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SAlem, Virginia

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Awake Liposuction (Tumescent Liposuction)

At Alouf Aesthetics we are proud to offer Tumescent Liposuction and Vaser Lipo®. 

With Tumescent Liposuction offered here at Alouf Aesthetics, patients are awake and do not have to be subjected to general anesthesia. Also, in our experience, there is minimal bruising from this procedure. In addition, patients can be back to work within a few days.

The word tumescent means swollen and firm. Tumescent liposuction uses large volumes of a dilute solution of lidocaine, a local anesthetic, in combination with the vasoconstrictive drug epinephrine, which temporarily shrinks capillaries. This feature of constricting blood vessels results in very little blood loss during the procedure.  Minimal blood loss results in very little bruising. The lack of bruising results in decreased pain and a much quicker recovery time.

Tumescent Liposuction is a technique that permits liposuction totally by local anesthesia, avoiding general anesthesia.

Our staff shares our commitment toward helping you achieve your goals for self-improvement.Your consultation will be personal and private, or you can bring your spouse or friend if you wish.

 

LIPOSUCTION AND BODY SCULPTURE

Localized accumulations of fat, are often inherited and frequently prove impossible to eliminate by exercise or diet. Liposuction can be used to permanently remove these accumulations of fat.  Sculpturing of the fat layer is performed to create more desirable body contours.  It is even possible to remove fat from one area and transfer this to areas that need to be "filled". 

 

ABOUT FAT

Body fat of an adult tends to increase gradually over the years.After the age of 30, an individual tends to add fat according to a genetically predetermined pattern. This fat distribution can be resistant to exercising and dieting. An example of a genetically predetermined fat distribution which is resistant to dieting and exercise is the fat that appears on the abdomen and hips of a woman after pregnancy.

For many people who have inherited excessive accumulations of fat, liposuction is a realistic mean of changing the body’s silhouette. In effect, liposuction is equivalent to being able to focus the effects of dieting to specific areas of the body.

 

WHAT IS LIPOSUCTION

The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body’s contour by removing excess fat from fatty deposits located between the skin and muscle.

Liposuction involves the use of a small stainless steel tube, called a cannula. The cannula is connected to a very powerful suction pump and is inserted through small skin incisions. The removal of fat is accomplished as the suction and cannula creates tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse resulting in an improved body contour.

 

PERMANENCE OF RESULTS

Fat cells that are removed by liposuction do not grow back. As long as the patient does not gain excessive amounts of weight, the new, more pleasing silhouette is permanent. A woman who always tends to put weight on her thighs and knees, will find that after liposuction, these areas are less likely than other areas to accumulate fat when she gains weight. In fact a number of patients have had liposuction and have subsequently gained weight. The areas originally treated by liposuction have maintained their new desirable silhouette, whereas areas not treated by liposuction have been the sites of new deposits of fat.

 

WHO IS A GOOD CANDIDATE FOR LIPOSUCTION?

The best candidates for liposuction are individuals in good health and have realistic expectations. There is not an age limit for patients who are “good candidates” for liposuction. Most of our patients have localized accumulations of fat. It is important to emphasize that liposuction is not a treatment for general obesity. Liposuction surgery is not an effective choice for people who are unable to maintain a reasonable weight by dieting. However, an overweight person whose weight has been stable for many years and has certain problem areas of fat may be a candidate for liposuction.

 

WHAT IS A SUCCESSFUL LIPOSUCTION SURGERY?

Liposuction surgery is a success when the patient is happy with the results. The doctor's goal is to achieve an optimal aesthetically appealing result rather than to maximize the amount of fat removed. The cosmetic success of liposuction relies on removing inches rather than pounds. For example, removing an amount of fat equivalent to a half-pound of weight from each outer thigh of a woman’s "saddlebag" area or from a man’s "love handle" areas would result in a dramatic change in silhouette, but would not significantly change the person’s weight.

 

DEVELOPMENT OF TUMESCENT LIPOSUCTION

Although liposuction is not a relatively new form of cosmetic surgery, there have been several recent improvements in the technique. One of the most significant improvements has been the introduction of tumescent liposuction, developed by Jeffrey A. Klein, M.D. in 1985. It permits liposuction by local anesthesia instead of general anesthesia. Despite being developed about 30 years ago, it has taken some time to become popular in the cosmetic field.  Not only has tumescent liposuction proven to be safer than the standard technique (ie. dry technique, wet technique) using general anesthesia, it also has proven to be less painful, has minimized post operative recovery time, and has produced optimal cosmetic results.

Tumescent liposuction was first presented by Dr. Klein in 1986 at the Second World Congress of Liposuction Surgery in Philadelphia. His article that first described the technique appeared in the American Journal of Cosmetic Surgery in 1987.

 

VIRTUALLY NO BLOOD LOSS

As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after surgery. This is a major improvement in the liposuction technique compared to older methods.

Dr. Klein recently completed a study of large volume liposuction of 112 patients, each of whom had between 1,500 ml to 3,400ml (1.5 quarts to nearly 1 gallon) of fat removed using tumescent liposuction. None of these patients required a blood transfusion. In fact, the average patient lost approximately three teaspoons (15 ml) of blood.

 

SAFETY FIRST

At Alouf Aesthetics, your safety comes first.  The doctor will make sure that you are first a good candidate for the procedure and then follow strick guidelines to minimize potential complications. 

 

RISKS OF ANY SURGERY

As with any surgical procedure, liposuction is associated with certain common side-effects such as bruising, swelling, and temporary numbness. Although irregularities of the skin are possible following liposuction, this is minimized by using smaller (micro) cannulas. Since using micro cannulas, noticeable irregularities are less common.  Please note that more serious complications have been noted in the literature. 

Because of the slow resolution of post surgical swelling, the ultimate results following liposuction usually require 12 to 16 weeks to become fully apparent. Nevertheless, patients can usually see improvements within two to four weeks after surgery.

Although the results of liposuction can show drastic improvements, it is not realistic to expect perfection. Liposuction of the thighs, while improving the silhouette, does not necessarily eliminate the subtle “puckering” of the skin that is often referred to as “cellulite.” Tumescent liposuction does not reduce the degree of cellulite but it is unlikely to make it worse.

Rare problems that can potentially occur with any surgical procedure include infections, bleeding, etc.., but tumescent liposuction minimizes these risks.

 

DECREASED RISKS OF INFECTION WITH TUMESCENT TECHNIQUE

Infections are extremely rare, regardless of the anesthetic technique. Although there have been reports in the medical literature of patients who have had serious infections following liposuction surgery, using the tumescent technique "reduces the risk of infection, Dr. Klein".  Also stated by Dr. Jeffrey Klein, "Tumescent Liposuction has the lowest infection rate of any surgery"

 

ARE SCARS VISIBLE?

Because tumescent liposuction uses very small cannulas, only tiny incisions are required. The wounds heal on their own and most of these tiny incisions disappear spontaneously with time.

HOW IS THE SKIN AFFECTED?

The degree of skin change after liposuction is the same as one would expect if it were possible to lose an equal amount of fat by dieting. Because the small cannulas simply make small tunnels through the fat, there remain multiple connections between the skin and the underlying tissue. These fibrous connections contract with the healing process and maintain the skin in its natural position.  However, one who loses extreme amounts of weight may have lots of extra skin left over and would not be a candidate for tumescent liposuction.

 

DECREASED BRUISING

There is less bruising using local anesthesia for liposuction as compared to traditional liposuction (ie. dry technique, wet technique). There are two reasons for this significant decrease in bruising. First, there is minimal bleeding with tumescent liposuction and there is very little blood that remains beneath the skin after surgery to cause bruising.

The second reason for decreased bruising is that with tumescent liposuction there is a considerable amount of post-operative drainage consisting of a slightly blood tinged anesthetic solution. The incision sites remain slightly open for two to three days after the surgery and permit more of the residual anesthetic solution and a minute amount of blood to drain out. This minimizes bruising and swelling and accelerates the rate of healing.

Dr. Alouf has had a diverse amount of training in Tumesent Liposuction. His training has taken him to Scottsdale, AZ, Los Angeles, CA, Boston, MA, Dallas, TX, Miami, FL, Rome, Italy, India, Argentina, Mexico, Austria, Thailand, and Vietnam where he has been personally trained and instructed by the Inventor of Liposuction (Dr. Georgio Fischer, Italy), the Inventor of the Syringe Technique in Liposuction (Dr. Pierre Fornier, France), and the inventor of the Tumescent Technique (Dr. Jeffrey Klein, California).

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 3 months after Liposuction on inner thighs and inner knees.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Two different patients whose pictures were taken during tumescent liposuction surgery. Both patients awake during procedure and one on the phone during the procedure. Both patients were able to go to the bathroom imediately after the procedure and also have a beverage during the procedure. Dr. Alouf's actual patients.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Before and 4 weeks after Safe Liposuction on outer thighs (saddle bags). Only one treatment and note amazing results! Dr. Alouf's actual patient.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Before and 4 weeks after Safe Liposuction on outer thighs (saddle bags). Only one treatment and note amazing results! Dr. Alouf's actual patient.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before liposuction on love handles & back below bra and 24 hours after liposuction.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before liposuction on bilateral arms and patient 1 month after liposuction.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before liposuction on bilateral arms and patient 1 month after liposuction.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 4 months after Liposuction on upper outer buttocks.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 1 month after Liposuction on back and love handles.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 1 month after Liposuction on back and love handles.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 4 months after Liposuction on outer thighs.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 3 months after Liposuction on back and love handles.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 1 month after Liposuction on back and love handles.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 1 month after Liposuction on back and love handles.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before liposuction on upper and lower abdomen & 1 month after liposuction.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before Liposuction on back & love handles and 24 hours after.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before Liposuction on chin, neck & jowles and 1 month after.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before Liposuction on chin, neck & jowles and 1 month after.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before Liposuction on anterior thighs & 6 days after.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before Liposuction on back & love handles and 24 hours after.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 6 months after Liposuction on abdomen, hips and flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 6 months after Liposuction on abdomen, hips and flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 3 months after Liposuction on outer thighs, hips and flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    Male patient before and after Liposuction on breasts.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 1 week after Liposuction on inner and outer thighs, inner knees and banana roll.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 1 month after Liposuction on abdomen, hips, flanks and back below bra.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 24 hours after Liposuction on back above and below bra, hips and flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 1 month after Liposuction on outer thighs, buttocks, hips and flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 1 month after Liposuction on abdomen.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 24 hours after Liposuction on abdomen and hips.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 3 months after Liposuction on inner thighs and inner knees.

  • Awake Liposuction (Tumescent Liposuction)


    Before
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    Patient immediately before and 3 months post abdomen, pubic area, hips/flanks and back below bra.

  • Awake Liposuction (Tumescent Liposuction)


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    After

    Patient immediately before and 24 hours after Liposuction on abdomen, pubic area, hips/flanks.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 24 hours after Liposuction on abdomen, pubic area, hips/flanks.

  • Awake Liposuction (Tumescent Liposuction)


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    Patient immediately before and 1 week after Awake Liposuction on hips/flanks, back under bra, sacral area combined with Awake Fat Transfer to buttocks.

  • Awake Liposuction (Tumescent Liposuction)


    Before
    After

    Patient immediately before and 1 month after Mini Face Lift.

 


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