When it comes to looking your best…do you work hard to stay fit but need a little extra help?
Then High Definition Liposuction may just what you’re looking for.
In this episode, Dr. Arian Mowlavi of the Cosmetic Plastic Surgery Institute is going to share:
- What High Definition Liposuction is
- Why it’s far superior to traditional liposuction.
- Why it’s an absolute game changer when it comes to attaining and maintaining your ideal body shape.
And, he’s going to give you some free tips and tools that will help you discover your ideal path to achieving amazing results.
Here’s Your Free HD Lipo Resources
HD Lipo Before and After Pictures
Arms & Chest
Buttocks, tummy, waist & thighs
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Would you like to know if high definition liposuction with VASERlipo can help your remove unwanted fat and reclaim your body?
Then click the image below to take this 1-minute Assessment Quiz to receive your Free Personalized HD Lipo Roadmap.
Other Free Resources
- Download your Free HD Lipo Guide
- Ask The Doctor – Click here to discover how you can reclaim your body and eliminate unwanted fat with VASERlipo
- Schedule a Free Virtual Consultation – Discover how you can benefit from HD Lipo in 10 minutes with our private video consultation
HD Lipo Podcast #11: Revision – Overcoming Bad Liposuction Results with VASER Lipo featuring Dr. Arian Mowlavi
Defining High definition Liposuction Revision
FF: Welcome back to the HD Lipo podcast. I’m Frank Felker in Washington D.C. joined again today by board certified plastic surgeon Dr. Arian Mowlavi calling in from Laguna Beach Calif. Dr. Mowlavi thank you again for joining us. Today we’re going to talk about revision of body contouring complications. What does that mean?
Dr. M: There are a lot of complications of liposuction involving contour. In traditional liposuction where we use cannulas with holes on them to literally drill out semi-solid fat and it extends to all these different modalities that have been created to try to make the removal of fat less invasive such as smart lipo, or laser lipo, or cool sculpting; where they put a pad on your skin and it literally freezes the fat and kills it. So all of these modalities when we try to push the thresholds have resulted in deformities and contour irregularities that really can be devastating.
FF: So you are fixing some bad work that’s been done previously using one of these other approaches.
Dr. M: Exactly. Before High-Definition liposuction came about there was no easy way to fix these deformities. We’ve talked about the checkerboard abdomen. This is a young guy who has gone through liposuction and has told the doctor that he wants all the fat removed. They just want it all gone. Provider has attempted to remove both the deep and the superficial fat in this patient’s abdomen using the traditional techniques. When you get to the superficial layer of fat you’re going to be creating these superficial tunnels that are void of any substance that are juxtaposed next to an area that has fat still tethered and hanging off of it. There’s no way to use a solid rod to uniformly remove fat in the superficial layer or like a paintbrush. So until now we were limited to removing the deep fat. Well when I see a patient a checkerboard tummy what I’m referring to then is a traditional liposuction provider who’s trying to use the traditional tools to remove the superficial fat. And despite their best attempt it is impossible to get it uniform and smooth. So they have an abdomen that is full of divots like hundreds of divots to the point where it looks like a checkerboard.So this patient shows up at my door and is devastated and wants this corrected. Until recently the only solution for this patient was to try and tuck them so that you could tighten the skin. Now with high definition liposuction we’re able to literally emulsify or liquefy the fat in both layers. What I’m able to do now is I’m able to go into a checkerboard belly and liquefy all of the fat.That fat is left to go right through those divots and then onto those adjacent areas where the fat still is. I’m going to melt all the fat, and I may not have to remove any fat. I’m just going to melt the fat that’s left and let it evenly distribute and create a brand new lining that’s smooth and divot free.
FF: Now are there before and after photographic examples of this type of checkerboard abdomen that have been corrected using VASER?
Dr. M: Absolutely. High Definition liposuction providers are seeing these patients for revision liposuction. And so at this point they’re the only ones that are able to treat this kind of deformity. And so you just have to find a high def lipo provider. You can go to highdefinitionliposuction.com and there are more resources out there in the Internet world.
Side Effects of HD Lipo
FF: I would assume or imagine that the side effects and recovery issues would be minimal with this type of procedure.
Dr. M: This high definition liposuction paradigm of treating previous contour deformities from other liposuction modalities has just been revolutionized. It’s a game changer. Before you could only cut this area out. You couldn’t address the problem without just getting rid of it. And if you couldn’t get rid of that area of the skin you would get rid of an area at another location so that you could tighten the skin and almost tense up the skin so that it wouldn’t show that deformity.
FF: That doesn’t sound like a very good option to be considering, those are much bigger surgeries.
Dr. M: And often it wasn’t in the best interests of the patient. It was just a nightmare. I mean they were deformed for life. You can’t even imagine and some of these other modalities they’ve been destroyed with these problems. There’s one really fascinating one I wanted to share with the listeners. It’s called paradoxical adipose hyperplasia. OK. It’s called PH. That’s the eponym and it has to do with this newer technology where you’re freezing the fat. So you have an area that is just a localized area and you go to the providers that have cool sculpting; and so they would put this paddle on you. And the concept is that it freezes the fat right from the outside. No holes. No surgery. Sounds like a wonderful thing. And it is actually wonderful you know for the right patient but unfortunately what was happening is and we’ll have to visualize this again. It has to do with the superficial and deep layers of fat. So you can imagine if you got to put an apparatus on top of the skin and it’s intended to freeze the fat. Which level of fat do you think it’s going to kill off?
FF:the superficial layer.
FF: So you have these patients now that have had their superficial fat removed and then they have the deeper fat still there and then the adjacent area that hasn’t been treated has fat still in there.
Dr.M: Correct. That’s the superficial and deep layer. Now what’s happening in a minority of these patients and it’s fascinating and we’re still learning about this. And and all of this is controversial but let me tell you what is happening. It seems that if these patients have a slight weight gain. So they do that. The coolsculpting is freezing off the fat and then they gain a little bit of weight. What’s happening is, remember when we were talking about the superficial layer having these really tight ligaments?That superficial lining or that layer of fat that is very tightly knit is gone in the areas that were frozen. So what’s happening is patients are noticing these bulges of fat pushing through, literally, the bulge of fat is pushing through the areas that were treated stronger than the adjacent areas that were never treated. So the guys will come to me and say Doc it looks like I’m growing a tent because it’s like they got these domes of fat that are sticking through and pushing their skin up.
Controversy of Coolsculpting and how High Definition Liposuction can fix it
Dr. M: So this is a big problem for this company you know. And so there’s people trying to figure out how to treat them. You know they were bringing the patients back for a while to refreeze them. You would think that if you were freezing the superficial fat and it did OK and now it’s just the fat came back why not just refreeze it, right? It’s not working because the fat is so deep the freezing can’t get to it. What’s happening is when you take the superficial layer out by freezing it it you’re losing the resistance so that when your body gains weight the fat that’s under no tension because it’s not being held down by the superficial fat is bulging through.
Dr.M: So here is the dilemma right. So you got the traditional liposuction guys realizing it doesn’t work and trying to just liposuction this area out.
Dr.M: Well here’s the dilemma. You’ve got a guy, there is this bulge of fat, and you’re trying to liposuction it. So you’re going to take out all the deep fat, right, because it’s the deep fat that’s grown any bit of deep fat that you leave behind. If you gain weight again it’s going to grow again. So what you’re seeing is they’re getting a recurrence of these bulges even if they have liposuctioned it down so smooth. The other issue that we have here and again you have to visualize this. Now you have the area that was treated where the superficial fats gone, the deep fat grew your liposuction that down. Well you want a contrair against the adjacent area that has both the superficial and deep fat in place where you could only take out the deep fat in that area. So now you have a situation where it’s all gone bad. You’ve got an area where the superficial fat is gone. Next an area that has a superficial fat still there. And now you’re taking out the deep fat comprehensively with the traditional lipo. And it’s just a mess. Now here is the solution. The only viable solution I feel is to do High-Definition liposuction because what we’re going to do now is we’re going to remove all the fat just get rid of all the fat, get rid of the superficial fat, get rid of the deep fat, just don’t leave any fat there. So when we have a checkered abdomen for example or if we have this paradoxical adipose hyperplasia the only way to treat it definitively and permanently is to remove all the fat. That way there’s no fat that can grow again and you’re not going to create a contour irregularity between the area that was PH like we say and the area that was never liposuction because you can’t differentially take out one area, take out the superficial and deep, and then the other area. Once you’re committed to correcting this deformity you just have to comprehensively remove all the fat and then you’re done.
FF: They will when you use the word deformity, especially when it was something that was done as part of a medical procedure.
Dr.M: Well I mean it’s a deformity it’s a cancer irregularity and it’s not pretty. And it’s it’s out for everybody to see. So that’s a priority for these patients. You know they want to get it fixed they just haven’t had an option prior to now yes and I certainly can see that they would want to get it fixed.
FF: And what a blessing that you have an option for them to consider now when they’re look in this obviously they’ve seen some bad side effects and had some recovery issues previously.
Is there anything further that they should be aware of when they go in and you take this comprehensive approach to remove all the fat both the superficial and the deep fat?
Dr.M:You know Frank what I’ve been most impressed about is as the patients just don’t know that the solution exists. So when they show up to my office and they’ve never heard about high definition liposuction and I walk in there all you know confident that I can help them and they’re looking at me like you know I know you’re a doctor but look at what the last guy promised me.
FF: Yeah. So it’s all about education at that point.
Dr.M: I have to teach them to convince them that I can help them. And so that’s the hardest part for me. The revisions the revision cases I really have to sit down and have a conversation and take my time and teach them exactly what we’re teaching in these podcasts about why it is and how it is that High-Definition liposuction is able to fix these problems.
FF: And I really have to congratulate you for investing your time in doing these educational podcast because as you say they weren’t aware that a solution of any kind existed. And now with the publication of this information on the web we can hope that many people will find it and will then be able to find hope as well.
Dr.M: It is just an honor to be able to correct some of these these issues and concerns that previously we had no solutions for.
FF: As a physician can you give us any sort of an estimate of what a procedure like this would cost or would it be dependent upon the level of the deformity?
Dr.M: So in general we try to charge patients based on how long a procedure takes. That’s kind of my overall goal when I teach when I come up with a fee for a particular procedure. That being said that what we’re talking about is again high definition liposuction and so you have to take into consideration how long it’s going to take. How big is the area of deformity. How much time am I going to have to do lasering. Sometimes these deformities are a little stiffer and they’re a little firmer and because there’s more scar tissue in there. And so the VASER component takes longer to do. It literally takes me a lot longer to melt through and work through all that scar tissue that that may have developed in that area. And so you know that the price is dependent on the patient and the severity of the deformity.
FF: OK. But any general rule of thumb or just could co0uld be anywhere across the stomach based based upon the patient and the level deformity.
Dr.M: Well again you know it’s priced out like it’s a high definition liposuction case so if we’re talking about the anterior side again and we divide it into the front in the back. So we’re going with a friend who has that belly and chest. You know it ranges between eight to 10000 and the back. The same thing. So it’s just dependent on what we’re dealing with.
FF: Great. Thank you for that. Now we’ve talked about a lot of different ways that these other types of procedures can go wrong and how you’re able to fix it. The only thing I have not asked you about or any additional information I wanted to share before we sign on and I’m sure just the overall message is there is help for you out there.
Dr.M: If you’ve had poor results from liposuction traditional liposuction and they mainly include a laser technology and remember we don’t have to take the fat out it’s it’s a matter of changing the meal you where you’re dealing with solid fat liquid fat so that you can even out the playing field. And so you can get a nice lining. Having said that sometimes if the divot is bad enough I might actually fat graft. And they’re using the same technique that I use for Barack augmentation. And I can use the same technique and literally cut some of the fat back strategically where I need to fill bigger voids.
FF: And just for people who may not have heard that episode about Botox CONTOUR by fat grafting you mean removing the fat from one area and putting it back in and another area. Exactly. And so in terms of before and after photographs and other resources online. Where again can people find this type of information.
Dr.M: Sure. So this is kind of higher end high definition liposuction techniques and tools utilized so if patients are having a hard time finding before and after results they can always rest assured that they will find helpful material on highdefinitionliposuction.com.
FF: Great. Well Dr. Arian Mowlavi thank you as always for joining us today.
Dr.M: Thank you Frank for having me.
FF: Thanks again to Dr. Mowlavi and thank you for listening. We look forward to seeing you again on the next episode of the HD Lipo podcast.