LIPOSCULPTURE is becoming more popular as patients discover they can lose weight and reshape their problem areas in one procedure.

Dr Daniel Lanzer helped convene the first hands-on conference of the tumescent method of liposculpture, which involves filling the fat with large volumes of a dilute fluid before sucking the fat out.

This has made the procedure safer and more effective and it is now one of the most popular cosmetic procedures.

Dr Lanzer performs liposculpture either with the patient either awake or under a light general anesthetic in his modern day surgery centre.

Different types of liposculpture:

Body Liposculpture: Dr Lanzer can reshape and refine most fatty deposits on a female body, giving a more slim appearance.

Common areas for treatment are the two bulges of the hips and outer thigh, the stomach, inner thighs and knees, calves, ankles and the neck.

Megaliposcution: By having many liters of fat removed, patients can get a real kick-start and feel slimmer and lighter.

Patients undergoing megaliposuction often weigh 80kg to 120kg and have tried all different methods of weight loss.

Breast reduction: Dr Lanzer was the first to publish a large study of making women’s breasts smaller and lighter with just liposculpture. He can remove about one to two liters of fat from each breast. Once the weight is gone, the skin contracts and elevates.

Hi Def Liposcuplture: Dr Lanzer was the first in Australia to be trained in the Hi Def method by the group that introduced the technique last year.

Men can obtain a “six pack” appearance almost immediately and women can get that athletic groove on the stomach. The technique involves combining the new Vaser ultrasound device and a new “artistic” approach.

Male boobs: One of the most common procedures performed by Dr Lanzer is the reduction of “man boobs”. Some men are very self conscious and by removing localised fat and possibly thick breast tissue, the chest becomes flat and smooth.

Why Do it?

People have liposuction for shape issues, such as big hips or thighs. Others do it as a way of achieving more general slimming. Pain and discomfort often plays a role, particularly in female breast reduction. Some people get frustrated with all the exercise they do, for limited results.

How difficult is it to book in?

Dr Lanzer offers a free consultation for cosmetic surgery, during which he gives potential patients detailed and personal information. As Dr Lanzer has his own fully dedicated day surgery centre, the liposuction can take place very quickly. Most patients take either a few days, or a week, off work. Generally no strenuous activity is allowed for two week. Country and interstate patients can send in photographs for a free over-the-phone assessment and discussion.

How private can liposuction be?

Dr Lanzer and his staff are aware that the procedure is private and appropriate confidentiality guidelines are kept.

Many, if not most, of Dr Lanzer’s patients keep their procedure absolutely a secret.

FACE MAKEOVER

WRINKLED and sun-damaged skin can look smoother, cleaner and fresher through lasering. As a result, skin that had the appearance of belonging to a 70-year-old can take on the appearance of a 30-year-old’s skin, with longlasting results, Dr Lanzer says.

For an immediate facial skin lift without excision of facial skin, sutures using small thin threads are passed just beneath the skin to pull the outer skin layer upwards and outwards.

Fat bags below the eye can be removed without cutting the skin on the outside. The fat that causes the bulge and the tired-looking shadow is accessible from the inside surface of the eyelid.

The laser makes a fine-line incision and the fat pops out. There are no stitches and no visible skin marks and the result is a more rejuvenated eyelid, Dr Lanzer says.

Extra skin that tends to hang down over the upper eyelid can be removed by laser surgery performed along the upper eyelid drease. The result is a more “open” eye.

For a free consultation ph:1800 444 333 or visit www.drlanzer.com

Liposuction in obese patients

Liposuction is one of the more common elective surgical procedures in the US and is supposed to be on the increase. There are no reported studies specifically addressing the metabolic sequelae of liposuction in obesity. The aim of the present study was to investigate the role of large-volume liposuction on insulin resistance and circulating inflammatory markers in obese people. Thirty healthy premenopausal obese (body mass index (BMI) from 30 to 45) and 30 age-matched normal weight (BMI<25) women were studied. In obese women, insulin sensitivity, as measured by the Homeostasis Model Assessment (HOMA=fasting plasma glucose x fasting serum insulin divided by 25), as well as serum adiponectin, the novel adipocytokine with insulin sensitising properties, were significantly lower, as compared with nonobese women (p<0.01), indicating insulin resistance; on the contrary, serum concentrations of the proinflammatory cytokines IL-6, IL-18 and TNF-alpha, as well as the sensitive marker of inflammation C-reactive protein, were significantly higher (p<0.01). All obese women were submitted to a single large volume liposuction (superwet technique): the mean aspirate volume was 3540 ml (range 2550-4670), corresponding to a net lipid loss of 2.7+/-0.7 kg (mean+/-SD). After six months of stable body weight after liposuction, women were less insulin resistant (p<0.05), had reduced concentrations of IL-6, IL-18, TNF-alpha and CRP (p<0.05-0.02), and increased serum levels of adiponectin (p<0.02) and HDL-cholesterol (p<0.05). There was a significant correlation between the amount of fat aspirate and changes in HOMA (r=0.28, p<0.05), TNF-alpha (r=0.31, p<0.02), and adiponectin (r=-0.34, p<0.02), as well as between the decrease in TNF-alpha and the increase in adiponectin after the surgical procedure (r=-0.45, p<0.01). Our study demonstrates that liposuction is safe and free of metabolic sequelae in obese women, pending a careful screening of the patient. Moreover, it is associated with amelioration of insulin resistance and reduced circulating markers of vascular inflammation which may help obese subjects to reduce their cardiovascular risk.

For more information visit www.drlanzer.com

Vaser Liposuction - Gently reshape your body by emulsifying the fat.

Latest breakthrough in liposculpture

• Liquefies and melts fat
• Rapid healing
• Promotes smooth result
• Enhances skin retraction and tightening

Dr Lanzer has been investigating personally the new state of the art Vaser for enhanced liposculpture. The third generation high frequency ultrasound is combined with the tumescent liposculpture method to enhance healing and results. Dr Lanzer explained that the Vaser targets the Fat only and so is safe.

The procedure can be done awake or asleep depending on patients preference.
Markings are done before the procedure as in regular liposculpture and particular attention is given to where the fat bulges and where extra skin contraction is needed.
The fat is filled with the tumescent fluid that was developed by co- dermatologist some 20 years ago. Dr Lanzer says that the fluid make liposuction much safer and allowed us to remove more fat and more evenly and from new areas such as the breast. At this point the Vaser is passed through the fat layer emulsifying it into a soft liquid which is then gently removed.
The Vaser not only liquefies the fat but also stimulates the collagen to tighten and contract.

The Vaser technology is also combined with the new concept of Hi Def whereby Dr Lanzer sculptures between muscle groups to enhance the athletic appearance. It most dramatic result is on stomach to produce the “6 pack” look or the natural grooves on women’s stomach. The vaser Hi Def is also very effective for love handle removal and Man Boobs.
Female Breast enlargement normally requires an implant. The Vaser Hi Def can also give an enlarging result to the breast by sculpturing around the breast and possibly with fat injection into the breast.

For more information visit www.drlanzer.com