Mid face filler and cheek bone enhancement are the new breakthrough in cosmetic procedures and rejuvenation.

As we age we often lose our mid face malar fat pad and so as our rounded cheek recede our skin hangs.

Of course sun exposure and smoking also contribute to this loosening of the skin as well as genetic factors leading to hollowing of the cheeks , jowls, and nasolabial folds.

Some of us also find the skin falling to the chin causing marionette lines and depressions.

So volumising the face with our thicker fillers especially to the mid face giving us back those rounded cheeks of our youth often accompanied with filler to enhance the cheek bones  rejuvenates the face and gives back that younger look.

We often combine this rejuvenation with filler with other rejuvenation cosmetic procedures such as laser or suture lift or neck liposuction.

Its now 9 months since I gained by certification for Hi Def Liposuction. Having performed some 10,000 liposuctions over the last 17 years I am personally amazed just how much it has changed the way we can liposculpture the fat from the body.
Many patients prefer an athletic look which gives shape and definition to the stomach muscles. The result can be just to have a slight definition of the abds on both sides of the stomach or it can produce a full ” 6 pack” appearance. The first thing I do is have the patient tighten his stomach muscles which shows me the natural muscle definition. I then mark these areas and by selectively removing fat over the tendons between the muscle we can produce the athletic or muscular appearance.
Women also love the groove than we can produce along the two sides of the lower stomach. The results of the Hi Def liposuction can be enhance with the new Vaser device that softens the fat.

The results are often visible in 1-2 weeks yet the full defined result can take a few months. Photographs are now available of our latest results.

Written by Dr Lanzer  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

VIBROSAUN
What is the Vibrosaun:

Vibrosaun is the result of a long and intensive study by a group of highly qualified people: A medical practitioner, a chiropractor, an osteopath, a physiotherapist and a design engineer, It was the intent of this group to create a simple, economical and universal machine that would as near as possible, stimulate exercise without putting stress on the body. This has not only been achieved, but the benefits derived by the users of the vibrosaun have been overwhelming.

Conceived by Laurie Hardie in 1985. The Vibrosaun is simply a state of the art- therapeutic dry sauna. A self contained unit consisting of a padded vibrating bed with dry heat circulated throughout the unit.
Cooling negative ion charged air is fed onto the patients face. Stereophonic music and aromatherapy is integrated into the head rest area. All functions can be controlled from within the unit by the user, i.e degree of heat, degree of vibration and velocity of negative ion charged air onto the face can all be controlled by the user or can be preset to suit each individuals personal requirements.

The vibrosaun combines sauna and vibration in a reclining position and stimulates the effect of exercising or massage. The vibration is set to a frequency believed to be acceptable to the subconscious, therefore reducing stress by promoting mental and physical relaxation particularly when combined with a suitable selection of music or therapeutic CDs played through the built in speakers. The vibrating bed allows the user to maintain a degree of muscle tone and fitness in a gentle and soothing way.

How the Vibrosaun works:

The vibrosaun relaxes the muscles whilst the introduction of heat dilates the blood vessels. Thereby increasing the heart and pulse rate. This, in turn increases the blood flow and intake of oxygen. The body cells use oxygen to burn up carbohydrates, such as starch, etc. And then burn up the fat cells. It also accelerates the kidney function in the removal of lactic acids and the body wastes. A healthier body must result.

What can Vibrosaun do?

Weightloss:

Because the vibration relaxes the muscles and stimulates movement, even this in itself contributes in a minor way to the burning up of calories, then as the dry heat is introduced and the body temperature increases, this dilates the blood vessels and increases circulation, intake of oxygen and of course increases the heart and pulse rate, when the circulation is increased at this time, we believe the body receives signals from the brain and releases the stored up energy exactly the same as it does when the circulation is increased per medium of physical exercise.

The Vibrosaun has proven to be a very effective method in assisting with weight reduction. The machine may be programmed to stimulate the effects if a stimulating jog without the harmful side effects. Best results are combined with Liposuction for body contouring.

Cellulite:

The Vibrosaun could have been called the ‘Cellulite Buster”. All of its key features and effects are generally considered the major factors in cellulite reduction. Many Vibrosaun users have reported rapid reduction in unsightly cellulite.

Arthritis Relief:

Because the heat dilates the blood vessels and increases the circulation, the kidney function is improved thereby filtering out toxins, including lactic acid. Lactic acid can build up in the joints causing arthritis and in fact people using Vibrosaun regularly, have reported complete relief from pain that accompanies arthritis.

Stress and Insomnia:

Once again, the relaxing vibration coupled with the heat and increased circulation lull the body into a sense of deep relaxation and serenity.

Back Ache:

The relaxing vibration combined with the heat, not only relaxes the muscle but as the user is in a recumbent position, the vertebra are separated allowing the dilated blood to flow unobstructed throughout the spinal column as the blood nurtures every tissue in the body.

It is our belief that when pain is registered in the back, the brain sends a message to the appropriate muscles to contract restricting the blood flow and putting pressure on the nervous system, the more the muscle contract, the more other muscles contract in sympathy resulting in back ache, therefore the relaxing of the muscles and increased circulation, combined with the heat and relaxed state of mind encouraged by the negative ion charged air, the soothing music and aromatherapy, relief and accelerated healing result.

For more information visit www.drlanzer.com

I was featured last night on the Today Tonight program on Channel seven. Below is their relevant extract. A full copy is available from our rooms.

The body without the work?

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Reporter: Georgia Main
Broadcast Date: March 02, 2009
Men want them, women want men who have them, and it’s something money can’t buy…until now.

“Vaser Hi Def is a whole new approach to lipo-sculpture to men and women and what it does is produce an athletic look and high definition muscles,” said cosmetic surgeon, Dr. Daniel Lanzer.

Guillermo Tempo will be one of the first in the country to undergo this new technique to get the 6 pack he’s always wanted.

“For the patients that continue to exercise and build up their muscle, they’ll enhance those results, so it’s not a replacement for the gym, it’s a way of improving what they’re trying to get”, Dr. Lanzer said.

“Technology is the Vaser: a third generation ultrasound machine. And what that’s doing is softening the fat and causing skin retraction. We selectively remove more fat at the insertion points of the muscle and this gives definition to the muscle itself,” Dr. Lanzer said.

Marketing expert Simon Hammond sees cosmetic surgery as a way of branding and marketing ourselves.

“It used to be a female only terrain to look after their image. That’s no longer the case. I think it’s 50/50 men that I’m seeing coming through are very much looking at the whole package of what they can be,” he said.

For further information call Dr Daniel Lanzer, (03) 9500 8888

or visit Dr Lanzer’s website