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Stephen Miller MD PC FACS
Liposuction Surgery
Model Discovery Health

Liposuction in Las Vegas, Nevada

Liposuction was the 2nd most commonly performed invasive cosmetic surgical procedures in 2015 according to the American Society of Plastic Surgeons (ASPS).

The main purpose of Liposuction is re-shape and sculpt your body, not to lose weight. The best candidates for Liposuction are healthy people who are at or close to their ideal body weight with problem areas or areas of localized fat deposits that have not responded to diet and exercise. On women the most common areas are abdomen, Waist, hips, back, knees, neck, inner, outer and posterior thighs. On men the most common areas are breasts, waist, flanks (“love-handles”), abdomen and neck.

There are several different types of liposuction available. All of the newer types of liposuction are really just different variations of original Standard Tumescent liposuction. Whether you add a laser or ultrasound to that, the most important choice you make is the surgeon that you choose to do your liposuction procedure not the device they use. The experience, skills and artistry of your surgeon are what make for a great outcome. Plastic surgeons certified by the American Board of Plastic Surgery go through prolonged specific training, examinations, and requirements for recertification to avoid complications and make cosmetic surgery safe. Many physicians who are performing invasive cosmetic plastic surgical procedures are board certified in other practices, but not by the American Board of Plastic Surgery.

Tumescent, Ultrasound and Laser Liposuction

The different types of liposuction, whatever the brand name, fall under three categories. The categories are Tumescent, Ultrasound and Laser.

Standard Tumescent liposuction (Suction assisted lipo, Water lipo, Water Jet, etc.) is usually done under general anesthesia. The surgeon makes several small incisions, then places a thin, blunt cannula beneath the skin, injecting a saline solution into the fatty tissue layer. The saline solution contains a small amount of lidocaine and epinephrine to help with pain and to control bleeding and bruising. The solution causes the blood vessels to shrink and the fat to expand making it easier to remove safely. The fat is then suctioned out through another cannula.

Ultrasound-assisted Liposuction (UAL, Vaser, High Def, etc.) involves the same process of infiltrating the fatty tissue layer with the medicated saline solution. Once the fluid is injected a special ultrasound cannula is inserted that transmits ultrasound vibrations to break down the fat cell membranes making it easier to suction them out. The fat is then suctioned out.

Laser Liposuction (Smartlipo, Cool Lipo, Slim Lipo, etc.) follows the same general process as above for injecting the fluid. A thin laser fiber is then placed under the skin. The laser uses thermal energy to liquefy the fat cells. The liquefied fat is then suctioned out.you.

At our office we specialized in Smartlipo Tri-Plex.

smart lipo

smart lipo logo

This procedure is a minimally invasive procedure that can be performed in our office with local anesthesia only. The Smartlipo Tri-plex laser has three wave lengths, the first one is highly attracted to fat cells. It delivers energy directly into the fat cells, causing them to rupture and destroying them. The second wave length is highly attracted to blood. This wave length coagulates blood vessels in the sub-dermal level so there is less bleeding and bruising than traditional liposuction. The third wavelength utilize SmartSense™-ThermaGuide™- intelligent delivery systems to heat just under the dermal layer of the skin to an exact temperature to causes skin contraction and it stimulates the production of elastin and collagen, which can help to tighten up the skin. These skin tightening benefits are impossible to get with other kinds of liposuction.

Three wavelengths provide targeted treatments to disrupt fat; coagulate blood vessels and stimulate collagen which helps to tighten skin and improve elasticity by 57%

1 DiBernardo BE, “Randomized, blinded split abdomen study evaluationg skin shrinkage and skin tightening in laser-assisted liposuction versus liposuction control” Aesthetic Surgery Journal October 2010; 30(4) 593-602

1 DiBernardo BE, “Randomized, blinded split abdomen study
evaluationg skin shrinkage and skin tightening in laser-assisted
liposuction versus liposuction control”
Aesthetic Surgery Journal October 2010; 30(4) 593-602

Because the area is anesthetized, there is minimal discomfort during the procedure. You may feel a light pressure, pulling and slight pain but it is a mild sensation. Following Smartlipo, you may experience some aches, much like after a physical workout. You will be able to return to most normal activities the following day. Just no heavy lifting or working out for 4-6 weeks. A compression garment will be worn 4-6 weeks after treatment, depending on the body area treated and the recommendation of your physician.

Actual patient Smartlipo Neck with Skin tightening

Actual patient Smartlipo Neck with Skin tightening

Actual patient Smartlipo of hips, waist, upper and lower abdomen with skin tightening to upper and lower abdomen.

Actual patient Smartlipo of hips, waist, upper and lower abdomen with skin tightening to upper and lower abdomen.

For most patients, results are achieved in just one Smartlipo treatment. Results can be seen within a week, with continued improvement over three to six months. Smartlipo destroys fat cells in the treated area. However, it is important to maintain a healthy diet and exercise regimen to enjoy long-lasting results.

Whatever type of liposuction you choose if you want positive long-term results, you’ve got to be willing to exercise and eat a healthy diet. The fat cells that are removed by liposuction do not come back, however, if the patient gains a significant amount of weight, then new fat cells can develop. With a small weight gain, existing fat cells swell by accumulating more fat within the existing cell.

LIPOSUCTION POST OPERATIVE INSTRUCTIONS

YOUR FIRST 24 HOURS

You will need a friend or family member to drive you home because you have been sedated. You will also need someone to stay with you overnight. You will need to rest for the first 24 hours but we encourage you to move your legs and get up and walk around. Expect quite a bit of blood stained fluid to drain from your incisions. It may soak through your clothing. We recommend you put a plastic liner or garbage bag and towels under you to protect your furniture and bedding. Take your medications as prescribed by your doctor.

DAY 1-3

Expect some swelling and bruising after liposuction. Make sure that you are getting up and walking and moving your legs. Drink lots of fluids. We will see you in the office to change your dressings and examine you. You will need someone to drive you to this appointment if you are taking pain medication. When you get home you can shower and wash the incisions lightly with soap and water.  No baths for 6 weeks.

Day 5-14

We will remove your sutures in 5-7 days. Please finish all of your antibiotics. Continue to wear your compressive garment.

Week 2-6

If you have any concerns or issues during your aftercare, please call us and we will get you in if you need to be seen. Otherwise we will see you 1-2 more times until we release you to full activity at 6 weeks.  It is very important to come to all of your post-operative appointments.

Instructions for the Entire 6 Weeks

Continue to avoid aspirin and anti-inflammatory medications. No matter how good you feel you will need to limit your activity for 6 weeks. Too much activity can cause bleeding, swelling, bruising and pain. No lifting anything over 5 lbs. No exercise. No dishes, laundry, vacuuming, etc. No swimming pools or spas.

You will need to wear your compression garment 24 hours a day for 6 weeks. You can take it off to shower and to wash it only. We have extras available for purchase at the office.

Do not tan for 6 weeks. Wear lots of sunscreen if you are going to be in the sun. The skin is healing and is likely to burn more than normal. Putting sunscreen on your scars for the first year is advised.

You may buy arnica cream for post-operative swelling and bruising at a health food store.

We like to re-check you at 3 months, 6 months and 1 year post op. Contact your Las Vegas Plastic Surgeon today.

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Average rating:  
 2 reviews
Awesome Results

After consulting with number of Plastic Surgeons I am so happy that i went to see Dr Miller for a consultation.

I wanted to treat few areas of my body (or should i say i wanted a new body 🙂 ) After explaining to Dr Miller what i wanted - flat tummy, smaller thighs, perkier breasts, slimmer top arms, get rid of double chin etc etc we had a good discussion and he gave me his professional and caring opinion.
We decided, priority for me was liposuction on my outer and inner thighs and tummy area. It's only been a month and i am extremely happy with the results!!!

Since then i've also had botox and fillers done and Dr Miller gets 10/10 for this. I had gone to few other places previously, however none had done the job/look i wanted. Dr Miller did it PERFECT!!

The staff are all so wonderful and helpful, Kelly, Cheryl, Kendal. Kendal is taking care of my face and i am seeing great results already...my face hasn't looked this good for ages.
I am about to have the Kybella done and i can't wait.

So so glad i went to see Dr Miller and his staff. I highly recommend them as they are THE BEST!
Thank you so much Dr Miller and everyone there.

Results

I am so happy with my lipo results from Dr Miller. I had always struggled with my abdomen - I worked out.. I dieted .. and still after about a year .. no changes .. so I went in for a consultation and Dr Miler said I was a great candidate for lipo. Well I booked and am totally happy with my results... I plan to continue working out, watching what I eat.. and at the pool showing off my new body. Thank you so much!

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