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Liposuction for Body Contouring in the San Diego Area

Dr. Melanie Palm is a nationally recognized dermatologist and an expert in the use of liposuction for body sculpting and contouring (liposculpture). Her offices are located in Solana Beach, CA just north of San Diego.

What are Dr. Palm's qualifications in Liposculpture?

Dr. Palm completed a cosmetic surgery fellowship through the American Academy of Cosmetic Surgery that included a strong foundation in liposuction. Dr. Palm completed additional training focusing purely on tumescent liposculpture. Dr. Palm is an author for a review article on liposuction technology and has published two book chapters on body contouring. She lectures nationally as invited faculty at dermatology and cosmetic surgery meetings on her published research in regard to laser-assisted liposuction and body contouring.

Liposculpture FAQ

Liposculpture is a means of using liposuction for body sculpting. The process accomplishes volume reduction in areas of fat deposition resistant to diet and exercise and is used to re-contour various areas of the body. A good candidate for this procedure is healthy, near his or her ideal body weight, with discrete areas of unwanted fat.

Many areas of the body, and even face, can be improved with liposculpture. The upper and lower abdomen, back, arms, hips (“saddlebags”), flanks (“muffin top”), inner and outer thighs, knees, calves and ankles all can be successfully treated with body sculpting. The neck area yields excellent results in correctly chosen candidates, redefining the chin and jawline. The jowls in select patients may also benefit from very small areas of the procedure.

The procedure itself takes between 1-3 hours depending on how many areas are being treated. After numbing is completed in the treatment area, fat is removed using micro-cannulas – very small instruments that extract fat using vacuum pressure. The cannulas are introduced into the fat compartment using several very small, 3 mm incisions called adits. These sites heal extremely well, becoming imperceptible scars within around 3-6 months.

Liposculpture is completed with only a local anesthetic, and if needed, an oral anti-anxiety or calming medication. Large volumes of dilute numbing medicine (lidocaine) are delivered to the areas to be treated using a few injection points. This provides complete local anesthesia, making the procedure virtually painless. The numbing medicine also provides comfort and pain control for around a day following treatment.

Yes. Liposculpture using the pure, tumescent anesthesia technique has been used with an outstanding record of safety for over 30 years. No patient deaths have occurred using purely tumescent anesthesia for liposculpture. Patients are awake and comfortable during procedure. Unlike the tumescent technique, general anesthesia can increase the risk of complications or death during surgery. Tumescent anesthesia removes the need for moderate sedation or general anesthesia.

Yes. The procedure can be combined with laser technologies (laser-assisted lipolysis, CoolLipo™ or Accusculpt) to increase the degree of skin contraction in areas such as the abdomen, arms, or neck. Areas of fat that are fibrous or tough such as the back or flanks sometimes respond more easily to fat removal if laser liposuction is used first in the treatment area prior to fat extraction. This procedure is an excellent time to harvest fat to replace volume loss in other areas of the body or the face. Fat transfer can correct facial volume loss or used to correct skin irregularities or depressions from prior liposuction or long-standing scars.

Patients recover quickly following their procedure with tumescent anesthesia. Patients walk out of the clinic following the procedure. Compression garments are usually worn in place for at least 1 week. Soreness, similar to an intense aerobic workout or weight training, is normal and lasts several days. This level of discomfort is successfully treated with extra-strength acetaminophen (Tylenol®).

Laser energy may be used alone or in combination with traditional lipo to aid in the removal of unwanted fat. Laser liposuction, including Accusculpt, help to melt fat. This increases the ease of removal and is useful in areas of fibrotic tissue (flanks, back) or prior liposuction. Recovery following laser-assisted lipolysis is similar to that of liposculpture.

If you are looking for the liposculpture expert in the San Diego area to contour your body using liposuction, call Dr. Melanie Palm at 858.792.SKIN (7546) to schedule your appointment.

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