Surgical Aesthetics

JAN-FEB 2014

For plastic surgery and cosmetic surgery trends, techniques and equipment, plastic and cosmetic surgeons turn to Surgical Aesthetics for the latest on breast augmentation, liposuction, rhinoplasty and more.

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"Plastic surgeons would be better served to spend more money on training and less on equipment." "Many patients forget their pre-operative appearance and insist that nothing happened as a result of the procedure until their before-and-after pictures are held up side by side. Then the difference often becomes quite clear," he says. Dr. Amron devotes tremendous effort to helping patients feel comfortable about the liposuction procedure. "There's a lot of art to getting that patient to trust you and let you do this," he says. "I create a calming atmosphere in the surgical center. The monitors are silenced, lights are off and positive language is used." Before-and-after images are crucial to improving patient satisfaction with liposuction procedures. Dr. Amron offers other advice too. For one, he believes that it's smart to be cautious about performing multiple procedures at once. "When you add on other procedures, you increase the risks for the patient," he says. And he supports using local anesthesia when possible during liposuction procedures instead of general anesthesia. "It's completely safe, and the recovery is much cleaner and easier," he says. "Liposuction is a different kind of surgery. How you position the patient is crucial since it's a very precise procedure dealing with a layer of fat between the skin and muscle. Every little movement of that cannula can affect the procedure." As for the post-surgery period, Dr. Schaffner says "patients need to allow adequate time to recover from liposuction. This includes maintaining appropriate activity levels and using a compression garment. Supplements such as Arnica montana and bromelain may help." ❖ Randy Dotinga is a San Diego-based freelance medical writer. January/February 2014 ❘ © ISTOCKPHOTO.COM surgeon uses." He points to a recent demonstration at a meeting on fat grafting he attended in Milan, Italy, where Dr. Gino Rigotti—a pioneer of autologous fat transfer for breast augmentation and reconstruction—used only basic tools to perform an "elegant procedure," Dr. Hartog recalls. "What is most important with any liposuction procedure is the surgeon's understanding of how the patient should look in the end and how to sculpt tissue. In my opinion, plastic surgeons would be better served to spend more money on training and less on equipment." As for the cost of the various technologies, Dr. McBean says that "as long a superior service and result is delivered and expectations are appropriately managed, cost rarely hinders patients' decisions." He cautions, however, that it's crucial to manage patient expectations. "An obese patient needs to understand that despite our best laser lipolysis efforts, we will not be able create the sixpack abs he observed on the cover of the Men's Health magazine in the waiting room," says Dr. McBean. He recommends that physicians share pre- and post-operative photos with patients. And it's very important to take photos of patients before they undergo their own procedures, he says. 17

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