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?

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