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Stephen Miller MD PC FACS
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Plastic Surgery Blog

Large Volume Liposuction

admin : September 28, 2018 2:19 pm : Large Volume Liposuction

Power assisted liposuction and Large Volume Liposuction is similar to tumescent liposuction but uses a motorized, (electric or pneumatic) hand piece to move the cannula which is less traumatic to the patient and less strain on the surgeon.

Ultrasound assisted liposuction evolved from the early ultrasonic cannulas which were hollow and had a high complication rate (burns of skin and other soft tissues) to the use of solid ultrasonic cannulas and 2 stage fat removal. A variation of this is the VASER which is an ultrasonic cannula with several grooves which more evenly disperse the energy improving fat disruption and removal. It uses pulses of ultrasonic energy to minimize the risk of injury to the skin or other structures and tends to target fat cells preferentially.

Laser assisted liposuction and Large Volume Liposuction is a relatively new technology and includes Smartlipo, Slimlipo and other brand names used for marketing. The theory is that the laser will work like ultrasound to disrupt the fat cells and make fat removal more efficient and less traumatic. Some of the drawbacks of this technology is finding a laser wavelength which targets fat cells and so far there are few studies which show any increased effectiveness using laser technology for fat removal.

Liposonix is a new technology which utilizes an external ultrasonic energy source to focus ultrasonic waves on tissues 1-2 cm below the skin surface (similar to the “lithotripter” which is used to break up kidney stones in the kidneys and ureters). By focusing the waves from several sources, the energy doesn’t damage skin and other structures at the point of origin but only at the point where all the waves converge usually 1-2 cm under the skin. There are several companies producing and marketing this type of technology and there have been a few studies which look promising for results. Some questions that remain to be answered are whether you can have precise control over the amount removed in a specific area and essentially sculpt the area like one can with other forms of liposuction. Other questions revolve around the resorption of the fat and if there is a limit that your body can safely resorb at one time. Many toxins are stored in our fatty tissues and can be released with disruption of the fat cells.

Zerona is a laser treatment but not invasive like the previously described laser liposuction. It is something more similar to Liposonix in that it focuses laser energy on the deeper fatty tissues without any incision. The drawbacks are similar to Liposonix in terms of only seeing a small improvement in contour and no control over the amount and exact area to remove the fat. Zerona requires multiple treatments as many as 6. Most surgeons who perform a multitude of techniques will tell their patients that the Liposonix and Zerona treatments do not replace the more traditional forms of invasive liposuction especially in patients who need larger volumes of fat removed or sculpting of a specific area. For Large Volume Liposuction contact our Las Vegas Plastic Surgery Clinic at 702-369-1001.

Tumescent Liposuction Las Vegas NV

admin : September 19, 2018 4:27 pm : Uncategorized

Tumescent Liposuction Las Vegas NV

Men and women who come to our Las Vegas NV practice for liposulpture each have their own reasons for wanting to enhance their body.Liposuction surgery involves the removal of fatty tissues through small puncture sites as opposed to large incisions to remove the fat “en-bloc” or as a whole piece. Most liposuction procedures involve making a small skin puncture and then utilizing various modalities to loosen the fat prior to suctioning the fat through a small hollow tube or cannula. Liposuction surgery can be performed alone or in conjunction with an open procedure to contour the overlying skin. Care must be taken to minimize injury to the underlying blood supply of the overlying skin when tightening procedures are combined with liposuction.

Liposuction surgery can be performed by a variety of methods and there is no one method which is best for all patients. It is common in most practices that the patient makes various decisions regarding their liposuction surgery. Like everything in life, there are advantages and disadvantages for each option and every patient has different opinions and desires, so you are encouraged to discuss the various options with your plastic surgeon at length to find out which option is best for you. Your plastic surgeon will review a few common options and some of the advantages and disadvantages of each option.

There are a multitude of technologies used for liposuction procedures and some are well established and others are relatively new. Liposuction techniques for body contouring and removal of fat were performed by French surgeons in the 1920’s. A tragic case that resulted in a gangrenous leg of a French ballerina from a procedure performed by Dr. Dujarier in 1926 set back interest in body contouring for decades. Liposuction evolved in the late 1960s from surgeons in Europe using curettage techniques and then introducing suction. These techniques were mostly ignored by traditional surgeons, and even criticized as they often resulted in significant bleeding and pain. Modern liposuction using blunt, hollow cannulas to suction fat was presented at the American Society for Aesthetic Plastic Surgery meeting in Honolulu in 1982 by the French surgeon, Dr. Yves-Gerard Illouz. He described a technique of placing hollow cannulas into the fatty tissues and suctioning out the fat. This procedure was still quite bloody, but was the beginning of a procedure which was embraced and improved upon significantly over the next 3 decades. Many surgeons added new techniques to make the fat removal process less bloody, more predictable, and safer. The introduction of tumescent fluid for anesthesia as well as minimizing blood loss was a tremendous improvement early on in the evolution of liposuction. The use of ultrasonic energy to “loosen up or melt” the fat prior to suctioning it out was another big improvement and led to the VASER technology still used today. Other modalities of “loosening up” the fat prior to suctioning it out and in some cases, not even suctioning the fat out have all been introduced in the past decade. Various lasers and other energy sources have been used with mixed results. Some newer technologies involve using energy sources, ultrasound or other, to “melt the fat” and allow the fat to be resorbed by the body without suctioning, no incisions or scars. These are relatively new procedures and are now being investigated as to how effective they are and how they compare to liposuction using cannulas to remove the fat. Here are some of the current modalities for liposuction surgery.

Tumescent or traditional liposuction utilizes a type of “wetting solution” which usually contains a local anesthetic such as lidocaine and another medication to cause blood vessels to shrink down or constrict in a balanced salt solution. This is usually injected into the areas to be suctioned prior to surgery and allowed some time to take effect prior to suctioning out the excess fatty tissues.

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admin : August 10, 2018 5:44 pm : Finding A Plastic Surgeon in Las Vegas

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Stephen M Miller MD FACS – Board Certified Plastic Surgeon – Las Vegas NV

admin : April 3, 2018 8:13 pm : Uncategorized

Stephen M Miller MD FACS

Driving Directions from Spring Valley, Nevada For Plastic Surgery

admin : December 18, 2017 9:57 pm : Spring Valley

If you are located in Spring Valley Nevada – the travel distance to the practice of Stephen M. Miller, MD, PC, FACS is not far away. Spring Valley is an unincorporated town and census-designated place and part of Las Vegas Township in Clark County, Nevada, United States, located 2 miles west of the Las Vegas Strip.

Driving directions from Henderson, NV For Plastic Surgery

admin : December 18, 2017 9:55 pm : Henderson NV

For plastic surgery from a board certified plastic surgeon contact Stephen M. Miller, MD, PC, FACS Henderson is a city near Las Vegas, in Nevada. Clark County Museum has exhibits on regional history, and features restored vintage homes. Lion Habitat Ranch is a sanctuary for big cats

Driving Directions from Airport To Plastic Surgeon Stephen M Miller MD

admin : December 18, 2017 9:22 pm : McCarran International Airport

Driving directions from McCarran International Airport to board certified plastic surgeon Stephen M. Miller, MD, PC, FACS McCarran International Airport is the primary commercial airport serving the Las Vegas Valley, a major metropolitan area in the U.S. state of Nevada. It is in Paradise, about 5 miles south of Downtown Las Vegas

Driving Directions From Paradise NV to Office of Stephen M Miller MD

admin : December 18, 2017 9:20 pm : Paradise NV

Driving direction from Paradise NV to Stephen M. Miller, MD, PC, FACS Paradise is an unincorporated town and census-designated place in Clark County, Nevada, United States, adjacent to the city of Las Vegas

Driving Directions from North Las Vegas to Stephen M Miller MD

admin : December 18, 2017 9:19 pm : North Las Vegas

Driving Directions from North Las Vegas to Stephen M. Miller, MD, PC, FACS North Las Vegas is a city in Clark County, Nevada, United States, in the Las Vegas Valley. As of the 2010 census it had a population of 216,961, with an estimated population of 226,877 in 2013

Driving Directions From Sun City to Stephen M Miller MD

admin : December 18, 2017 9:15 pm : Sun City NV

Sun City Summerlin is Del Webb’s first active adult community in Las Vegas, Nevada. It is nestled within the Spring Mountain Range at an elevation of 3,000 feet. If you are considering plastic surgery – come to Las Vegas and schedule a consultation with board certified plastic surgeon Stephen M. Miller, MD, PC, FACS

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