EXPERT BEAUTY GUIDE FROM LEADING BOARD-CERTIFIED DERMATOLOGIST DR. HOOMAN KHORASANI HOW TO SCULPT YOUR BEST BODY WITH LIPOSUCTION PG 1 FIGHT FAT PG 2 CORRECT PG 3 GET BIKINI PG 4 SLIM YOUR FOREVER AND TONE READY SHAPE GET RID OF FAT: SCULPT AND RESHAPE YOUR BODY Liposuction, also known as lipoplasty or suction lipectomy, involves the removal of unwanted fat through a vacuum apparatus to reduce fat bulges or pockets. By removing fat with suction through small incisions, your doctor is able to sculpt and shape the curves of your body. Common sites for administering liposuction include the chin, neck, arms, abdomen, thighs, buttocks and even calves and ankles. Types of liposuction include traditional, power-asisted, laser, ultrasound, water-jet and radio frequency. 02 01 03 Traditional Power-Assisted Laser Best for: Entire body (arms, inner Best for: Entire body Best for: Body and face thigh, neck and lower abdomen) This option makes use of special The added bonus for this procedure This option can be used to sculpt equipment to give the cannula the is that the heat emitted by the a more ideal shape, making it more power necessary to dislodge fat. laser can create new collagen to proportional. The traditional tighten minimally loose skin. version is best if you have localized How it works: Power-assisted fat deposits with good skin tone. liposuction uses a cannula that How it works: Laser liposuction moves back and forth to suction delivers laser energy to the tissues How it works: Traditional lipo uses out fat. This technique is also with a fiber to purportedly break hollow metal tubes called cannulas the most similar technique to up fat cells. Some doctors believe to remove fat from areas of the traditional lipo. it offers a benefit of slight skin body. It’s most effective in areas tightening, although these claims where the tissue is less fibrous. + Benefits: Less force is needed, so are debatable. some doctors claim that tissues + Benefits: The tried-and-true aren’t damaged as much, but there + Benefits: Purportedly less form of liposuction has years of is no data supporting this. It is used swelling and bruising than research backing its safety and almost everywhere on the body. other techniques, but this is effectiveness. not supported by scientific data. - Limitations: There are limitations - Limitations: There are limitations to all liposuction procedures so - Limitations: There’s the possibility to all liposuction procedures so realistic expectations are key, and of burns and lingering tissue injury realistic expectations are crucial, weight gain may affect results. (firmness and swelling). It also and weight gain may affect results. costs more and takes longer. The day of surgery: Your skin will be bruised NOTES ON and swollen for the first few days, but you can RECOVERY expect to be up and walking right away. Good circulation is essential to prevent blood clots. AND RESULTS WITHIN Compressive garments and foam pads are DAYS used to diminish swelling and bruising. 1 Liposuction gets rid of unwanted + CHEEKS fat bulges when CHIN diet and exercise don’t work DID YOU KNOW LIPO COULD HELP WITH ALL OF THESE AREAS? + BACK WAIST HIPS + LOVE HANDLES + BUTTOCKS SADDLEBAGS + THIGHS CALVES WHAT TO EXPECT Pre-op, your doctor will draw marks on your body to indicate where treatment will take place. During the actual procedure, a small incision will be made at or + near the designated area(s). A solution of saline and INNER KNEES anesthetics or epinephrine, called tumescent fluid, ANKLES is first injected into the area to break up the fat cells and allow them to be easily removed with a cannula (tube). The fat is then suctioned out and the area(s) is stitched up. Two to three weeks Six months to one year later: At six months, your later: By now, you final results will be visible and may continue to improve should be able to see a even more over the next six months. Make the most noticeable difference in of your new figure by following a healthy lifestyle plan WITHIN your body and there should WITHIN that includes proper weight maintenance, which will WEEKS be no visible bruising. MONTHS keep you in shape for years to come. 2 SOME COMMON + SIDE EFFECTS SCARS Because liposuction incisions are so small, they are rarely visible to someone other than the patient. SWELLING AND BRUISING The lower extremities are more susceptible to fluid retention. Swelling decreases rapidly; however, bruising may persist for up to three weeks. HYPERSENSITIVITY Expect to feel slight discomfort. Severe pain is reason to call your doctor. UNEVEN APPEARANCE Contour irregularities can occur as remaining fat settles. Massage, topical creams and external ultrasound may help. NUMBNESS This temporary side effect is normal and results from disturbing the small nerve fibers below the skin. Only in very rare instances is numbness permanent. HYPERPIGMENTATION The ideal Occasionally, there may be some darkness candidate in the skin where liposuction has been is within 30 performed. This may take a long time percent of her (months) to go away. ideal weight. PROCEDURE + + RECOVERY TIME PROCEDURE TIME Will vary based on the areas being treated. RECOVERY TIME Three to 21 days, depending on the treatment and area treated; plan to avoid strenuous activity for three to eight weeks. HOW LONG IT LASTS Once removed, fat cells in the treated area(s) do not grow back; however, it is still possible to gain fat, especially in untreated areas + 3 The best candidates for liposuction of the thighs are women with a difficult spot, like + the saddlebags or inner thighs. TYPES OF LIPOSUCTION CONTINUED... 04 05 06 Ultrasound Best for: Back, love handles, tummy and hips Water-Jet Best for: Large-volume liposuction This method is helpful in receiving Radio Frequency as repeat procedures, for treating This option is still fairly Best for: Fuller figures larger areas of fat, or in combination experimental; it’s best to with other surgical body-contouring discuss all options with your procedures. This option is still experimental. doctor in full before making a decision regarding which type How it works: The newest type How it works: Utilizes pulsing, of liposuction is best for you. high-frequency ultrasound waves of liposuction, radio-frequency lipo to break up fat so it’s easier to employs radio-frequency energy remove. This is a great technique How it works: One of the newer to dislodge fat cells. Currently, for sculpting fat that’s difficult to lipo techniques, water-jet lipo radio-frequency liposuction has remove with traditional liposuction. uses high-pressure water to yet to receive FDA approval. dislodge fat cells. + Benefits: Works well on fibrous + Benefits: Purported to tighten fatty areas like the back, hips and + Benefits: Ideal for large-volume loose skin and shows promising stomach. The safety profile of liposuction, and a few doctors results for weight-loss patients pulsed ultrasonic liposuction and claim that there is less post- and those with fuller figures. less blood loss has been proven. surgery dimpling, but this is not However, there is no hard scientific supported by scientific data. data to support this claim. - Limitations: Some patients report that the skin is left feeling hot and - Limitations: This is fairly new and - Limitations: It’s not widely available numb during the initial recovery requires more research to fully and there is potential for deep- period. It generally resolves in 10 identify its outcomes and compare tissue injury and skin burns from to 12 weeks. them with other techniques. the high temperatures used. 4 dermatologist i My main goal is to treat MY CREDENTIALS “ Medical Degree patients as if they University of Southern are family members. California Board Certification American Board of Dermatology WHO I AM ENHANCE CONNECT 1. 4. Visit the doctor’s gallery of HOW DO YOU MANAGE WHAT I LOVE MOST before-and-after photos at: YOUR PATIENT EXPECTATIONS? ABOUT MY PROFESSION newbeauty.com/khorasani Clear communication is paramount The relationships I build and Location in managing patient expectations. maintain with my patients. I meet NATURAL I educate my patients about all the such a smart, interesting and New York, New York possible outcomes in the simplest diverse group of people every day language possible. I am a big fan of Phone BEAUTY diagrams and videos 212.731.3311 drkhorasani.com By 5. THE FUTURE OF MY FIELD DR. HOOMAN 2. Continuing to use technolo­ to HOW ARE YOU HELPING deliver noninvasive aesthetic TO ADVANCE THE FIELD surgery with minimal downtime KHORASANI AT LARGE? MOUNTSINAIHOSPITAL I chair one of the largest multispecialty NEWYORK,NEWYORK aesthetic courses in the Northeast. A FEW OF MY Physicians come from around the SPECIALTIES… world to learn aesthetic surgery from 6. Botox® Cosmetic experts in the eld. As fellowship WHAT NEW SERVICES director of dermatologic and cosmetic ARE YOU EXCITED Clear + Brilliant® surgery at Icahn School of Medicine TO OFFER? Fraxel® at Mount Sinai, I teach surgical SculpSure, which is the rst Juvéderm® procedures to the next generation of FDA-approved laser for residents and fellows and conduct noninvasive fat reduction Juvéderm® Voluma multiple clinical trials Juvéderm® Volbella Restylane® Radiesse® 7. Kybella® 3. THREE WORDS THAT Laser Hair Removal WHAT ARE YOUR MOST BEST DESCRIBE ME Laser Resurfacing REQUESTED PROCEDURES? Calm, reassuring, con dent Lip augmentation, body contouring, Liposuction eyelid rejuvenation, scar treatments miraDry® and laser skin resurfacing Mohs Surgery SCAAR FXTM Scar Revision SculpSure® ABOUT TM DR. KHORASANI Silhouette Instalift Thermage® i n t h e Dr. Khorasani is the chief of enowned TM e l d of dermatologic surgery, Dr. Hooman Khorasani draws on his the division of dermatologic TotalFX expertise in performing transformative procedures to deliver optimal and cosmetic surgery Ultherapy® results.