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

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.

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

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