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Adam G. Tattlebaum M.D.

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By the time most patients come to my offices If you got to this page you probably already have an idea of what liposuction is, but on this page I hope to make it more clear, sort out the options and of course give you my personal approach.

What is liposuction?

Liposuction is suctioning out fat from underneath the skin using a device that looks like a metal straw. The straw is connected to a vacuum device. It is done through small incisions near the areas that concern you. Today all liposuction is done using the tumescent technique.

What is the tumescent technique?

Before we use the metal rod, called a cannula to perform liposuction, we fill the area with fluid. This is called tumescent fluid. The fluid contains local anesthesia for pain control, and epinephrine which constricts small blood vessels. There is always some bruising but epinephrine makes it less. By making the area bigger with fluid we have a larger target. The larger target tends to give more even results as the fat is removed. If we did not add fluid to the area before we start, the body would add its own fluid as a reaction to the liposuction. By adding fluid ahead the body keeps its own natural fluids and patients are more comfortable.chin. Other areas can be treated on a case by case basis. Remember the key to each of these areas being successfully treated is the quality of the skin.

Am I a candidate for liposuction?

The key to liposuction is how tight your skin is. If fat is removed from underneath good elastic skin the skin will shrink up nicely and the result will be better. If skin is loose and fat is removed the skin will become looser and the result more irregular. The paradox of liposuction is that is works best on the younger people because they have the best skin tone.

In consultation I pinch on my patients and evaluate their skin elasticity. Patients with good elasticity can have liposuction, patients with loose skin will do better with a skin tightening surgery. The hardest patients are patients in the middle. In this group of patients I tailor my liposuction. the goal is to take enough fat to make a difference but not so much that they become much looser. It is important to give realistic expectations.

Aren’t there different kinds of liposuction?

Yes, There are different tools, but the idea is the same. All Use the tumescent technique.

1) Standard liposuction— is a cannula that is manually run in and out of the body. I use this on rare occasions now.

2) Power assisted liposuction—. similar cannula to standard liposuction, but the handle causes the cannula to vibrate rapidly. I prefer this type of liposuction and use it frequently.

3) Ultrasonic liposuction- The cannula is different. It sends out hi frequency energy that disrupts the fat and surrounding tissue. I favor this in secondary liposuction where there is more scarring and more difficult to get through. It will often require the use of standard or power assisted liposuction to remove the disrupted tissue. Some claim that Ultrasonic can cause skin shrinkage. I think not. In fact going close to the skin can lead to significant problems.

4) Laser liposuction— sounds cool doesn’t it. Unfortunately the hype surrounding anything with the word laser attached often exceeds the reality. Like ultrasonic laser is a good tool, but essentially does the same thing using light rather than ultrasound.

A Word From The Doctor

Welcome to my new and updated website. I hope you find it not only better than my old one, but different from the many others you may be looking at.

As a Maryland plastic surgeon I worry that there is not only too much plastic surgery information on the internet to sort through, but that much of it is more hype than substance. I hope you will consider this new site a teaching tool. I have put it together in an effort to answer the most common things my patients want to know.

I hope as you read this site, you will have a sense of how I think cosmetically and how I have approached my patients. By no means is my way the only, but the thinking that I have used and honed over the past 18 years has served me well. I hope it will be of benefit to you.

Each patients results will be different depending upon their goals and starting situation, but I try to present here concepts that will be helpful in considering what is right for you.

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