– Liposuction surgery is a procedure
to target disproportionate areas of fat.
With regard to liposuction surgery
there’s a number of different ways of approaching it.
I prefer basically a conscious patient
under local anesthesia that’s awake,
which is a little bit of an unusual concept,
but it really is better for patient positioning
throughout the entire procedure.
I used a multiple system approach.
Part one is putting in a whole bunch of fluid into the tissue
and it is not only numbing
but it’s preparing the tissue.
Part two is an emulsification step
using ultrasonic energy to emulsify a layer of fat
and get much more pure fat removal.
Part three is the contouring and sculpturing
using a vibrational device called power assisted liposuction
to precisely contour areas three dimensionally.
In terms of actual extraction of fat,
I am suctioning and sculpting the fat out,
but the fat is really different than people think.
It doesn’t just kind of come out like butter.
You really are very precisely sculpting
in that layer between skin and muscle
and that fat will be going into a tube attached to a suction
and into a very large canisters
where it’s accumulating
and I remove between 40 to 50 liters every single week
and that’s over 100 pounds of pure fat.
The fat that I remove it has a bit of a frothy quality too，
if it is emulsified
it looks kind of like chicken fat in a way.
Really a globular yellowish material.
So I’ve gotta dispel this myth.
Fat being used as soap.
I know in Fight Club it was portrayed that way
but there are laws against it
because it’s bio hazardous material.
It’s infectious potentially,
and it has to get disposed of properly.
So we take that fat, we put it into bio hazardous bags
and that is picked up on a daily basis.
It gets transported somewhere to get incinerated,
to get burned, so no, it does not become soap.
I do long, difficult and complicated cases
and it’s such an emotional thing for these patients,
their families too.
I would say 75% of patients cry at some point in the process.
Either at the consultation, before surgery,
during surgery seeing their new legs,
or after surgery in terms of life really changing.
Each day for me is 12 to 14 hours.
So they are long days, but it just gives me
so much satisfaction to be
not only making these people look better
but feel better too.