, tummy tuck, rhinoplasty and almost any other procedure.
2) What is Aggressive Liposuction?
This term just refers to making the most of the procedure and getting you the best result. Dr. Hughes will not give you the results that are seen so often when one cannot tell the difference between the Before and the After Picture. The result will be significant and, if you want, dramatic.
3) What method of liposuction does Dr. Hughes employ?
Dr. Hughes uses small cannula, tumescent liposuction without heat sources. In this way, Dr. Hughes avoids burns that have become quite common with Smart Lipo and other liposuction methods.
Liposuction and Liposuction Revision
Additional reading on Liposuction
All articles are written by Dr. Kenneth B. Hughes, MD
Harvard-educated, Harvard-trained, Board Certified Plastic Surgeon in Los Angeles
- Is Your Surgeon a Liposuction Expert? How Do You Know?
- Liposuction Safety and Risks
- Why Liposuction of Foreign Material Injections of the Buttocks Does not Work
- Sometimes the Best Liposuction Revision Involves Neither Liposuction Nor Fat Grafting
- Dr. Kenneth Hughes MD Discusses Risks of Liposuction & Prevention of Complications
- What Liposuction Can Do and What It Can’t
PREPARING FOR SURGERY
- STOP SMOKING: Smoking reduces circulation to the skin and impedes healing. It is best to avoid smoking, second hand smoke and cigarette replacements, such as nicotine patches or gum, in the perioperati ve period. While you should ideally stop smoking for 2 weeks before and after your surgical procedure, YOU MUST NOT SMOKE FOR A MINIMUM OF 24 HOURS BEFORE AND 24 HOURS AFTER SURGERY.
- TAKE MULTIVITAMINS: Start taking multivitamins twice daily to improve your general health once you have scheduled your surgery.
- TAKE VITAMIN C: Start taking 500 mg of Vitamin C twice dai ly to promote healing.
- START TAKING AN IRON SUPPLEMENT: A good iron supplement, such as Feosol Spansules, is required starting one week before surgery and four weeks following surgery. Bowel movements may appear darker than usual as a result. Feosol is available without prescription.
- DO NOT TAKE ASPIRIN OR IBUPROFEN: Stop taking medications containing aspirin or ibuprofen. Review the list of drugs containing aspirin and ibuprofen carefully. Such drugs can cause bleeding problems during and after surgery. Instead, use medications containing acetaminophen (such as Tylenol).
- LIMIT VITAMIN E: Limit your intake of Vitamin E to less than 400 mg per day.
- FILL YOUR PRESCRIPTIONS: You will be given prescri ptions for medications. Please have them filled BEFORE the day of surgery and bring them with you.
- CONFIRM SURGERY TIME: We wi ll call you to confinn the time of your surgery. If you are not going to be at home or at your office, please call us to confirm at (310) 275-4170.
- PRESCRIPTIONS: Make sure that you have filled the prescriptions you were given and set the medications out to bring with you tomorrow. Make sure to have the number for your pharmacy ready so that if Dr. Hughes and associates need to call in any special medications for you on your day of surgery they wi ll have that infonnation readily available.
- CLEANSING: The night before surgery, shower and wash the surgical areas with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase II I.
- EATING AND DRINKING: Do not eat or drink anything after 12:00 midnight except for a small amount of water to rinse your mouth while brushing your teeth.
- SPECIAL INFORMATION: Do not eat or drink anything! Ifyou take a daily medication, you may take it with a sip of water in the early morning.
- ORAL HYGIENE: You may brush your teeth but do not swallow the water.
- CLEANS ING: Shower and wash the surg ical areas again with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase Ill.
- MAKE-UP: Please do not wear moisturizers, creams, lotions, or makeup.
- CLOTHING: Wear only comfortable, loose-fining clothing that does not go over your head. NO TIGHT PANTS. Remove hairpins, wigs, and jewelry. Please do not bring valuables with you.
- CHECK IN/PREPARATION: Surgery Time:
- You should plan to arrive 45 minutes earlier than your scheduled surgery time. Patients less than 18 years old must be accompanied by a parent or legal guardian. When you arrive at our office on the day of your surgery, give the receptionist the phone number of the pharmacy you would like us to call for any spec ial medications Dr. Hughes and associates might prescribe.
- CARETAKER: Someone must spend the first night after surgery with you.
LIPOSUCTION POST-OP INSTRUCTIONS
- The first week you will need to rest frequently. You need to walk around the house as tolerated. Avoid stairs if possible.
- You may sleep in the position you find comfortable.
- Avoid picking anything up greater than 5 lbs for 4 to 6 weeks.
- Do not exercise or do anything strenuous for 4 to 6 weeks.
- You may not drive the first week or while you are taking pain medication. After that it will depend on your ability to handle a car without causing any discomfort. You should wear your seatbelt at all times.
- Do not engage in sexual activity at least 4-6 weeks after your surgery.
- No smoking. This will interfere with your healing.
- Eat light the first 24 hours, clear liquids advancing to a regular diet as tolerated.
- If you have persistent nausea stick to a bland diet until it subsides.
- Avoid foods that can cause a lot of gas. This can cause abdominal distention and undue discomfort. Small frequent meals are best.
- The pain medicine may cause constipation. Drink plenty of fluids. You may take any over the counter laxatives or stool softeners as needed.
- You will have abdominal binder over your abdominal dressings. Change dressings as needed. YOU SHOULD WEAR THE BINDER 24-7 FOR 6 WEEKS, ONLY REMOVE FOR SHOWERING.
- It is normal to have numbness over the surgical sites for several weeks or months.
- Do not use a heating pad or ice around the surgical sites. It could cause a burn.
- You may shower the following day, place new dressings, followed by same foam and put same garment as instructed, making sure to have garment covering pubic area.
- It is normal to see lots of drainage on abdominal dressings.
- When drainage has stopped replace dressings with a T-shirt keep using the foam and garment as previously instructed.
- Take your antibiotic until it is completed.
- If the pain medication is a narcotic it should be taken as prescribed. Do not take any Tylenol while on pain medication. The medication we prescribe may already have Tylenol in it.
- Do not drink alcohol or drive a car while taking pain medication.
- The pain medication may cause nausea and should be taken with food at each dose.
- You may resume your regular medication after your surgery except for Vitamin E, Fish oil and Aspirin (wait at least 5 days post-op).
- If you take aspirin or coumadin check with the doctor to see when you may resume them.
CALL THE OFFICE IF YOU HAVE:
- A temperature greater than 101 degrees.
- Excessive bleeding from the incision.
- A sudden increase in drainage, pain, or swelling around the incision site or the surrounding area.
- If you have persistent vomiting.