Friday, November 19, 2010

Limit Mistakes in Liposuction Clinica Arroyo Goldstein Lima Peru


How do we limit the risk of complications in Liposuction.

Our procedures and protocols have been in place, and used without question for almost 30 years. Some people might think that our measures are extreme, however that is why our clinic can boast about our success rate. It is not inconvenient to do Liposuction in several sessions over alternating days, it should always be the rule. Many Doctors and clinics are just too eager to take a patients money, and only tell them what they want to hear, or let the patients make their own decisions based on their personal schedules. That will only lead to problems, and sometimes dire consequences.

Safety of the patient is our first priority, that is why we do not accept all patients for surgery. If a patient is at risk, first an assessment will be done with a Doctor who specializes in that particular area( such as a Cardiologist for a heart related condition, etc) If all is approved, surgery will be done in accordance to any specialized instructions.

The greatest risks of liposuction are associated with the tendency of some surgeons to do too much surgery on the same day. The three types of excessive surgery include 1) removal of an excessive volume of fat by liposuction on a single day, 2) liposuction of an excessive number of body areas on the same day, 3) combination of liposuction and other unrelated surgical procedures which involves excessive surgical trauma and prolonged exposure to general anesthesia.

For those reasons as stated above, Only local anesthesia will be used, no more than 4 flasks of lidocaine or other anesthetic will be used at one time, no combination of surgeries will be done on the same day, Liposuction will be limited to particular zones.

A moment about local anesthesia and the safety of Tumescent Liposuction.

Lidocaine is the safest of local anesthetics available for liposuction. At lidocaine concentrations in the blood exceeding 6 milligrams/liter, patients might experience some toxicity. Blood concentrations of lidocaine in excess of 12 milligrams/liter can produce serious cardiac toxicity. The maximum recommended dosage of lidocaine for tumescent liposuction is 50 mg/kg (50 milligrams/kilogram of patient weight). The most extraordinary aspect of the tumescent technique is its unprecedented safety record when used as directed. Most liposuction surgeons know that it can be dangerous to give a patient a dosage of tumescent lidocaine that exceeds 50 mg/kg. All liposuction-related deaths have been associated with either the use of general anesthesia, or IV sedation, or lidocaine doses in far in excess of 75 mg/kg. The tumescent technique is dangerous in the hands of surgeons or anesthesiologists who have not had specific training in the technique. There has never been a reported death associated with tumescent liposuction totally by local anesthesia.

Preventing complications should be the most important concern of both patients and liposuction surgeons. Surgeons can reduce the risk of liposuction complications by proper selection of patients. Surgeons should avoid patients who have 1) unrealistic medical expectations, 2) a history of significant medical problems. Patients can reduce the risk of complications by 1) resisting the temptation to save time by attempting to do multiple unrelated surgical procedures along with liposuction, and 2) resisting the temptation to maximize the volume of fat removed on a single day. It is much safer to divide one very large liposuction procedure into two or more separate procedures done on separate days. Liposuction by general anesthesia can be considered safe, however, liposuction totally by local anesthesia is safe.

Please feel free to schedule an appointment and consult directly with a doctor.

www.clinicasarroyoperu.com

Tuesday, August 17, 2010


Introduction To Liposuction
"Liposuction is the surgeon's method of sculpting the body contours."

Liposuction is the most common cosmetic surgical procedure performed in the United States today and works best when treating localized fat deposits. Adipose tissue is surgically removed from specific areas through small skin incisions using a hollow metal tube attached to a vacuum apparatus. You are an ideal candidate for liposuction if you are at or close to your ideal body weight, and you want to improve the contour of your body but you have not been previously successful with traditional diet or exercise. Liposuction can slim the hips, and thighs, can flatten the abdomen and can remove excess fat from the chin and upper arms. The treated areas will retain their new contour as long as you do not have large weight gains.



There are certain areas of the body, such as the upper arms, abdomen and inner thighs, that may develop loose or hanging skin following liposuction. The degree of skin retraction and tightness depends on the patient’s age, the amount of fat to be removed and the patient’s general skin tone and degree of elasticity. If you are at high risk for loose skin, we may recommend a skin tightening procedure such as a thigh lift, tummy tuck or upper arm lift. If it is equivocal whether the patient will develop skin laxity after liposuction alone, removal of excess skin can be performed at a later date.



Fat cells play numerous metabolic roles in the body. They serve as an energy source, a storage place, and interact with insulin and hormone synthesis, to name a few. Adult fat cells are thought to be incapable of multiplying. There are a fixed number distributed in a genetically predetermined fashion throughout the body. Regardless of the function, as you gain weight these cells expand. As you lose weight, they contract but the number and distribution remain essentially unchanged. This is why thin people may still complain about localized fatty deposits that don't go away even at their ideal weight. Dieting reduces your weight and overall size, and may show improvement in specific areas. Liposuction reduces the overall number of fat cells, and affects shape and contour.



Liposuction has come a long way since its introduction in the mid 1970’s and modern techniques have made it safer and simpler for both surgeons and patients. It is a safe and effective way to remove unsightly bulges from almost any area to produce an improved shape and contour. This is why liposuction has consistently been the most popular cosmetic surgical procedure in the world for the past several years.



Fat deposits that don't respond to the usual litany of exercise and diet regimens are ideal targets for liposuction. If you are only overweight in certain areas of your body, you would have to lose a larger amount of weight in order to shrink the size of your thighs. The weight will come off everywhere including the breasts and face, and not just where you need it most. Most body parts can be suctioned for better contour and reduced volume, from the face down to the ankles. The most popular areas for women are the abdomen, inner thighs, outer thighs, hips,and flanks. Liposuction can even be used to reduce heavy breasts in some women.



Before having liposuction, we will discuss your lifestyle, aerobic shape, and body weight fluctuations. If you have a history of an eating disorder like bulimia, anorexia, binge eating, or have been on prescription weight control medications, we need to know in advance. If you are overweight you may have to undergo these procedures in stages. If you exceed your ideal weight by 50% or more, we may suggest that you lose weight prior to undergoing a liposuction procedure.



Liposuction of multiple areas should not exceed five liters of total fat removed in the outpatient setting and 10 liters in the inpatient setting. When large volume liposuction is performed, it is best to treat "aesthetic units" of the body to maximize the result. For instance, it is possible to combine liposuction of the back, love handle area and abdomen during one session, and the hips, inner and outer thighs and knees during another session.


How We Do It
Advances in liposuction techniques have greatly improved the results you can achieve. The procedure is very straightforward. Tiny incisions of approximately one quarter inch long are made at the sites where fat is to be removed and a wetting solution is infused to provide anesthesia, reduce bleeding and improve fat extraction. This requires careful monitoring to avoid toxicity and must be performed by those experienced with local anesthesia. The surgeon uses various sizes and dimensions of cannulae, hollow, tubular instruments with holes at one end to trap the fat. The cannula is attached to suction tubing through which the excess fat is evacuated.



These instruments come in various shapes, lengths and sizes depending on the thickness and location of the fat. They have highly polished surfaces to slip through the fatty tissues with minimum friction or damage, and are frequently blunt-tipped to prevent cutting through the skin. Cannulae are inserted under the skin moved in a back and forth and criss-cross fashion within the fat, essentially pushing it aside while protecting the vessels and nerves. Fat is suctioned out through one or several holes at the tip, measured, and then the patient is checked for symmetry. The procedure is completed when a safe level of fat removal and the desired contour has been achieved. The patient is then monitored closely to make sure that enough fluid hydration has been received.


The 'wet' techniques, and the superwet technique, referring to the amount of fluids injected, are variations of the tumescent technique. Tumescent anesthesia has had perhaps the most significant impact of all developments in liposuction. Warmed tumescent liquid, a diluted solution containing lidocaine, epinephrine and intravenous fluid, is injected into the area to be treated. As the liquid enters the fat, it becomes swollen, firm and blanched. The expanded fat compartments allow the liposuction cannula to travel smoothly beneath the skin as the fat is removed. The saline softens the fat, the adrenaline decreases the blood loss and bruising, and the anesthesia provides relief from discomfort.

Ultrasound Assisted Liposuction (UAL)
Ultrasonic sound waves, like shock waves, are transmitted into the fatty tissues from the tip of the cannula probe. The fat cells are melted or liquefied and then removed by low-pressure vacuum through a suction tube. Ultrasonic liposuction is often reserved for more difficult areas to contour where the deep fat is thicker, and thus harder to extract; i.e. back rolls, upper abdomen, and flanks. It can be combined with traditional liposuction when both the deeper fat and more superficial fat are being removed. Some physicians use external ultrasound (EUAL) with liposuction in lower frequencies to soften fat deposits from the skin's surface. The literature shows limited effects of this treatment except on the tissues just below the skin surface.

call for consultation and view our website

www.clinicasarroyoperu.com

Thursday, May 27, 2010

Lipoescultura Liposuccion Clinic Arroyo Goldstein Lima Peru


Con lipoescultura, usted puede cambiar su cuerpo
permanentemente en sólo una hora!





La dieta y el ejercicio son importantes para mantener buena salud, pero la genética y la edad son lo que determinan nuestro físico. Sin la liposuccion, es posible que usted nunca consiga el cuerpo que desea. Nuestra técnica de lipoescultura elimina permanentemente la grasa y ayuda que la piel se mantenga lisa.
La mayoría de nuestros pacientes regresan al trabajo el día siguiente.
Solamente usamos anestesia local. Usted se queda despierta.
Nuestra micro-técnica no requiere puntadas y no deja cicatriz.
Promueve que la piel se alise.
Resultados permanentes. Usted verá cambios a su física inmediatamente.
Especializamos solamente en la micro-lipoescultura, asi que nuestros clientes pueden esperar los resultados que quieren. Aquí en Clinica Arroyo Goldstein Liposculpture realizamos más procedimientos de lipoescultura que cualquier otro centro en el mundo.
Nuestro equipo medico esta reconocido en todo el mundo; eso significa que los mejores especialistas estarán encargados de su salud. Nuestra técnica avanzada elimina tanta grasa como la liposuccion tradicional - pero con minimo tiempo necesario para la recuperación.


www.clinicasarroyoperu.com

Friday, May 21, 2010

Lipoescultura Liposuccion Clinic Arroyo Goldstein Lima Peru



AN EDUCATION ON TUMESCENT LIPOSUCTION

Liposuction was developed in the late 1970s by Dr Illouz in Paris, France. It was introduced in the United States in 1981. The Tumescent Liposuction technique was introduced in 1986 by a California dermatologist, Dr Jeffrey Klein.

Our Clinic's Surgeons utilize Tumescent Liposuction to re-contour the body - removing excess fat deposits that have been resistant to diet and exercise. The most commonly treated areas include: the inner and outer thighs ('saddlebags'), abdomen, flanks ('love handles'), waist, arms and neck.

What is Tumescent Liposuction?
This form of Liposuction is accomplished with local anesthesia - there is no need for general anesthesia or, even, sedation. By avoiding general anesthesia and intravenous sedation the associated risks are avoided also.

The procedure involves the introduction of the local anesthetic solution - lidocaine - into those sites of the fat that is to be removed. This solution '"tumesces" or, temporarily swells the tissue. In addition to providing anesthesia, the solution has the effect of liquifying the fat so that it is easily removed with small micro-cannula. When Liposuction is performed without the Tumescent technique, the fat is not 'liquified' and a larger cannula is required. This can result in significantly more pain and bruising after the procedure, compared to the use of small cannula that is used with the Tumescent Liposuction technique.

How much weight is lost after an average Liposuction procedure?

After Liposuction, your weight may be reduced by only one to a few pounds even though a significant difference in shape may be achieved. That's because fat takes up more volume than other tissue of equal weight, such as muscle.
More important than weight loss is the way clothing fits after treatment. Tumescent Liposuction is not intended as a weight loss procedure but instead is a technique to re-contour the body.

Who is a good candidate for Tumescent Liposuction?
The ideal candidate is someone who is in good health, actively exercises, and is of normal body weight but has localized fat deposits that have been resistant to exercise and diet. However, even those who are mildly to moderately overweight may be good candidates. An in office Consultation is always best to evaluate your options.

www.clinicasarroyoperu.com