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.

What Should I Ask My Surgeon?
Check whether any of the problem areas could be changed with diet or exercise.
Ask where you would be likely to store fat if you were to gain weight after the procedure. Find out where the scars will be and whether the skin will sag in the areas where fat has been removed.
Check that your age and health will not interfere with the procedure.
Ask whether you will need to wear a girdle and if so for how long.

What Do I Need To Know?
Just because a doctor has a scalpel, it does not mean he’s a sculptor. It won’t necessarily  get rid of stretch marks or cellulite. Nor will it effect future weight gain or your metabolism.

How Long Does It Take?
Depending on the number of areas worked on, a liposuction procedure can take from one to three hours.

How Much Does It Hurt?
There will be some discomfort for most people undergoing liposuction surgery. It is, however, dependent on the individual.

How Long Will It Last?
Once the liposuction is complete, the fat cells in that particular area of the body are gone forever so if you put on weight, it will be in another part of your body.

What Can Go Wrong?
You could end up with uneven, bumpy contours if fat is taken from areas where the skin is more delicate. It is best to speak with your surgeon about risks involved with the liposuction procedure, as everyone is different.

Alternatives And Prevention?
Changes in diet and exercise may help to catch the problem before it gets out of control. If you struggle with losing weight via these methods, but are not keen on liposuction surgery, speak to your surgeon for other options.

For more information, please do not hesitate to contact Dr Lanzer and his friendly team of experts with any queries you may have.

Liposuction has become one of the most cosmetic procedures in the world. The most significant breakthrough was probably the introduction of the wet tumescent method by a Dermatologist some 20 years ago. Dr Lanzer helped convene a conference to teach that method in 1992 and it can be used to remove fat with either the patient awake or asleep. The fluid that is placed in the fat helps soften the fat and essentially stops bleeding. The body can be sculptured and is ideal for small bulges such as seen on the hips and outer thighs of women and stomachs and flanks of men.

New Areas:
The next advance was the recognition that many different areas are responsive to liposuction. What started for saddle bag removal could be replicated in any fatty area.

Full Body Sculpturing:
As the procedure became more common, dermatologists developed the concept of reshaping many areas in one sitting, body liposculpture. This would often include the back, hips , thighs, buttocks, stomach, knees, arms and ankles. Ideally this is done with the patient under a light general anaesthesia.

For The Overweight:
Many people battle weight reduction and are looking for a kick start. A rapid loss of 5-10 litres in one or two procedures can produce a dramatic change in the body shape.  Some patients actually enjoy looking at the fat removed! Most multiple procedures in stages are spaced between 1-4 weeks usually.

For The Heavy Breasts:
Dr Lanzer helped pioneer this method about 10 years ago. Women often complain of neck and back pain from the weight of large breasts. Not only do they become lighter and smaller with this key hole type surgery but the breasts contract and elevate. It is a procedure for all ages.

Man Boobs:
Men finally joined the liposuction interest. The most common area is the chest as a lot of men with large breast never expose themselves.
Men also want the so called “love handles” removed and stomachs.

Hi Def Liposculpture:
This year an entirely new concept came to Australia with the method of sculpturing around the stomach muscles to produce the “6 pack look” in men and the athletic grooves in women. The procedure has become extremely popular both in people who work out in the gym and those that never do so!

Vaser Liposuction:
The new vaser, a third generation ultrasound device helps skin contraction and tightening. It is also ideal for patients having a second procedure.

Face Rejuvenation Liposuction:
Probably one of the most interesting areas of liposuction is the removal of fat from the neck and jowls. The neck sculpturing can remove the sagging neck without any need to surgically cut or lift the skin. This is because the skin is a very active tissue and it starts to contract and tighten with tumescent liposuction alone. The procedure can be performed alone or be part of the “face makeover” that includes eyelid rejuvenation, skin suture and laser resurfacing.

There are many new cosmetic procedures and treatments which have varying length of how long the result lasts for. Cosmetic Dermatologists and Specialist have been behind the development of new lasers and injections and procedures for both rejuvenation and shaping.

Permanent Face Fillers:
Many women have fillers for lip and cheek enhancement. It replaces the loss of volume that occurs with aging. A new “permanent filler” was introduced in Australia a few years ago and has recently undergone further successful testing in the USA. Dr Lanzer who first highlighted this filler on national television when he was interviewed explained that one injection can last for many years. Patients commonly have it in there lips, in the fold between the lips and cheeks and in the cheeks itself.

Liposculpture:
With liposculpture, the actual fat cells are removed permanently. This means that if there is an area of stubborn fat, say the hips or stomach, then when the fat cells are removed the area permanently will not be prone to localized weight gain as in the past. Doctors stress the importance of keeping fit and eating well to enhance the long term results as fat can come back into other areas. Liposculpture is a form of key hole surgery where the fat is prepared with a watery solution and then suctioned away.

Breast Reduction In Women:
The breast react like other areas of body fat and once the fat is removed the breast becomes lighter and tighter for many years if not forever. Hormonal effects on the breast tissue itself may change the breast size, which would be relevant especially if a teenager was having the reduction.

Suture Lift:
The skin Suture lift is an immediate lifting of the face skin without removal of face skin. It is not a permanent procedure and requires maintenance.

Eyelid Rejuvenation:
When the skin, fat  and sagging of the upper and lower lids are removed the eye takes on a more youthful “awake” appearance. This lasts for many years.

Muscle Relaxants:
Frown lines and smile creases are only temporarily treated with cosmetic injections in MediDay spas and practices.
 
Megaliposuction:
Patients who have battled with weight reduction can benefit from the sudden kick start of a new shape. This may be performed in conjunction or as an alternative to other weight loss surgery.

How To Chose A Cosmetic Surgeon
1) A specialist, such as a Dermatologist has had vigorous training and examination in skin care and procedures.
2) Always ask the Surgeon for his experience ie How many procedures has he done of that particular surgery.
3) Reputation spreads easily and often gives a good indication about the Surgeon.
4) The personality of the Surgeon is as important as his skill. He must care, understand your particular concerns and be there for you after the operation.
5) Written literature from the Surgeon is very important and informative.
6) Does the Surgeon operate in State Of The Art Surgery and use the latest methods and equipment?

Cellulite is a skin condition caused by enlarged fat cells that become trapped in an inflexible network of fibrous septae located in the hypodermis. Women more often suffer from cellulite because their subcutaneous fat layer is separated by thin vertical columns in contrast to the crisscross network that is found in men. In women with cellulite, these columns contain enlarged cells, and their design allows herniation to be more visible on the skin’s surface .

Cellulite appears when fat cells just under the skin swell or enlarge and the once flexible collagen bands become rigid and firm and no longer stretch properly. This cell structure change is what causes the dimpled
skin known as cellulite.

Contrary to popular belief, the formation of cellulite does not result from poor diet, lack of exercise or increased body fat; cellulite can be apparent on very lean and toned females as well. Instead, several genetic and physical factors contribute to the formation of cellulite.

These include:

Hormonal Factors – Hormones, not exercise or diet, primarily regulate fat storage and metabolism in the subcutaneous fat layer.
Vascular Changes – Increased deposition of GAGs (glycosaminoglycans) exerts pressure on the capillary walls, which leads to vessel permeability and excess fluid in the dermis, adipocytes and lobes of the fibrous septae. The ensuing edema results in vascular compression, decreased venous return and less oxygenation of the tissue in the fibrous septae.
Connective Tissue Changes – When the fibrous septae housing the enlarged fat cells becomes stiff and cannot stretch, herniation of subcutaneous fat cells extrudes into the dermis, causing bumps and dimpling.
Studies show that 85-98% of post-pubertal women suffer from some degree of cellulite. However, with the lack of proven treatments available, many practitioners and patients are looking for a solution they can trust and believe in. SmoothShapes® employs a scientific approach to the cellulite dilemma. 

There are many different approaches to cellulite. Our Mediday spa team offers a combination of enzyme creams and wraps and the new velashape combined therapy. Dr Lanzer finds that often the cellulite is improved with liposculpture as it thins the deep fatty layer and breaks up some of the tightened fibrous bands. Nevertheless there is no gaurentte that liposculpture can remove cellulite and therefore he preffers to perform liposculpture for unwanted fat and have the skin result as a possible bonus!

New Medi-Day Spa Locations:

Dr Lanzer has opened a few new Medi Day spa locations that hopefully make coming for treatment easier.Please call for a free consultation and cosmetic makeup makeover or try one of our new therapies at a reduced price.
Our new  Medi Day Spas are located at:

              30-32 Glenferrie Rd Malvern

              258 Springvale Rd Glen Waverley

              445 South Road Bentleigh

              202A Stuart St Ballarat

              14 Watton St Werribee

              Unchanged at Geelong (selected treatments)

All appointments can be made on (03) 9500 8888

One of the most confusing aspects of cosmetic surgery is terminology. Liposuction, Liposculpture, Mega liposuction, Laser liposuction, Vaser liposuction, lipolysis and such terms are often used and can hard to distinguish. The truth is that in many situations they mean the same thing. Liposuction is the removal of fat via a suction apparatus. The liposculpture is reshaping. A surgeon will always be sculpturing whilst he sucks and therefore liposculpture is really the same practically as liposuction. It just sound better! Dr Lanzer uses the word megaliposuction when he uses liposuction to assist in patients who are overweight. By removing many litres and changing the patients shape they stimulated to change their lifestyle also. With meg liposuction many litres of fat can be removed from many areas. Some patients who have mega liposuction  have had lap banding or other weight loss procedures.

Dr Lanzer published many years ago a study on safety of large volume liposuction.

This month Dr Lanzer will be conducting a seminar one evening in Sydney on the new method of hi def Liposculpture. Dr Lanzer was the first in Australia to learn this new liposculpture procedure when he went to Japan this year. At the seminar prospective patients will have the opportunity to meet a patient who has had the liposuction and see first hand what can be accomplished. Dr Lanzer uses the new devises of Vaser to help mould and enhance the athletic appearance in both men and women.

Dr Lanzer says that even though he has done over 10,000 procedures the benefit of being able to offer this breakthrough is enormous.

For many patients a six pack or a natural stomach groove would have been totally impossible and now it is a realistic goal.

For information on liposuction, Hi Def Liposculpture of any of the cosmetic procedure call Dr Lanzer’s rooms and receive a free consultation

Having communicated recently with my colleagues in America it appears the reason that the Vaser Hi Def Liposuction assisted fat transplant of ones own fat is doing so well relates to the type of effect the Vaser Hi Def Liposuction  produces on the cell.

The Vaser breaks the connection between the fat cells and therefore allows easier removal with the liposuction or liposculpture. What is interesting is that the cells stay in tact and therefore are healthy to be injected into other places.

A common place to inject fat is in male upper chests to induce the masculine look. Also fat is inected into the face , the back of hands and the lips of the vagina.

Renewed interest has risen in the procedure of fat injection into the breast. Patients can expect to increase one size and when combined with Vaser Hi Def Liposuction  around the breast a more enhanced breast can be produced.

Written by Dr Lanzer  www.drlanzer.com

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