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Stephen Miller MD PC FACS

Category Archives: Uncategorized

Tumescent Liposuction Las Vegas NV

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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Las Vegas North Las VegasSummerlinHendersonClark County NV



Profound

Finally an alternative to a face lift!

Profound

Now there is an answer for those of us who need to treat our wrinkles, sagging jowls and the loose skin under our chin and in our neck but are not ready for a face lift. The Profound system is a minimally invasive device delivering bipolar, non-ablative radiofrequency (RF) energy to the dermal layers of the skin. Profound is a revolutionary new energy-based facial treatment designed to create new elastin, collagen and hyaluronic acid – the building blocks that keep your skin smooth and elastic. All without surgery, fillers or toxins, Profound dramatically improves aging skin, so you can look years younger.

Results


What Profound does?

The effect of a lack of elastin and collagen as we age:

Starting in our mid 20’s, elastin starts to break down, becoming less elastin and losing its spring. think of a lumpy mattress as the springs become old and lose their ability to recoil. Uniquely, Profound® is clinically proven to create 3 vital skin elements: elastin, collagen and hyaluronic acid2. These major skin building blocks work to create dermal volume.

What is the best method to build elastin and collagen?

Profound is a clinically-proven* treatment that builds elastin and collagen. By carefully heating the skin’s elastin and collagen to an exact temperature for an exact amount of time, Profound leads to the creation of new elastin and collagen to repair aging skin.

What is the Profound procedure like?

Profound is a quick, single treatment performed in a physician’s office Your doctor will provide a local anesthetic to manage comfort. The system delivers precise temperatures to the deeper skin layers, exactly where the energy being delivered is most beneficial.

Special $500 Off

Call now for a complementary consultation!

Profoundly Impressive Results of a Multi-Center Study of 100 Patients

Effective at Toning Lax Skin, Creating Dermal Volume

  • 1st clinical evidence of profound neoelastogenesis2
  • Clinical proof of new elastin, collagen & hyaluronic acid2
  • Increase in reticular dermal volume2

High Physician & Patient Satisfaction

  • 100% response rate for wrinkles3, 95% response rate for skin laxity3
  • 47% had “significant to dramatic improvement in global skin appearance”3
  • Non-surgical, yet yields 37% improvement in skin laxity compared to a surgical face lift4
  • Natural healing response at all skin levels2. No fillers. No toxins.

*Based on results of a clinical study in 20 patients, measuring improvement in Fitzpatrick Wrinkle Scale at 3 months compared to baseline based on independent review of photographs.
1 Elastometry and Clinical Results After Bipolar Radiofrequency Treatment of Skin, Willey, Andrea et al. Dermatologic Surgery, 2010
2 Bipolar Fractional Radiofrequency Treatment Induces Neoelastogenesis and Neocollagneesis, Hantash, Basil et al. Lasers in Surgery and Medicine, 2009
3 Prospective Multicenter Clinical Trial of a Minimally Invasive Temperature-Controlled Bipolar Fractional Readiofrequency System for Rhytid and Laxity Treatment, Alexiades-Armenakas, Macrene et al. Dermatologic Surgery, 2012
4 Blinded, Randomized, Quantitative Grading Comparison of Minimally Invasive, Fractional Radiofrequency and Surgical Face-lift to Treat Skin Laxity, Alexiades-Armenakas, Macrene et al, Archives of Dermatology, 2010

Procedures of Interest

Lipo Surgery
Breast Enhancement
Abdominoplasty

elos® IPL/SRA (Photofacial)

Pigmented & Vascular Lesion Treatment

Photofacial

Before and After 5 Treatments

Safely and comfortably fade the appearance of skin imperfections caused by the sun, and uneven skin tones caused by brown and red spots (such as rosacea, spider veins and age spots). We’re proud to offer elos, the first and only technology that uses the combined energies, bi-polar radio frequency and light energies, to effectively and gently restore and rejuvenate the appearance of your skin. The targeted pigmented or vascular lesions absorb the light energy, raising the temperature of the target tissue. Then RF energy flows to the pre-heated area and elevates the temperature of the target to a safe and effective level, providing an overall improvement in skin appearance.

How does skin rejuvenation with elos work?

The combined bi-polar radio frequency and light energies of elos technology precisely and safely target pigmented lesions such as freckles, sun spots and age spots. Vascular lesions such as spider vessels and redness from rosacea are also lightened and gradually fade.

Is skin rejuvenation with elos right for me?

elos is an effective treatment for most skin types.

When can I expect to see results?

Gradual and cumulative improvement of skin tone is typically achieved in 5 treatment sessions. The total number of required treatment sessions depends on your skin’s condition. Schedule a consultation to establish your personalized treatment schedule.

Does it hurt?

Cooling of the skin surface ensures additional safety during treatment. This is a no-downtime procedure. Most patients return to normal activities immediately after treatment.