E. John Serrão, MD, FACOG, FAACS
Board Certified | Cosmetic Surgery
No Downtime. No General Anesthesia.
Questions you may have about Vaser LipoSelection

Liposuction is one of the most common procedures performed in our practice for both women and men. Despite extensive diet and exercise, many individuals find themselves with resistant areas of fat. Other patients undergo liposuction simply because they want to look better both in and out of their clothes. Yet others require removal of much larger volumes of fat as part of a staged body contouring procedure. All patients who undergo liposuction must be motivated to maintain their results through lifestyle modifications. 

People come in all different shapes and sizes. Every body type has areas that are predisposed to fat storage, and even with rigorous diet and exercise, those unwanted bulges often persist. With the new patented VASER Technology, there is now an efficient and precise method to rid yourself of those stubborn fat deposits to reveal a shapelier you.

During your consultation, Dr. Serrao will pay close attention to your overall body proportions. Diagrams are drawn to show the areas to be addressed and photographs are taken. Dr. Serrao will evaluate skin tone and elasticity, areas of cellulite, contours of underlying muscle, and bone structure to give you a realistic understanding of the results you can expect.

Orlando's Choice for Vaser LipoSelection
Orlando's Choice For
Vaser LipoSelectionSM
Common Questions Asked by Our LipoSelectionSM Patients

What is LipoSelectionSM only by VASER®?
LipoSelection only by VASER combines patented technologies with advanced surgical techniques to sculpt the body and remove unwanted fat deposits. The LipoSelection procedure uses ultrasonic energy to break up fat while leaving surrounding tissue - such as nerves, blood vessels, and connective tissue - relatively intact. By minimizing damage to other tissue, patients report highly satisfactory results, including smooth contours and low to minimal pain.

Why LipoSelectionSM? Is the procedure different than traditional liposuction?
LipoSelection only by VASER is a new and very different way to precisely and efficiently remove unwanted fat. An alternative to the harsh techniques of traditional liposuction, LipoSelection only by VASER uses state-of-the-art ultrasound technology to reshape your body. Only the LipoSelection procedure uses the proprietary VASER System to first liquefy and then remove fat from the body, which is why it provides such smooth, predictable results. Since it is more tissue selective than traditional liposuction, patients report low to minimal pain and low to minimal swelling and bruising.

How does LipoSelectionSM only by VASER work?
High frequency sound energy emitted by the VASER System breaks up fat on contact while leaving surrounding tissues relatively intact. The fragmented fat flows into the wetting solution and is extracted through suction and massage. This process results in smooth, predictable outcomes.

What body areas can be treated with LipoSelectionSM?
Dr. Serrao along with other surgeons have reported great success in treating all of the following areas: abdomen, thighs, knees, buttocks, hips, back, arms, male breasts, love handles, chin and neck areas.

How much fat can be taken?
There are limits to how much fatty tissue can be safely taken from the body. One way to get a good idea for yourself is to stand and bend from the waist. The amount of "loose-hanging" fat you can easily grab above / below your waist will approximate what can be removed. Bear in mind that this procedure is not intended as a weight loss solution. The goal is to create a slimmer silhouette. You may not notice a significant amount of weight loss, but should be pleased with your slimmer new shape.

What happens during the LipoSelectionSM procedure?
First, the area to be sculpted is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution wets and fills the area to be treated, making fat easier to break up with the VASER System's sound energy. Then a small grooved probe transmits sound energy (similar to that used for cataract removal in the eye) that breaks up fat on contact, while leaving other important tissues relatively intact. Finally, suction and massage of the sculpted site removes the emulsified fat quickly and easily. Thanks to its patented technology, only the LipoSelectionSM procedure first emulsifies and then removes fat in this manner.

What type of results can I expect?
The ultrasonic technology used for the LipoSelection SM procedure specifically breaks up fatty tissue while leaving other important tissues relatively intact. As a result, treatment with the VASER System has been reported to result in smooth contouring and a low incidence of complications such as prolonged swelling, loss of sensation or prolonged numbing, blood clots, bruising, blister-like spots called seromas, and skin discoloration.

Where is LipoSelectionSM only by VASER performed?
LipoSelection only by VASER is performed right in the procedure room of our medical spa.

What's the advantage of general vs. local anesthesia? Office vs. hospital procedure?
Some individuals find the thought of any surgery very disturbing. In a hospital, under general anesthesia, you are unaware of what is happening - you go to sleep and awaken post-operatively. Some individuals find general anesthesia intimidating, preferring to remain awake under local anesthesia - perhaps accompanied by IV sedation. If the treatment is not too extensive, this may be a viable option.

For still others, the convenience and familiarity of their doctor's office allows for maximum comfort, provided the surgery is not too extensive. Here, under local anesthesia (perhaps accompanied by a sedative), patients experience little discomfort while remaining awake but relaxed. Our patients talk to Dr. Serrao and his team throughout the entire procedure.

What's in the infusion fluid? Isn't lidocaine dangerous?
A saline solution is injected to "loosen up" fatty tissue. This solution includes diluted amounts of a blood constrictor [Epinephrine] to reduce bleeding and bruising and an anesthetic numbing agent [Lidocaine]. The percentage of lidocaine and the amount of fluid is carefully monitored and administered to avoid toxicity issues. If this is a serious concern of yours, you should definitely discuss it with Dr. Serrao before you make your decision.

What is my anticipated recovery time?
This varies with the extensiveness of the procedure - the amount of fat removed, the number of sites treated, and so on. It is important that you establish realistic expectations through discussion with Dr. Serrao during the consultation.

What about future weight gain / fat migrating to other areas?
This is a common misperception. Following your LipoSelection procedure, should you experience weight gain or loss, it will tend to be proportionately distributed over your entire body. Once you have fat removed, it is gone and, assuming a healthy lifestyle of proper diet and exercise, it will not return or migrate. However, because fat is necessary to a healthy body, some essential fat layers in any given site remain untreated. If you do gain a significant amount of weight, the remaining fatty tissue will expand. Normal aging changes also can be expected.

Will LipoSelectionSM only by VASER eliminate my cellulite?
"Cellulite" is a term used to describe a specific look of fat in skin overlying certain areas of the body (often described as "orange peel" or "cottage cheese skin"). As we age, almost all of us develop some cellulite. LipoSelection is not going to cure you cellulite.  At Aesthetic Clinique we offer other modalities of treatment for cellulite.

How can I be certain LipoSelectionSM only by VASER is right for me?
If you are frustrated by the resistance of certain body areas to diet and exercise, LipoSelectionSM only by VASER can provide a solution. If you are healthy and seeking a fast, low-pain solution to losing stubborn fat deposits, the LipoSelectionSM procedure could be your answer. Although there are limits to the amount of fat that can be removed, Dr. Serrao can assist you with your decision about potential areas for sculpting, anticipated results, and the recovery process.

How much does it cost? Why pay more?
As with other treatments, costs can vary among surgeons and depending upon the specific nature of the treatment (location of fat pocket, number of treatment sites, extensiveness of treatment, etc.). "Why pay more?" is a question only you can answer for yourself. After talking with a number of potential patients, we have found that most would readily pay a few hundred dollars more to obtain the benefits of the LipoSelection® procedure.  We will discuss all fees and financing options with you at your consultation.

What is the purpose of the garment after liposuction surgery?
Garments provide support for the skin as it retracts following liposuction; they also help to decrease swelling and improve your contour after surgery.

How long am I required to wear a garment following liposuction?
This depends on the extent of liposuction and the area. Dr. Serrao bases this recommendation on skin tone and the swelling after surgery. This may vary from 2 to 6 weeks.

Is there any benefit to massage after liposuction?
Massage can help to greatly speed your recovery; lymphatic massage in the early period after surgery and later followed by deep tissue massage further out. LipoMassage is also beneficial.

More About Vaser LipoSelection
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Vaser LipoSelection Procedure Preparation
 
  • YOU WILL BE GIVEN COMPLETE PRE & POST INSTRUCTIONS AT THE TIME OF YOUR CONSULTATION
  • Stop all blood thinning agents at least 2 weeks prior to procedure (e.g. aspirin, vitamin E)
  • Stop smoking at least 4 weeks prior to procedure
  • Get well hydrated prior to procedure (e.g. drink 8 to 10 glasses of water daily for 3 days prior
    to the procedure).
  • Start a walking program prior to procedure (at least 20 minutes per day for 3 days)
  • Please stop the consumption of alcohol and caffiene for two weeks prior to the procedure.

 

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Aesthetic Clinique, 2905 McRae Avenue, Suite 2, Orlando, Florida 32803

E. John Serrão, MD, FACOG, AACG | Larissa R. Serrão, RN, ACE
www.SerraoMedSpa.com / Aesthetic Clinique / Body, Skin & Wellness Centré.
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