New Jersey Liposuction specialist , Dr Michael Macri, performs all methods of Liposuction in New Jersey including conventional, Laser Liposuction, Smart Lipo, Vaser Liposuction, Ultrasonic Liposuction and Power Assisted Liposuction.
Dr. Macri’s Philosophy on Liposuction
It is important to note that not everybody is a good candidate for liposuction. It is not about being fat or overweight. Simply put, as I always say, “Liposuction is all about balancing a person’s proportions and removing genetically disproportionate areas of fat storage. It is a technique to reduce areas of fatty tissue that cannot be reduced by diet and exercise.”
A good candidate for liposuction is someone who is disproportionate, but not necessarily overweight. For example, a patient who is thin may be an excellent candidate if he/she is disproportionate. If an individual diets, exercises, and has stubborn areas that do not go away – say the love handles, the thighs or abdomen area – it is likely that they have excess fatty tissue in these areas that can only be removed with liposuction. Some of the best candidates for liposuction can be thin but disproportionate; many times this is due to genetics.
However, patients seek liposuction because they have a combination of being a little overweight and disproportionate in certain areas. I believe it is not always necessary to lose the extra weight first. However, when I perform liposuction on this type of patient, it is imperative to critically determine where they are out of proportion. I then only target those areas, so as to balance their proportion. It is then up to the patient to diet and exercise to lose the extra weight. Many times the rapid results from the liposuction of the stubborn disproportionate areas are a motivational factor for the patient to eliminate the rest of the weight.
Liposuction in New Jersey
Some people may notice that even with strict dieting and targeted workouts, stubborn fat still persists on certain parts of the body. Thousands of crunches do nothing to eliminate the pouch. Squats and lunges leave you sore, but those saddlebags just won’t go away. Push-ups only seem to accentuate the flab of the arm. So what is one to do?
You don’t have to settle. Liposuction surgery has becoming an increasingly common procedure to help restore proportion and remove fat that throws off an otherwise balanced body. Liposuction surgery can treat trouble areas like the hips, thighs, arms, abdomen, back, flanks, neck, chest, and chin. In one surgery, the doctor may be able to treat two or three areas. In addition, the recovery time for liposuction is short and painless; patients are often able to resume daily activity within a matter of days.
Liposuction is not about aggressive fat removal. Rather, liposuction is a technique to improve the proportionality of the body. If too much fat is removed, it can distort the body, not to mention that replacing fat is extremely difficult. An experienced surgeon will remove enough fat to create proportionality and smooth the figure out. A skilled, professional surgeon can help slim your hips and improve your body’s overall proportion. You never have to worry about how you’ll look in jeans and tops again!
Liposuction is the most common office-based cosmetic surgical procedure. The reason is simple: The results tend to be excellent, and many of us have body areas which we wish were thinner. Dr. Macri a Liposuction expert in New Jersey, combines state-of-the-art equipment, specialized staff training, and advanced technology to create the best possible liposuction results and customized recovery programs.
During the Liposuction procedure, fluid is injected into the fat. This allows for easier sculpting of the tissues, and also introduces anesthetic and a medicine to constrict blood vessels to minimize bleeding. This technique is called tumescent liposuction.
Tumescent liposuction is becoming the increasingly popular variation of liposuction surgery. It uses a diluted version of a local anesthetic to minimize patient pain. Unlike general anesthesia, the patient is awake and mobile during the surgery. Most patients report feeling only a slight discomfort or pinching during the procedure. Using the local anesthesia reduces the risk of blood clotting that general anesthesia has.
In addition, the recovery time with tumescent liposuction is considerably shorter — just 24 to 48 hours long. Most patients are back to work and exercise within a couple of days. Tumescent liposuction is minimally invasive and actually improves the quality of the surgery. After the anesthesia is administered, the surgeon will make several small incisions around the treated area and insert the cannula. The cannula is a cylindrical tube that melts, breaks up, and removes fat. The size of the cannula depends on the area treated and how much fat needs to be removed. Because the patient is awake and mobile, Dr. Macri, a Liposuction specialist, can feel the muscle and skin layers more accurately, which increases smoothness and evenness. In addition, Dr. Macri will have better access to the body because the patient is easier to move. This also promotes evenness.
During tumescent liposuction, the patient is awake and moving around, allowing Dr. Macri better access to localized areas. Additionally, normal blood flow resumes, allowing for a quicker healing process. The small incisions themselves also heal quickly and imperceptibly since the suction tubes and cannulas used in the surgery are small. In addition, there is less blood and fluid loss with tumescent liposuction. After tumescent liposuction, the patient will still be asked to wear compression garments, which promote healing.
Although patients will not see full results for up to six months, there is limited initial swelling and bruising, which means the patient can resume normal activities rather quickly. If considering liposuction surgery, tumescent liposuction offers numerous benefits, including increased safety, a shorter recovery period, and better results.
This is a far safer technique, with no deaths or major complications reported in the hundreds of thousands of patients over the many years that have had the procedure done. Fat is removed with far less bleeding, leading to superior results, less bruising, and faster healing. Patients are able to walk immediately after the procedure and typically return to work in two days.
- Extremely safe with no deaths and far fewer complications than general anesthesia when strict tumescent guidelines are followed. (Fat removal is limited to four liters and the amount of local anesthesia and fluid used are limited).
- Faster healing with decreased bleeding and bruising. Patients are able to return to work in two days.
- Patients are not limited to strict bed rest after surgery, which reduces the risk of clot formation in legs. The doctors encourage patients to take a one to two mile walk the next day and return to work in two days.
- More pure fat removal with less bruising, leading to better results.
- Patient being awake and able to move in certain positions allows surgeon to more efficiently get to fat at correct angles. Additionally, patient movement during surgery reduces the risk of clot formation.
Liposuction was first developed in the late 1970′s to remove undesired fat from nearly all body areas, including the face, neck, chin, breast, abdomen, hips, flanks, (love handles), inner and outer thighs, buttocks, knees, and ankles. Developed by dermatologic surgeons in the 1980′s, a major advancement called the tumescent technique of liposuction completely revolutionized the procedure. The use of tumescent liposuction allows dermatologic surgeons to safely and effectively remove deep and superficial layers of fat under local anesthesia with relatively little discomfort, virtually no complications, and improved cosmetic results.
Your Patient Experience
A patient is first given a complimentary consultation with Dr. Macri to see if he/she is a good candidate for the surgery. During the consultation, he describes the procedure and the results that should be realistically expected. Dr. Macri personally evaluates each patient from head to toe, and shares his expert opinion on stubborn, fatty areas that may be removed from his/her body by liposuction. A quote is then given for the procedure.
Dr. Macri will individualize an approach based on your needs. Some of these techniques include microliposuction, tumescent liposuction, ultrasound assisted-liposuction, and power-assisted liposuction. Laser Liposuction/Liposuction has the additional benefit of adding skin tightening to the removal of fat.
Dr. Macri will customize your liposuction procedure so you will achieve the best results and look your very best. To that end, we provide you with a comprehensive consultation prior to your procedure:
- Dr. Macri will examine you and discuss recommendations for the type of liposuction procedure and recovery program to yield the best results
- The Liposuction procedure will be performed using tumescent lidocaine (local anesthesia) under the direct care of Dr. Macri and his registered nurse
- Most patients have very little pain following the surgery because we administer long-acting local anesthetic as part of the procedure
- Most patients return to work about 2-3 days following the Liposuction procedure
A complete medical history is taken and a careful examination is conducted in order to evaluate the patient’s condition. Photographs are frequently taken before and after surgery to help evaluate the amount of improvement. Paperwork, including consents, is completed. Patients are prescribed an antibiotic prior to the surgery. Finally, any questions and concerns are addressed by Dr. Macri.
Most surgeries are between 45 minutes and 2½ hours. Dr. Macri and his staff create a soothing atmosphere for his patients where quiet, relaxing music is being played in the background.
On the day of the surgery, valium or ativan is given to patients as a means for relaxation. Dr.Macri marks all areas, and photos are taken of the patient’s body. Incisions also called access points are numbed using a tiny needle with local anesthesia; this takes about 1-2 minutes.
For the first 15-30 minutes, large volumes of a solution containing dilute lidocaine (a local anesthetic) and dilute epinephrine (a drug to shrink capillaries and prevent blood loss) are injected with minimal discomfort directly into key areas of excessive fatty deposits. A round-ended cannula is used for this injection and patients feel slight pinching during this process. This infiltration step, along with all other steps, is conducted solely by Dr. Macri.
Once the liquid is injected, a tube connected to a vacuum is inserted into the fatty layer. Using to and fro movements with the cannula, the fat is drawn through the tube into a collection system. Dr Macri also prefers to “crisscross” his passes with the cannula, creating a precise network of tunnels in the fat, ensuring a smooth natural-looking result. They are also moved to different positions to allow Dr. Macri to meticulously sculpt their stubborn, fatty areas.
Throughout the entire process, patients are fully awake and alert. Patients are fitted into garments and allowed to take a short rest in the recovery room. Then, they are escorted out of the center by a staff member.
Patients are allowed to return home as long as they are accompanied by a friend or family member. They can resume a normal diet and should continue to take their prescribed medications and antibiotics. Most patients are able to return to work in two days. The local anesthesia injected into the tissue remains for 13 to 24 hours following liposuction surgery. This greatly minimizes postoperative pain. After tumescent liposuction, patients are usually alert and able to function without nausea, grogginess, and the “washed out” feeling commonly associated with general anesthesia. With the tumescent technique, there is minimal bruising, and many patients do not require postoperative care for pain. Incision points are left open to drain, and most patients are completely drained of the local anesthesia within 12-48 hours. The faster the drainage of these liquids, the less bruising there will be on the patient’s body. Patients are able to shower the very next day, and Dr. Macri highly recommends that the patient walk the following day to promote faster healing. Surgery garments should be worn for 24 hours a day for 7-10 days, and 12 hours a day for the next 10 days. These garments will assist in healing.
Dr. Macri asks to see his patients 2-7 days after the surgery for a quick check-up on the incisions and the healing process. Most bruising diminishes after 3 weeks from the surgery and most patients start looking better than before their surgeries. After 1 month and 3 months patients return to the office to have their post-op photos taken. At this point, patients would have achieved 75-80% of their final results.