Nip This Tuck That

 Liposuction case today….removed almost 5,000cc’s that’s 5 liters of fat.   Let me tell you that Liposuction is hard work for the surgeon.  The premise behind Liposuction, in case anyone doesn’t already know, is the removeal of unwanted fat.  Like any fat is ever really wanted!  I use a method called Tumescent Liposuction.  Tumescent means that a small nick is made in the skin using a needle.  Through that little nick a cannula with a bunch of holes in it (like a hose used to water the garden) is placed under the skin into the fatty tissue to be removed.  Sterile saline (salt water) with dilute novacaine-like substance is then infiltrated into the tissue.  This is what Tumescent means. 

 Once the tissue is ready, the vacuum is turned on and another cannula (I use one with a blunt end and 2 or 3 small opeings along the bottom of the cannula) is attached to clear tubing that in turn is attached to a vacuum device.  Actually, it’s attached to a collection device on top of the vacuum machine.  This allows us to see how much fat is removed.  Rcently, a limit of 5,000 cc’s has been adopted by most of the surgical societies as the upper limit of fat that can be removed at any one Liposuction procedure.  What happens if you have more fat than the 5,000cc’s, you ask?  It stays until the next surgery, so the surgeon better plan appropriately or you may wind up with one leg sucked and small and the other leg with all the fat remaining.  It hasn’t happened to me but I bet it has happened!

 Now comes the hard part……I have to move the cannula…I move it…I’m the manual labor that moves the cannula back and forth, back and forth, up and down fanning through the areas of excess fat over an over until it’s removed to the proper degree.  It is physically demanding to do a large Liposcution case and remove that much fat….I am plum tuckered out afterward, I have to tell you.  The patient looks great however and she’s a sweet woman…which makes it all worth the effort.

 Hired by another consultant group today to advise clients who want to open Plastic Surgery Centers and Medical day Spas.  Easy work…over the phone mostly.  I have done the actual setup for 2 or 3 groups previously, so it’s easy enough for me to do.  Just need to find the time to speak with them…..aah, that’s the hard part.

 My daughter, Ashton was accepted to USC this weekend and we are over the moon!  We meet with another record producer in the morning about Ashton and her career…..wish us luck!

 Evan and Ashton will attend the Kids Choice Awards this Saturday because Evan’s on “Unfabulous.”  They should have a blast!  They get to go in a limo….etc.  etc.

 Removed the cast from the reviusion Rhinoplasty…..it looks amazing.  Patient is thrilled and so am I…..they’re off flying back home to another state.  Removed some stitches from one of the minilifts after I was done with the Lipo case.  She looks gorgeous and about 10 years younger…..

 A lady from another country that had consulted with me about 1 year ago came and had a surgery this afternoon under novacaine-like injections.  Quick and easy.