Pittsburgh Liposuction – Water Jet Liposuction, Aquajet Liposuction, Vibroliposuction, Tickle Lipo
If you have a localized accumulation of fat that won’t seem to disappear, consider liposuction.
Since 1980, liposuction or fat extraction has had many advances making it more effective, safe and affordable. Liposuction is one of the most popular cosmetic procedures performed used to contour and enhance body shapes. Here at Advanced Liposuction Center we respect safety and are committed to safety as our top priority. Our proven record shows top quality safety precautions with many techniques such as Aqua Lipo and Vibroliposuction.
These innovative liposuction techniques have been used in thousands of procedures and presented at more than 100 scientific sessions worldwide. Both procedures are FDA-approved.
Due to advanced minimally invasive and non-traumatic techniques, general anesthesia is not necessary. The Vibro liposuction and Water Jet Liposuction (Aqua Lipo) eliminate fat without destroying surrounding tissues, providing attractive skin tightening results. When fat is broken down, Dr. Giraldo can efficiently and quickly perform the surgery.
Water Assisted Liposuction is the most innovative procedure that provides patients with a smooth, sculpted body. This technique provides less nerve damage and tissue trauma as opposed to other methods because the AquaLipo’s lidocaine fluid structure removes the fat more precisely and gently. AquaLipo can also be conducted more quickly than other methods because it does not require general anesthesia and tumescent injections. Body-Jet Liposuction is performed with local anesthesia and only causes minor swelling and bruising while providing a quick recovery time.
Like most liposuction techniques, the AquaLipo uses fluid tumescent injections and cannula tubes prior to and during the procedure. However, unlike other techniques where anesthesia is administered pre-surgery, AquaLipo disperses the anesthesia throughout the procedure.
AquaLipo uses a special lidocaine solution to permeate the fat using cannula tubes. The outer cannula tube suctions fat cells and fluid while the inner cannula tube disperses the lidocaine fluid. The lidocaine/water solution uses a jet stream during surgery in order to break up fat tissue and anesthetize the body for simple removal.
- Allows for more precise body sculpting
- Less swelling and bruising than other methods
- Performed with local anesthesia
- Low risk
- Minimal downtime
- Less damage to surrounding body areas
- Liposuction Consult
Meet our surgeon prior to your procedure in a free consult. Patient history will be checked for pre-existing conditions such as diabetes, heart condition, blood clots, pregnancy, cancer, high blood pressure, previous hernia surgeries, etc. These conditions may be contraindications for surgery. If additional testing is needed, we would be able to confirm this at a later date. If a patient has a history of breast cancer in the family, then they are not a candidate for fat-transfer to the breasts. We will discuss the procedure and answer all of your questions. We will take measurements of waist, hips (at widest point), under bust (2” below bra), mid-thigh or other areas that may be considered. Patients must schedule a pre-op visit no more than 30 days prior to surgery to have a history and physical. A patient will fill out appropriate paperwork/consent forms. You must provide mammogram results that are no older than 12 months. If not available, then the patient must get a mammogram at least 1 month before surgery.
The procedure takes approximately 3 hours per area. This time includes taking measurements and outlining the area of treatment. Then, small 3mm incisions will be made and a solution known as tumescent fluid will be injected using the tip of the cannula. This will numb the outlined area so the cannula can be turned on with minimal pain. This FDA-approved procedure removes the fat cells, and the vibrations help to safely remove large amounts of fat from all areas of the body.
The numbing tumescent fluid will last several hours after the procedure. However, if pain and discomfort is too intense you may be prescribed painkillers. It’s best if you return to daily activities the next day, such as walking, to assist in your body’s natural healing process. However, avoid intense exercise for 6 weeks after the procedure. Recovery time is faster with Vibroliposuction because the skin reacts with a progressive tightening that further contours the new body core. This phenomenon is caused by the vibrating cannula against the dermis that triggers healing signals to recruit collagen-producing cells. You will continue seeing improvements and better contouring up to 12 months after the surgery.
Fat Transfer is an Option for water jet liposuction & Aquajet Liposuction Patients
Patients who undergo liposuction may consider using their harvested fat cells to illuminate another body area such as breasts, buttocks, hands or face. Visit the Fat Transfer page for more information.
1 Your doctor’s office will always give you a sheet of post-treatment instructions. For best results, these instructions should be followed to the letter, especially regarding the use of a compression garment and temporary activity restrictions.
There are also safety considerations. Although liposuction is highly non-invasive and regarded as safe, it’s still a surgical procedure. Care must be taken to avoid infection, and self-monitoring for any signs of complications is a must.
If you’ve got questions, be sure to ask them before your surgery. Also, don’t hesitate to contact your surgeon’s office if you’ve got questions about your aftercare in the weeks following your procedure. That’s what they’re there for, and a well trained staff can answer your questions as well as determine if a potential issue might require you to come in for another office visit.
You’ll need a driver, and hopefully this person can stay with you for the next 48 hours of your initial recovery. It’s a good idea that this caretaker is also aware of post care instructions which they’ll probably be helping you with soon.
2 Schedule enough recovery time. You’ll need several days of rest, and realistically won’t be able to work for at least 3 days, sometimes up to 7 if the procedure was lengthy and lots of fat was removed. While scheduling this much time away from the workplace is tough for some people, it’s highly recommended that patients spend at least the first 3 days following their procedure doing nothing more strenuous than taking brief walks, eating, staying hydrated, napping, and watching TV and other passive activities.
The length of your recovery period is directly proportional to your overall health and healing speed as well as the amount of fat which was removed. In general, the more work that was done the longer you’ll want to allow for recovery.
It helps to prepare things at home before you go in for your procedure. Take care of all strenuous tasks beforehand, make sure you have plenty of nutritious things to eat and drink, and make sure you’ve got plenty of non-demanding “time killer” activities planned. It also pays to have several compression garments ready to wear: the first 3 days immediately after your procedure isn’t a good time to worry about laundry.
3 You must wear compression garments
Compression garments are one of the most important parts of your self-care in the weeks following your procedure. This specialty elastic clothing keeps continuous pressure on the treated area, which helps stop excessive bleeding and swelling. It also holds your skin firmly against the underlying tissue to ensure proper healing. Most surgeons’ offices sell them at the time of the procedure, or they can be purchased at a durable medical equipment store or ordered online.
This step is essential to getting the best long term results. Think of it as helping your body mold to its new shape. You’ll want to buy or order areas designed specifically for the body part in question and make sure it’s sized correctly. If it’s too loose you won’t get enough compression, and if it’s too tight you’ll get to much. In most cases you’ll have to wear both the actual dressings covering your incision sites as well as compression garments for the first 2 weeks, and the garments alone for the next several.
4 Take a course of antibiotics to avoid infection. Infection after a liposuction procedure is rare, but it can happen. This poses not only a health risk but can compromise results. This is why in the majority of cases surgeons simply avoid the problem by prescribing a short course of a broad spectrum antibiotic after your surgery. As with any other antibiotic prescription, once you start the course make sure you finish it: don’t stop halfway through even if you’re feeling good.
Most surgeons are in the habit of prescribing these prophylactic antibiotics, but a recent new study has been published which says this may not be necessary. Ultimately, more research is needed to settle the matter. Aside from antibiotics, you may have to take medications to prevent an outbreak if you have a history of herpes. During the first few weeks of healing, having an infection of any kind can jeopardise your final results--it’s better safe than sorry.
5 Use both prescription and over-the-counter medications to manage pain and swelling. There’s going to be some discomfort and swelling after your procedure. Heavy bruising and a tingling sensation are also common. Controlling these symptoms is important, not only for patient comfort but also to ensure you’re resting properly and that swelling is kept to an appropriate level: some swelling is a sign of a successful healing response, but too much can actually draw the process out.
Your doctor will probably give you a short course (2-3 days) of narcotic pain medication such as hydrocodone or oxycodone. As with antibiotics, take these exactly as prescribed. They’re meant to be taken at intervals to keep you level of pain at a low, steady level, avoiding “breakthrough” pain.
Over-the-counter medications will help with the less severe discomfort you’ll experience during the first weeks after your surgery. Tylenol (acetaminophen) will help with actual pain, but will do nothing to manage swelling. That’s why the Non-Steroidal Anti-Inflammatory drugs (NSAIDs) are recommended: these include simple aspirin, Motrin (ibuprofen), and the slightly stronger naproxen sodium (Aleve). These are available at all pharmacies.
6 Start walking as soon as you possibly can. This accomplishes two things. First, gentle movement aids in circulation, which speeds the healing process. Secondly, there’s always the risk of forming blood clots in your deep veins known as deep vein thrombi (DVTs). While these are very rare, they can become dislodged and end up in the lungs, which can be life threatening. By contracting the calves and large muscles of the thighs this risk is greatly reduced.
This being said, use common sense. Don’t overdo it--it’s advisable to avoid strenuous activities such as strength training and running for 1 month or more after your surgery, even if you’re feeling up for it. When in doubt contact your doctor’s office.
7 Take good care of your access incisions.are for your incision. As with many post-surgical wounds, your access sites may either be closed with sutures or adhesive dressings which pull the edges of the wounds together. Disolving sutures are often used, but many surgeons still favor the more traditional non-dissolving type. In the later case you’ll need to return to the office to have them removed.
Depending on the location of your liposuction, your surgeon may insert a drainage tube to prevent fluid buildup in the tissues beneath the skin. For the first two days after your procedure you won’t be allowed to shower. After this you can take quick showers, making sure to put a compression garment on immediately after you’re done. As with any other surgical wound, cleanliness is important. Be sure to change dressings daily and use an antibiotic ointment such as Neosporin if recommended.
8 Removing your sutures. As mentioned above, it might be necessary to return to your surgeon’s office for suture removal. Some sutures today are self-dissolving, but the majority aren’t. It’s important to let your doctor’s office do this instead of attempting it yourself. It’s a simple, quick process, but isn’t a good D.Y.I. (do it yourself) opportunity. Regarding your stitches, your doctor’s office will let you know when (or if) you have to return.
9 Monitor yourself for any complications. Modern liposuction techniques are exceptionally safe. However it’s important to remember that minimally invasive procedures are still surgeries, and that complications are always a possibility. While still uncommon, infection is the biggest concern, while some very rare complications can be life threatening. In all cases where you’re even the least bit concerned, call your doctor’s office and let them know what’s happening. Specifically, look for these signs and symptoms:
- A large increase in redness, swelling, or bruising.
- A significant increase in pain.
- Headache and / or nausea and vomiting.
- A high fever (greater than 100 d Fahrenheit).
- A discharge that’s yellowish or greenish, or one that has a bad odor.
- Excessive bleeding or bleeding that’s hard to stop.
- Loss of movement or altered sensation in the involved region or limb.
10 You’ll soon be able to enjoy the results. This may not occur immediately, so be patient. Many patients call their surgeon’s office with “I don’t think it worked” type complaints, only to be reassured that the final results often aren’t visible for weeks. This is mostly due to the presence of swelling, and it often takes the remaining fat in the area time to settle into its new position. Both of these reasons, especially the second, is why wearing your compression garment is a must. In a matter of 2-3 months, the vast majority of patients are fully enjoying the results of their investment. Here are some additional points to consider:
- Patients must arrange a family member or friend to drive them home after surgery. We recommend this person stays with the patient for 48 hours post surgery.
- Wear the compression garment for 2 days without removal. After 3 days, the garment can be removed and placed back on. Patients must wear the garment for 3 weeks.
- Patients may shower when they are comfortable. Baths should be avoided for 2 weeks. Hot tubs should be avoided until the incisions have closed.
- Keep treatment area as clean as possible to prevent infection.
- Patients should rest for the first 12 hours after surgery. Walking is encouraged immediately but strenuous exercise (lifting weights, aerobics, running) should be avoided for 6 weeks.
- Patients may be discolored and swollen, so it’s recommended to rest for at least 24 hours. Swelling can last up to 2¬4 weeks.
- If patients experience nausea, stick to dry crackers and carbonated sodas. If not, patients may start slowly with bland food and liquids. Drink plenty of water.
- Alcohol combined with medication is dangerous, so carefully follow instructions with your medication.
- Patients should not smoke for at least 14 days after surgery.
- In order to ensure best results, follow all instructions from the doctor and his staff and visit us for your postoperative appointment(s).
To get started on a path to a better you, schedule a free consultation at: 724-683-7581.