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

Dr Lanzer’s Medi Day Spa

We have just finished our renovations upstairs and have created a tranquil and peaceful environment for our patients to enjoy. Our cosmetic patients and surgery patients can all enjoy many of our facial and body treatments we offer as they all enhance ones appearance and improve the well being of the mind, body and soul. We are now able to provide post op massage, relaxation massage, enzymatic facials, microdermabrasion, weight loss treatments and Jane Iredale skin care makeup. All our treatments are done using Danne products and we also provide retail products so you can maintain your skin and body at home.
We have full time beauty therapist staff and are able to cater with after hours appointments.

Mothers Day is fast approaching so why not think about purchasing a Medi Day Spa treatment to pamper your special loved one.
We can customize a treatment to suit your needs or we have a facial and body treatment to the value of $150 or $350 to be spent in our Medi Day Spa. Once you have had a treatment in our Medi Day Spa you automatically become a VIP patient.

We are currently offering the following
1) Danne 6 layer facial peel normally $770 now $300
2) Medical Moicrodermabrasion $150 now $75
3) Vibrosaun $120 now $75

Mothers Day Medi Spa Treatments

Package 1- Full Body Relaxation Massage and 75min Danne Enzyme Facial

Package 2- Back Massage, Hydrating Body Wrap and Danne Enzyme Facial

Liposculpture / Liposuction

Liposuction is a weight loss technique and the best candidates are those who have stubborn areas of fat that just will not go away. There is often a genetic component to the problem as people are preprogrammed to collect fat in defined locations such as the thighs and abdomen. We often see similar body shapes within families. This genetic predisposition is what makes it so difficult to rid these areas of their excess fat.

The best candidates for Liposuction are:
People whose weight is within the normal range or slightly above normal yet want to improve their figure.
People with excess fatty tissue located in a well-defined area.
Men and women who are in good general health.
Patients with good skin tone and elasticity, however all skin types can do well from liposuction.
The most common areas for patients to have Liposuction are the abdomen, waist, hips, inner and outer thighs, inner knees, arms, chest, back and under the jaw. In addition many men undergo Liposuction for excess breast tissue, known as Gynecomastia.
One of the many benefits of Liposuction is that it can be performed through tiny incisions, which can usually be placed in very discrete, well-camouflaged locations such as natural body creases. This allows for ideal healing and makes it very difficult for the scars to be visible with the passage of time.
Liposuction is actually a form of body sculpting,a saline solution is infused containing both an anesthetic and a medicine to reduce bleeding. This will firm up the area to allow more accurate “Liposculpting” and better results. The procedure is performed with a small hollow tube, known as a cannula, thru which the unwanted excess fat is permanently removed. Liposuction works because fat cells do not have the ability to reproduce and make new cells. The improved contours are proportionately maintained no matter what the patient’s future weight might be.
Contact us today for a free cosmetic consultation on liposuction at one of our centres in Malvern, Glen Waverley, Geelong, Ballarat, Werribbee and Sydney on 1800 444 333 or visit our website on http://drlanzer.com/

Dr Lanzer wrote this week:

Sagging upper eyelids are common as we age and they can cause a “tired” appearance. Likewise a collection of fat in the lower lids can cause a permanent dark shadow that also gives the impression of ageing and tiredness. The co2 laser, introduced by a dermatologist more than 15 years ago, can be used to enhance the eyelid appearance. The result is natural and creates a youthful result.

If you stand in front of the mirror and push the skin towards your ear, you can instantly see what the skin suture lift procedure can do for your face.

The suture lift involves using sutures alone under the outer cheek skin, near the ears, to lift the drooping cheeks. There is no excision surgery of loose skin. The procedure is performed through a small incision behind the ear, where the suture is fixed to the ear cartilage.

Liposuction remains one of the most popular cosmetic procedures. It is a relatively safe method for reshaping such areas as the outer thighs, hips, and stomach in women. Men often use liposuction to remove embarrassing “man boobs” on unwanted fat on their flanks and stomach.

During the procedure the unwanted fat is expanded with a watery solution that is then removed through “key holes”. Most areas of the body can be treated including the arms, ankles, inner thighs, back and knees. Mega-liposuction is ideal for patients weighing between 80kg and 130 kg. It is often performed in two stages with a total of 10 litres of fat removed. Most areas of the body are treatable.

Liposuction can also be used to reduce breast size. Through two tiny nicks dermatologists can remove between 400ml and 2 litres of fat from a woman’s heavy breasts. Women of all ages undergo the procedure and they can return to normal duties in a few days.

BREAKOUT

Dr Daniel Lanzer is recognised as a specialist and a pioneer many of these significant breakthroughs.

He enjoys a reputation based on trust and experience and has performed more than 10,000 liposuction procedures.

Recently Dr Lanzer appeared on Channel 7’s Today Tonight to explain the Vaser Hi Def Liposculpture treatment.

Dr Lanzer also offers liposuction, skin sutures, eyelid rejuvenation and many other breakthrough cosmetic procedures.

On a previous Today Tonight program Dr Lanzer explained the latest methods in liposuction.

He explained that not all liposuction methods are the same and tumescent liposuction has been shown to be the safest. He said around five litres of fat can be removed in an hour-long procedure and results are dramatic.

It can be just the psychological boost that patients need to change their life and lifestyle.

Dr Lanzer has been featured more than 50 times in the media both on TV and magazines. A Current Affair, Good Medicine and The Women’s Day have all featured Dr Lanzer’s world pioneering methods of breast reduction.

And A Current Affair featured Dr Lanzer as the first doctor in Australia to use the permanent facial filler called Aquamid.

Dr Lanzer operates in his new warn and friendly state-of-the-art day surgery centre in Malvern. Free consultations are also available in his centres in Glen Waverley, Ballarat, Geelong and Werribee. Ph: 9500 8888 or 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