Advanced Cosmetic Surgery Forum Los Angles

LARGE VOLUME LIPOSUCTION LOS ANGELES

2009-10-29T15:44:00.000-07:00

This is the result of megaliposuction or large volume liposuction in our Los Angeles surgical center. There was absolutely no cutting of skin, and no tummy tuck or abdominoplasty. The patient went home at the end of her procedure and was observed by her family members. She lost 4 dress sizes. It was one procedure, the top photo was "before" and the bottom photo was "after". See the articles below for more detail about how this procedure was performed.

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, Visalia, Northridge, and Westlake Village, and Simi Valley to have their appearance improved with our special surgical technique. Our Cosmetic Surgery center in Pasadena, California specializes primarily in Los Angeles cosmetic surgery including breast augmentation Los Angeles, Los Angeles liposuction , tummy tuck surgery in Los Angeles, cosmetic facelifts, forehead lift, Chin and jowl liposuction, Eyelid Surgery and other body contouring procedures. The center is lead by expert Los Angeles Cosmetic Surgeon Dr. Yoho, who has passed the Boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options for his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills.

LOS ANGELES/PASADENA BUTTOCK FAT TRANSPLANT

2009-10-28T18:09:00.000-07:00

More and more patients are opting for buttocks fat transplant when they have their liposuction procedure and we almost make it a routine to perform buttocks fat transplant if the person is dissatisfied with their buttock size. In particular, Asians and Latinas often get a great improvement from this procedure. If the weight returns a bit after the liposuction, often buttocks and breasts benefit the most and a sexier figure results. We can make an effort to choose just the right amount of fat for each person’s buttocks. If too much fat is transplanted infections and other problems can result, and if too little fat is transplanted not enough improvement will result. Please call for a complimentary consultation for our Los Angeles, Visalia, or Fresno area cosmetic surgery offices in order to determine if you are a good candidate for this procedure.

Dr. Yoho Office In Pasadena, California specializes primarily in Cosmetic Surgery Pasadena including breast augmentation, Los Angeles liposuction, Los Angeles tummy tuck, cosmetic Los Angeles facelifts, forehead lift eyelid surgery Los Angeles, Chin and jowl liposuction Los Angeles, and other body contouring procedures. The center is lead by expert Los Angeles Cosmetic Surgeon Dr. Yoho, who has passed the Boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options for his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills. Also serving Fresno and Bakersfield cosmetic surgery
with our office in Visalia.

MEGA LIPOSUCTION OR LARGE VOLUME LIPOSUCTION FOR LOS ANGELES

2009-10-27T11:58:00.000-07:00

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.

CALIFORNIA LIPOSUCTION LEGAL STANDARDS

2009-06-25T09:30:00.000-07:00

The law regarding liposuction standards in California is clear. I was involved in developing these standards. I testified several times before the California Medical Board and supplied them with materials and documentation to aid them in their decision-making process. I believe that these rules are important and necessary for safety. I want to make several points.
1) If you are seeing someone who does not start an intravenous line, they are violating the surgeon’s “standard of care” and also California law.
2) The other requirements include blood oxygen and blood pressure monitoring, which are simple, modern devices to see how well you are breathing and how well your heart is working.
3) Modern liposuction is a very, very safe procedure in experienced hands. However, there are risks and if you find someone who says that it is risk free, you should look elsewhere. Surgical complications such as infection are unlikely but possible.
4) If your surgeon uses no relaxation medicines at all, some sort of liposuction may be performed and the risks may be lower. However, like anything in life, there are trade-offs, in other words you have to accept possibly a lower standard of results—in particular less fat removal--in exchange for not going to sleep. Additionally, we have found that many of our patients find the option of having nothing but local anesthetic frightening and sometimes quite uncomfortable. This is not to say that I approve of general anesthesia for liposuction, I don’t. I think this compounds the risk.
5) For individuals who need significant amounts of fat removed, California law requires a certified surgical center, such as a hospital would have. Ask to see the certificate if this is the case.

Dr. Yoho has patients come from Glendale, Burbank,Pasadena, Los Angeles, Encino, Huntington Park, Studio City,Arcadia, Montrose, Hollywood, La Crescenta, La CanadaFlintridge, Valencia, Monrovia, Eagle Rock, Altadena, SanMarino, Sherman Oaks, Thousand Oaks, North Hollywood,Long Beach, Beverly Hills, Van Nuys, Santa Monica,Calabasas, Palmdale, Fresno, Visalia, Northridge, and WestlakeVillage, and Simi Valley to have their appearance improved with our special surgical technique.

Our Cosmetic Surgery center in Pasadena, California specializes primarily in Cosmetic Surgery including breast augmentation, liposuction, tummy tuck,cosmetic facelifts, forehead lift, Chin and jowl liposuction,Eyelid Surgery and other body contouring procedures.The center is lead by expert Los Angeles Cosmetic Surgeon Dr. Yoho, who has passed the Boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options for his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills. Our offices in Palmdale and Visialia offer cosmetic surgery in Fresno
Bakersfield and the Lancaster, Valencia California areas.

Traditional Breast Lifts/reduction versus the new “Vertical Mastopexy/Ice Cream Cone” Breast Lift (with or without implant or reduction)

2009-05-13T16:35:00.000-07:00

This is the Sentinel in Yosemite National Park (nothing to do with Los Angeles Cosmetic Surgery).

When you are unhappy with your breasts, there may be three reasons:
1) volume
2) shape
3) positioning

Positioning really refers to how saggy the breasts are. If your only concern is volume, and you don’t have a problem with the shape or positioning or , breast liposuction or an implant may be the best choice. Most patients can achieve a one to two cup size reduction with liposuction, and a 1 to 2 inch nipple elevation with liposuction alone.

If you are concerned with the shape but you generally like the size of your breasts, then the “Ice Cream Cone/Vertical Mastopexy” may be the procedure of choice for you. This procedure can provide a volume reduction if necessary but it’s primary function is to shape the breast and re-position the nipple areolar area. If for some reason after this procedudre, you decide you want a bit more volume, it’s not a problem to place an implant 4 to 6 months later. About 50 per cent of patients choose to put an implant and 50 per cent are happy with the lift only without implant.

Note that the traditional “anchor” scar procedure is generally regarded as not as satisfactory as the vertical mastopexy. This older procedure needs a scar all around the bottom of your breasts plus a scar up the middle plus a scar around the areola as well. It does not hold up as well as the vertical mastopexy, and tends to sag sooner. Also, the newer procedure needs only a scar down the middle of the front of the breast and around the areolae.

Remember whatever choice you make, if you need an implant, it’s always better to do this procedure in two surgeries. This is because if you have the implant put in and reduce the breast as well, the forces on the breast tend to pull the scars apart. When you do the lift first, then put the implant in later, the breast tissues hold up better and there’s less risk of sag and other unsatisfactory results. .

Note: Dr. Yoho does not usually perform the anchor-type scar procedure, the traditional breast lift. However photographs of the other procedure both with and without implants are available at my Los Angeles cosmetic surgeon website dryoho.com