Liposuction
(BMI adds to all base prices)
$799 Per Area with a minimum of three areas
Reason for Surgery
Dr. Palmer performs liposuction to remove areas of unwanted fat. If diet
and exercise have failed to give you the look you want then liposuction
may be the answer. Recent advancement in liposuction include the tumescent
technique and laser-assisted liposuction, both of which Dr. Palmer offers.
Before the Surgery
A medical history along with a careful examination is conducted in order
to evaluate your general health. Dr. Palmer will discuss with you the
areas that cause you concern and will determine if your concerns can be
addressed with liposuction. Preoperative instructions will be given. You
may be asked to stop certain medications. You will receive a prescription
for an antibiotic to begin the night before surgery. You will be asked
to not eat or drink anything after midnight the night before surgery.
Method of Surgery
Dr. Palmer performs most liposuction in the office with a combination of
local anesthetic and IV sedation. The tumescent technique has revolutionized
liposuction. Tumescent anesthesia allows for marked increase in patient
safety and comfort while the office setting introduces a dramatic decrease
in cost while increasing patient convenience. The patient presents the
day of surgery having taken a prescribed antibiotic. A nurse places an
IV and Dr. Palmer photographs the patient and makes appropriate skin markings
to clarify with the patient the areas to treat. The patient is then placed
on a monitor and sedation is begun. Anesthetic fluid is introduced into
the fatty tissue to be removed using a pump. A series of instruments called
disrupters are then used to break the fat up and liquefy it for efficient
removal. The final stage is the actual removal of fat using vacuum pump
suction. No sutures are necessary because the incisions are so small.
The patient is fitted with a compression garment and can immediately resume
normal activities.
Laser-assisted liposuction (CoolLipo and SmartLipo) is a process that uses
laser energy to assist in breaking the fat down. A major advantage of
this method is the skin tightening that can be obtained. The laser heats
the collagen in the skin which causes it to shrink, thus tightening the
skin. This procedure is not suitable for everyone and Dr. Palmer will
help you decide if this is right for you.
Post-Operative Information
The recovery is variable in accordance with the extent of treatment, however
everyone should be able to walk normally and to go up and down stairs
immediately. We do require that you have someone you trust take you home
and then have someone stay with you at least 24 hours for safety. You
can return to work when you feel you are able. We recommend at least one
week off work although two weeks is appropriate in some cases. That being
said, we have had patients return to work in as little as two days. Strenuous
exercise should be avoided for at least two weeks and even longer for
more extensive liposuction. You will have drainage from the puncture wounds
for 48-72 hours and this is expected and desired. This is how we avoid
the use of drains. You will need to wear your compression garment until
all drainage has stopped. Some prefer to wear it longer and that is acceptable.
For abdominal liposuction, many patients find it more comfortable to transition
to “Spanks” type garments (ask us for the particulars on this).
You will receive a narcotic pain reliever for post-op discomfort and you
should take a stool softener to prevent constipation. We follow our patients
up closely post-op until we feel all is well. A final result is expected
in 3-4 months when all swelling has resolved.
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