Beverly Hills Liposuction Specialist | Beverly Hills Liposuction Surgeon | Beverly Hills Liposuction Surgery

436 N, Roxbury Drive, Suite 117, Beverly Hills, CA 90210


Q. Who can benefit from liposuction?
Men and women of normal weight and in good health who have firm, elastic skin, but have stubborn pockets of excess fat in certain parts of their body: buttocks, abdomen, flanks ("love handles"), thighs, hips ("saddlebags"), upper arms, knees, breasts, chin ("double chins"), neck, cheeks, etc.

The patient's age is not usually a factor, but it may not be suitable for older men or women whose skin is not elastic. Nor is it recommended for young children, anyone with such problems as diabetes, serious heart or lung disease, or poor circulation, or those who have recently had other surgery near the problem area.

Q. What, exactly, is liposuction?
"Lipo", according to the dictionary, is "a combining form meaning 'fat'" and "suction", of course, is "the act, process, or condition of sucking". Just as its name indicates, liposuction is used to literally suck unwanted fat out of a designated area of the body.

Earlier forms of liposuction-also called lipoplasty or suction lipectomy- have evolved into today's refinements: ultrasound-assisted lipoplasty (UAL), power-assisted liposuction (PAL), the tumescent technique, and the super-wet technique, among others. During a confidential consultation with Dr. Kapoor, you will be advised as to which technique, if any, is best for you-depending on the location of the excess fat, the effectiveness of liposuction, its cost, its safety, and the likelihood of complications. If your excess fat is in your abdomen, you may be advised to have an abdominoplasty instead. Or perhaps a combination of traditional liposuction and UAL would be best.

Q. What takes place before surgery?
During your initial consultation in his Beverly Hills office, Dr. Kapoor will evaluate your health and skin condition, determine exactly where the unwanted fat deposits are, and-based on his years of training and experience in cosmetic surgery-select the body-contouring method that's most appropriate and explain to you how it works. This is the time to frankly discuss your expectations, and for Dr. Kapoor to describe the procedure in detail and point out its limitations and risks.

Once you agree on a date, time, and place for the operation (procedures are done at accredited surgery centers in the Beverly Hills area), you will be given instructions on how to prepare for it. Included are guidelines on eating and drinking, smoking, and whether or not you should take or avoid vitamins, iron tablets and certain medications in the days or weeks before surgery. Your procedure may have to be postponed should you develop a cold or infection, especially a skin infection. On the day of your surgery, you should have someone drive you home afterwards, and perhaps be available in your home for a day or two should there be complications.

Q. Where will the surgery take place?
As noted, liposuction can be performed at one of several accredited surgery centers in Beverly Hills. However, when major liposuction to remove a large volume of fat is performed we typically recommend an overnight stay in a local aftercare facility with a private nurse to make your recovery as comfortable and safe as possible. Of course, if liposuction is to be performed along with some other surgical procedure, it may take place in a hospital. Dr. Kapoor has operating privileges at several hospitals in Los Angeles, including Cedars Sinai Medical Center and Olympia Midway Hospital.

Q. What's the first step?
Minor liposuction, with only a small amount of fat to be removed from just one or a few body sites, a local anesthesia (numbing only the affected are) is usually administered. On request, there can also be intravenous sedation to help you relax. For a more extensive procedure, regional anesthesia (e.g., an epidural block) or general anesthesia is administered.

What happens next?
After you're sedated, a tiny incision is made in the designated area of the body. Then a narrow tube, called a cannula, is inserted in order to vacuum out the layer of fat that lies deep beneath the skin. As the cannula is pushed and then pulled through this layer, it breaks up the fat cells and suctions them out, using a special vacuum pump and/or surgical syringe. As he proceeds with his work, Dr. Kapoor endeavors to keep the incision as small and as inconspicuous as possible.

Because vital fluid, as well as fat, is suctioned out, it's necessary to replace it during surgery, to prevent shock. Surgical nurses carefully monitor the procedure and intravenous fluids are administered during and after surgery. Depending on the amount of fat removed and the size of the area, this procedure usually takes from one to three hours.

Q. Are all liposuction procedures the same?
No. The procedure described above is the basic technique, but there may also be an enhancement or refinement. For example, with fluid injection, a medicated solution is injected into fatty areas before the cannula is inserted. This solution-a careful mixture of lidocaine (a local anesthetic), epinephrine (a drug used to contract blood vessels), and an intraveneous salt solution-facilitates the removal of fat cells. It also helps reduce blood loss, helps reduce bruising after surgery, and provides anesthesia both during and after surgery.

Another technique is tumescent liposuction, typically performed under a local anesthetic. During this type of procedure, large volumes of fluid (including an anesthetic) are injected into the fatty area. Usually, the volume of fluid injected is two or three times the volume of fat to be removed. It's called tumescent (swollen) because that's what the fatty tissues become when filled with the solution.

Similar to the above, but using smaller amounts of fluid (about the same amount as the amount of fat to be removed), is the super-wet technique. This one- or two-hour procedure often requires IV sedation or general anesthesia.

Ultrasound-assisted lipoplasty (UAL) requires a special cannula that delivers ultrasonic energy to the designated areas of fat. This energy literally (but safely) explodes the walls of the fat cells, transforming the fat into a liquid, which is then easily removed via the traditional suctioning. UAL takes longer than the basic technique, but it's especially effective in fibrous areas (e.g., the upper back or the enlarged male breast) and in secondary procedures requiring extra precision.

Q. What are the risks?
Every type of surgery involves risk, and liposuction is no exception. That's why the surgeon's training and experience are so important, and why patients can feel safe and confident when Dr. Kapoor is their plastic surgeon.

Still, it's important to keep in mind that, even with a highly skilled surgeon and staff operating with the utmost care in a state-of-the-art surgical facility, there can be no guarantees. On rare occasions, complications may occur. Among the potential hazards are infection, delays in healing, the formation of blood clots or fat clots (which may migrate to the lungs and prove fatal), excessive loss of fluid (leading to shock or fluid accumulation that requires draining), friction burns or other skin damage, unfavorable drug reactions (e.g., lidocaine toxicity), collection of fluid in the lungs (if too much is administered) perforation injury to the skin or nerves, heat damage from the UAL technique, numbness, or pigmentation change.

Even so, liposuction has been performed successfully far more often than not, and its popularity increases every year.

Q. What happens after surgery?
You will probably have some fluid damage from the incisions, and a small drainage tube may be inserted beneath the skin for a few days to prevent a build-up of fluid. Also, you may be fitted with a snug elastic garment to wear over the treated area for several weeks. This is to control swelling and help your skin adjust to its new, slimmer contours. The scars from liposuction are generally small and hidden from view. Sometimes, additional minor surgery may be recommended if the skin surface is irregular, asymmetric, or "baggy" (more common with older patients).

Healing will take time, so don't expect to feel marvelous right away. Medications will be prescribed to control pain, and you may experience burning, swelling, itching, bleeding and/or temporary numbness. Your stitches will be removed or will automatically dissolve within the first week or two, but avoid strenuous activity for at least a month as your body continues healing. Most of the bruising and swelling should disappear within three weeks, though some swelling may linger for six months or so.

Expect to see a significant improvement in your body contour in about four to six weeks, with the final contour visible after about three months.

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Dr Kapoor's office staff is friendly, caring and knowledgeable. Like Dr. Kapoor, they are committed to making your aesthetic surgery experience a positive one. As a group, they have over 25 years of experience in the field of Plastic Surgery.
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