Liposuction has been traditionally felt to be not for weight loss and primarily for sculpting. However, as surgeons became more familiar with the liposuction abilities of the newer techniques, we realized that larger and larger volumes could be safely removed. Now, there are outdated recommendations from several sources that recommend only 5 liters or 5 quarts of fat be removed at any setting. Dr. Yoho has had a lot of experience with large volume or mega liposuction and believes that in experienced hands using the proper techniques much more fat can be safely removed. He does this on a regular basis.
The traditional thinking has been that hospitalization and general anesthetic was a necessary part of large volume liposuction. In fact, these two factors present separate risks and should probably not be considered the best practice for large volume liposuction.
Hospitalization in fact, produces risk of infection that is higher than outpatient clinics, where the surgery performed is generally on completely “clean” cases. Cases such as abscess drainage, infection treatment, and colonoscopies are not seen in these surgical centers. The hospital environment on the other hand, has a lot of bacteria and infections caused by hospital-based bacteria. These may be very strong bacteria and infection with these are not uncommon when a patient has surgery performed in a hospital. The old theory is that large volume liposuction is dangerous enough that the hospital resources might be necessary to help a person stay healthy. However if performed properly, Los Angeles mega liposuction is not as risky if the surgeon is experienced. The other idea, that general anesthetic produces a safer and more predictable surgical result, is completely wrong. With general anesthetic, blood that would be flowing through the veins tends to stay there, because the veins themselves are relaxed and therefore the chances for complication such as blood clots in the lungs and veins of the legs are much increased. General anesthesia entails taking a lot of responsibility for a patient’s well being that isn’t necessary for liposuction.
In fact, Dr. Yoho’s ideas about Los Angeles large volume or “mega” liposuction are almost the exact opposite of what these older recommendations are. He believes that the anesthetic should be kept as light as possible, although some anesthetic is generally necessary for large volume liposuction. He uses only a single anesthetic medication given intravenously whereas the average general anesthesia done by anesthesia provider uses approximately 10 medications. Nausea and vomiting are common occurrences with these types of anesthetics, particularly for longer cases. In Dr. Yoho’s hands, nausea and vomiting are almost never seen.
The additional safety factor for Dr. Yoho’s cases is large volume placement of the very dilute local anesthetic salt-water combination. In other words, this medication is not put into the veins, but into the fat. The less amount of active ingredient in the sterile salt water, the lower the chance of problems and Dr. Yoho’s combination is safe yet very effective quantity of local anesthetic per quart or liter of local anesthetic placed in the tissues. Up to 8 to 10 quarts of local anesthetic are frequently used into the fat for larger volume (and larger patients!) in Dr. Yoho’s office, and up to 10 to 15 to even a few more liters or quarts of fat/local anesthetic fluid removal are performed for select individuals.
Dr. Yoho has patients come from Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley to have their “man boobs” or gynecomastia improved with our special surgical technique.
Our Cosmetic Surgery center in Pasadena, California specializes primarily in Cosmetic Surgery Los Angeles including breast augmentation Los Angeles, Los Angeles liposuction, tummy tuck Los Angeles, cosmetic facelifts, Forehead Lift, Chin and jowl liposuction, Eyelid Surgery Los Angeles and other body contouring procedures. The center led by an expert Los Angeles Cosmetic Surgeon. Dr. Yoho has passed the boards in Cosmetic Surgeryand is dedicated to providing high quality yet affordable cosmetic surgery options to his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills.
