Doctor Amron’s Philosophy on Liposuction
As liposuction is the only major cosmetic surgery I perform, my approach to evaluating every potential candidate is taken very seriously. It is important to note that not everybody is a good candidate for liposuction. It is not about being fat or overweight. Simply put as I always say, “Liposuction is all about balancing a person’s proportions and removing genetically disproportionate areas of fat storage. It is a technique to reduce areas of fatty tissue that cannot be reduced by diet and exercise.”
Liposuction Under Local Anesthesia
I strongly feel that the patient being conscious during liposuction is essential to achieving optimal results. The reason for this is that precise patient positioning is only possible under local anesthesia. Remember that Liposuction is sculpting the body and I feel it is much more difficult if not impossible to meticulously sculpt an area without the patient being able to assume exact positions during the procedures. With liposuction patient positioning is crucial to achieving an outstanding result. If the angle of entry of the liposuction cannula is not always kept parallel to the skin surface irregularities and dimples may result. My technique is to start in the deep fat and gradually tunnel to the surface using progressively smaller and flatter cannulas. I also prefer to “crisscross” my passes with the cannula, creating a precise network of tunnels in the fat ensuring a smooth natural looking result.
What Makes a Good Candidate
A good candidate for liposuction is someone who is disproportionate, but not necessarily overweight. For example, a patient who is thin may be an excellent candidate if he/she is disproportionate. If an individual diets, exercises, and has stubborn areas that do not go away – say the love handles, the thighs or abdomen area – it is likely that they have excess fatty tissue in these areas that can only be removed with liposuction. Some of the best candidates for liposuction can be thin but disproportionate; many times this is due to genetics.
I feel it is inappropriate to perform surgery on a person who is simply overweight but has a proportionate body shape. This is a mistake made by many surgeons and does the patient a disservice because it can permanently throw them out of proportion and the fat can disproportionately store in other areas. It is recommended that an overweight proportionate person should loose weight and exercise.
However, for many people seeking liposuction, it is because they have a combination of being a little overweight and disproportionate in certain areas. I believe it is not always necessary to lose the extra weight first. However, when I perform liposuction on this type of patient, it is imperative to critically determine where they are out of proportion. I then only targets those areas, so as to balance their proportion. It is then up to the patient to diet and exercise to lose the extra weight. Many times the rapid results from the liposuction of the stubborn disproportionate areas are the motivational factor for the patient to eliminate the rest of the weight.