By Scott White


Smartlipo (also called laser liposuction), is a procedure that is performed mainly for its cosmetic benefits. In a few cases however, the procedure may be used for weight loss. Potential candidates include persons with weight-related medical conditions such as high blood pressure, sleep apnea, diabetes and gastro-esophageal reflux disease. Before undergoing smartlipo Somerville residents need to ensure that they fully understand the procedure.

Smartlipo comprises two procedures performed in the same setting. One of them entails the removal of excessive fat in specific parts of the body such as the abdominal region, buttocks, the neck, thighs and the face. The second procedure is the tightening of areas from which fat has been removed. The end result is an increase in tautness and a more youthful appearance of the skin.

The preparation that is needed can be done in less than a day. The main components of this process are a clinical history and a physical examination conducted with your doctor. These are aimed at ruling out any medical conditions that have the potential of increasing the risks associated with the operation. If you are a smoker, for example, you will be required to stop the habit for some time. This is because tobacco smoke contains nicotine which interferes with wound healing.

The surgery can be performed in an office or a hospital. The type of anesthesia may be local, regional, local or general depending on the area that is being operated and its size. Small regions require local anesthesia while larger areas require that general anesthesia be used. When local and regional anesthesia are used, you may leave the hospital on the same day. As for general anesthesia, you will need to be observed for at least 24 hours.

The procedure is done to the two major layers of the skin: the epidermis and the dermis. The dermis is the deeper layer and overlies the subcutaneous tissues which usually contain fat deposits. At this level, the laser beam is used to cause liquefaction of fat into oils. The oils can then be suctioned and discarded. Connective tissue fibers are located in both layers. The laser is used to cause intentional injury so that newer fibers can grow.

Some areas of the body have very thin skin layers. In such areas, an alternative method is used. Instead of performing liposuction, the oils that are formed from liquefied fat are allowed to flow freely. Examples include some areas on the face and the neck. The skin is tightened after most of the fat has drained from the site.

Laser liposuction requires very small surgical incisions. What this means is that the resultant scars will be smaller than those that are seen with the open procedure. This is an important consideration if the procedure is being done on exposed parts of the body such as the face and the neck. Another benefit is that the risk of bleeding is reduced significantly because thermal energy causes coagulation as soon as a blood vessel is injured.

Laser liposuction can be performed in both men and women. The number of women having the procedure is a lot more than that of men but a general increase is being seen in both groups of clients. The main reasons behind this are the effectiveness of the procedure, fewer risks and a short recovery period. On average, patients can return to their daily routines in a day or two.




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