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Liposuction is a surgical technique that utilizes
small cannulas and a suction source to remove excess
fat via small access incisions. Liposuction obtains
the best results for persons who are at or near their
baseline or goal weight and have localized fullness.
Several methods of liposuction are available including
the Brazilian (syringe) technique, power assisted
liposuction (PAL), and ultrasonic assisted liposuction
(UAL). The most recent addition to UAL is the VASER
system. At the Center for Plastic Surgery all of these
methods are available. Each has certain advantages
and disadvantages. The choice of methods depends upon
patient desires and body characteristics.
In conjunction with the various methods the tumescent
technique is utilized. In this technique the areas
to be treated are first injected with a dilute solution
of local anesthetic and vasoconstrictor (reduces bleeding).
Potential advantages include less bleeding, less post-operative
pain, less bruising, and smoother results.
Operative Time – 30 min to
3 hours (depending upon areas to be treated)
Anesthesia - Usually local with IV
sedation or General Anesthesia optional
Recovery - Immediate return to non-
aerobic activities, one-two weeks for aerobic type activities
Risks - Infection, bleeding, irregularities,
and need for touch-up procedures have been reported.
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Abdominoplasty or Tummy tuck is indicated for patients
with loose skin, excess fat, and lax muscles. These
conditions most commonly present after childbirth.
Abdominoplasties remove excess skin and fat as well
as tighten lax muscles creating a more youthful and
firm abdomen. Although a relatively long scar results,
the scar can be placed low allowing for styles such
as hip-hugger pants/skirts and bikinis. If only slight
to moderate laxity is present, a mini Abdominoplasty,
which limits the length of the scar, may be indicated.
Operative Time – 1 1/2 to 3
hours
Anesthesia - Local with sedation
or General Anesthesia
Recovery - 2-3 weeks to resume moderate
physical activity
Risks - Infection, unsightly scarring,
fluid collections, navel irregularities, and the need
for revision can occur.
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Brachioplasty is indicated when there is both excess fat and skin in the upper arms. If the skin is toned and taught with only excess fat, liposuction alone is indicated.
Procedure - Although fat and skin can be directly excised from the upper arms, my preferred technique is to remove the excess fat by liposuction, then excise the excess skin. This method provides excellent contour and decreases complications such as sensory loss. Although relatively long, the scar lies in a relatively inconspicuous location on the inside of the arm.
Operative Time: 1 ½ to 2 hours
Anesthesia: Local with IV Sedation or general
Recovery: Limited activity of the arms 7-10 days, then gradual return to full activity.
Risks: Wide scars, decreased sensation, and contour irregularities have been reported.
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Fat transfer is a technique in which fat is transferred from an area of relative excess to an area of relative deficit. (See face, fat transfer). The most common areas of the body to transfer fat to are the buttocks and irregularities after liposuction. Occasionally, more than one treatment may be necessary.
Operative Time: 1 to 2 hours
Anesthesia: Local with IV Sedation, General optional
Recovery: 7 to 10 days
Risks: Contour irregularities and need for repeat procedures can occur.
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For women with problematic relatively large labial, labial reduction is beneficial. The procedure reduces the labia to a smaller more aesthetic appearance.
Operative Time: 30 to 45 minutes
Anesthesia: Local or local with sedation
Recovery: Limited walking for several days. Avoidance of aerobic activity for 2 weeks. No sexual activity (Intercourse) for 6 weeks
Risks: Although rare, bleeding and infection has been reported.
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Utilizing the ELOS system unsightly veins can be diminished and removed with no down time. Elos vein removal utilizes a unique combination of laser light and radiofrequency to safely ablate veins of various size.
Procedure Time: 15 to 60 minutes
Anesthesia: Topical cream
Recovery: No down time
Risks: Complications are extremely rare although superficial blistering, hypopigmentation (light color), hyperpigmentation (dark color), and scaring have been reported.


Welcome
to The Center for Plastic Surgery, P.C. At the Center
for Plastic Surgery we specialize in comprehensive
cosmetic care for women. Our services include non-invasive,
minimally invasive and classic procedures. Gregory
Bland, M.D., a third generation Colorado Springs
native, California trained Plastic Surgeon, Medical
Director and President states “To strive for
perfection is our standard. Having trained in California,
we offer California style services and expertise
right here in Colorado Springs!”
