Liposuction surgery (“lipoplasty”) remains a popular cosmetic procedure amongst men and women. Stubborn deposits of fat that are resistant to diet and exercise can be suctioned with a large, small, or micro-cannula during a liposuction procedure. Even though liposuction involves removing fat, it is not considered a weight removal procedure, but rather a body contouring procedure. Liposuction can help enhance your appearance and possibly boost your self-confidence. This cosmetic surgery procedure is available at Dr. Leonard Hochstein’s Miami practice.
This type of cosmetic surgery is designed for men and women seeking a more enhanced body, as they are unable to get rid of localized fat deposits with diet and exercise. Board certified by the American Board of Plastic Surgery (ABPS), and a member of the American Society of Plastic Surgeons (ASPS), Dr. Hochstein has been in practice since 1998. He is known for his media appearances on Bravo’s “Miami Slice” and E! Entertainment’s “High Price of Fame: Under the Knife.” Offering a safe and pleasant environment, “Dr. H” can help men and women achieve their cosmetic surgery goals through liposuction. Individuals in the Miami and Ft. Lauderdale areas can benefit from liposuction performed by Dr. Hochstein. He also treats international clientele.
Liposuction will be performed at his surgical facility accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), which is considered the gold standard and of utmost safety for the patient. This procedure is a body contouring method that is best for people who are at a healthy body weight. The techniques that Dr. Hochstein performs includes:
- Wet
- Superwet
- Tumescent
- Ultrasonic Assisted Liposuction (UAL)
- Power Assisted Liposuction (PAL)
- Vaser ® Assisted Liposuction (VAL)
Each Liposuction technique has its own benefits and possible complications. It is very important to discuss which technique Miami liposuction surgeon, Dr. Hochstein will be using.
Fat Removal
The new standard with the American Board of Plastic Surgery (ABPS) and the American Society of Plastic Surgeons (ASPS) limits the total amount of fat that should be removed at one setting. This is important in order to reduce the amount of blood loss that the patient will have during this operation. You will need to speak with your doctor during the consultation to ask about how much you can remove.
When combining other surgical procedures such as breast augmentation, breast lifts (Mastopexy / Bennelli) tummy tuck, or facial plastic surgery procedures in order to reduce the amount of total estimated blood loss, a decreased amount of fat can be removed. It is important to speak with your doctor about this before you go in for surgery.
A step-by-step breakdown of General Liposuction:
- Indelible ink is used to draw lines on the patient’s body to help the surgeon during surgery.
- Using the smallest needle possible local anesthesia is injected or general anesthesia is administered.
- A large, small or micro-cannula is used to suction out the fat. Dr. Hochstein prefers the small 3 mm, triple lumen Mercedes cannulas to 1 atmosphere of vacuum suction pressure. The smaller tip cannulas that are blunt may reduce irregularities in the skin contour, skin surface, as well as denting, which is the most common complication with using larger cannulas.
- After the removal of the fat, the incision sites are left open to allow for drainage and optimal scar healing – Bruising and swelling lasts anywhere from 10 to 14 days depending on the person.
- COMPRESSIVE GARMENTS – This is extremely important. Postoperative compression garments may be worn, including abdominal binders, as well as girdles to the thigh in order to allow smoothing and reduce edema, as well as swelling of the abdomen and thigh areas postoperatively. Dr. H prefers his patients to wear the garments for at least four weeks postoperatively.
2nd Stage Girdle with No Legs
Description: A second stage garment made of F5 certified fabric, LGA2 is a “pull-on” style best for use during the later period of the recovery process. It is brief style and is an excellent choice for lower-abdominal procedures such as tummy tuck or liposuction of abdomen, flanks and hips.
2nd Stage Girdle with Medium Legs
Description: A second stage garment made of F5 certified fabric, LGM2 is a “pull-on” style best for use during the later period of the recovery process. It is calf length and a great choice for liposuction procedures of the leg. This garment is zipper less, has an open crotch, and a 2″ elastic band. It is an excellent choice for after abdominal procedures such as tummy tuck and/or liposuction of the abdomen, flanks, hips, and inner & outer thighs.
2nd Stage Suit with Suspenders and Medium Legs
Description: A second stage garment for the later period of the recovery process, the FBM2 is a “pull-on” style made of our F5 certified fabric and comes down to the calves. It offers comfortable, adjustable suspenders. This garment has adjustable suspenders, zipper less and offers a high back. It is an excellent choice for abdominal procedures (tummy tuck) and/or liposuction of the abdomen, hips, lower back area, inner & outer thighs and knees; as well as buttock lift.
It is important to remember you will need to ask the doctor when he would like you to start wearing your 2nd stage garment because all patients are different, but in most cases within 1 week after your surgery.
All liposuction garments are sold at Dr. Hochstein’s office.
It is very important to expect realistic results. The doctor may have to do touch-ups of small amounts of redundant fat in 4 to 6 months. Patients should review many of the doctor’s photographs and should be seen twice prior to surgery with the plastic surgeon. The areas should be marked and looked at with the patient in a mirror to show what can and cannot be corrected. The patient will have a satisfactory and successful surgery if they expect realistic results. Liposculpture is not for heavy or overweight people. It is best used as a sculpting technique which addresses those deposits which do not respond to normal diet and exercise.
Complications from properly done Ft. Lauderdale liposuction are very rare but please talk with Dr. Hochstein about your specific risk during consultation.
Popular Procedures Combined with Liposuction
Many patients who choose to undergo cosmetic liposuction may also opt for a combination of complementary procedures, such as tummy tuck surgery (“abdominoplasty”), breast augmentation (“augmentation mammaplasty”), and breast reduction (“reduction mammaplasty”). During a consultation, Miami plastic surgeon Dr. Hochstein can help a person decide which procedure will best address certain problem area(s).
Here in Miami Florida, Dr. Hochstein performs multiple abdominoplasty or tummy tuck procedures with liposuction of the hip iliac crest rolls every week. For patients who have excess skin and fat, as well as stretching of the abdominal muscles, it becomes useful to undergo the abdominoplasty or tummy tuck procedure here in Miami, Florida. This cosmetic surgery procedure will help create a beautiful midriff or midsection.
Liposuction of the hips is usually required in order to narrow the midsection and to allow for a more streamlined appearance. Patients do well with placation of the midline rectus sheath or tightening of the midline muscles, which gives a flatter appearance of the stomach.
When large abdominoplasties or panniculectomies are performed with a massive amount of skin and fat removed the muscles of the midline are not tightened as greatly. However, liposuction of the hips or iliac crest rolls is extremely important in order to narrow the midsection of the middle third of the female figure.
Liposuction is usually quite safe when performed concurrently with an abdominoplasty or tummy tuck procedure here in Miami Florida in our practice. Liposuction of the upper abdominal and mid epigastric region above the umbillious can be quite dangerous, so we do not perform it at the original surgery of the abdominoplasty in order to prevent blood supply problems of the flap of tissue being brought down inferiorly.
Before and after liposuction photos featuring liposuction results are available to view.
How to Plan for a Safe and Successful Surgery
When considering abdominoplasty or tummy tuck procedures and liposuction of the hips, it is very important to find a qualified Board Certified Plastic Surgeon, Diplomat of the ABPS, who has successfully completed the prerequisites and knowledge and have the experience to perform this operation safely. There are no substitutes. Some doctors are using false Boards so it is important that you do your homework before you make any decisions.
First you need to find a Board Certified Plastic Surgeon, the plastic surgeon must be Diplomat in the American Board of Plastic and Reconstructive Surgery. There are no substitutes. Some doctors are using false Boards so it is important that you contact The Florida Department of Health before you make any decisions. Start by going to www.flhealthsource.com . You can also call the Agency for Health Care Administration (AHCA), Consumer Services at: 1 (888) 419-3456 or the Florida Board of Medicine: 1 (850) 245-4131.
Please note that the ABPS (American Board of Plastic Surgery) is the most important Credential a surgeon can hold. Do not confuse the ABPS with any other similar-sounding board.
These are the symbols you should be looking for:
Dr. Hochstein’s preferred technique is the “Powered Assisted Tumescent Technique.” This is considered the safe and gold standard with the ABPS when performing liposuction in the United States. The ingredients of the tumescent fluid include two components:
- Lactated Ringer or Sodium Chloride solution. This is used for hydrating and separating the fat and allows the surgeon to remove the fat in a smooth distribution with a reduced incidence of irregularities to the skin.
- Epinephrine will constrict the blood vessels, reducing blood loss and allowing for a safer and quick postoperative recovery with less bruising. Some also include lidocaine but Dr. Hochstein believes this to be dangerous and prefers not to use it.
Use of a Board Certified anesthesiologist is very important when placing the patient under general anesthesia. There are some doctors that chose to do this procedure under local, but I think this is a bad idea. When the patient is completely under and put to sleep, the plastic surgeon can have 100% control of the patient, able to manipulate different areas and turn the body without the patient feeling pain or moving (which can be dangerous in the operating room).
Contact Us Today for a Free Consultation
To schedule a complimentary consultation with Miami liposuction surgeon Dr. Hochstein, please send an email. Individuals may also reach Dr. H at his Miami plastic surgery center by calling (305) 931-3338.
