Best Liposuction Cosmetic Surgery - Cost, Doctor, Clinic, Benefits and Risks
201, Shree Krishna, Opp. Laxmi Industrial Est., Near Fun Republic. New Link Road, Andheri (W), Mumbai - 400053, Maharashtra, India

Liposuction India

Liposuction India provides best liposuction surgery center with high qualified Affordable doctors in andheri, Mumbai India
201, Shree Krishna, Opp. Laxmi Industrial Est, Near Fun Republic, New Link Rd. Lokhandwala Andheri West, Mumbai India 400053
Phone: +022 – 26732961 Mobile: +91 9869041559 Price Range: INR Takes Reservations: Yes, Liposuction India logo Liposuction Before and After Image url:"http://www.liposuction-india.com/", { "@context": "http://schema.org", "@type": "Organization", "url": "http://www.liposuction-india.com/", "logo": "http://liposuction-india.com/wp-content/uploads/2016/12/lgog1.png", "name": "Liposuction India", "sameAs": ["https://www.linkedin.com/company/alluremedspa?trk=biz-companies-cym", "https://www.facebook.com/AllureMedSpa", "https://www.youtube.com/user/AlluremedspaIndia", "https://twitter.com/allure_medspa?lang=en", "https://www.instagram.com/alluremedspa1/", "http://www.aboutclinic.com/bariatric-surgery/india/maharashtra/mumbai/allure-medspa/bariatric-surgery", "https://www.realself.com/find/India/Plastic-Surgeon/Milan-Doshi", "http://www.whatclinic.com/bariatric-surgery/india/mumbai/allure-medspa-andheri/gastric-bypass"] }

Liposuction

Liposuction Liposuction helps you to get thin and reshape your body by removing excess fat from various possible parts of the body which can cost between INR 1,00,000 and INR 3,00,000

Abdomen / Abdominal Liposuction Abdomen Lipsocution Surgery helps you to remove additional fats from your tummy at affordable price between INR 60,000 and INR 1,00,000

Arms LiposuctionArms Lipsocution Surgery helps you to remove additional fats from your upper, scars, arms at price range from INR 70,000 to INR 80,000

Anterior Thigh LiposuctionAnterior Thighs Liposuction Surgery helps you to remove extra fats from your anterior, inner, outer & knees which can carry a price of INR 90,000 to INR 1,20,000

Female Back Liposuction, Female Back Liposuction Surgery removes additional fats from your back at cost between INR 60,000 and INR 1,00,000.

Female Breasts Liposuction, Female Breast Tumescent Liposuction Surgery reduces size of the breast and make it look regular at reasonable cost between INR 1,00,000 and INR 1,10,000.

Male Breast Liposuction, Male Breast Tumescent Liposuction Surgery removes excessive fat and glandular tissue which reduces size of the breast at reasonable cost between INR 60,000 and INR 80,000.

Buttock Liposuction Surgery, Buttock Liposuction using microcannulas and tumescent liposuction techniques improves the size and shape of the buttocks at affordable cost between INR 70,000 and INR 90,000.

Face Neck Liposuction, Face and Neck using Tumescent liposuction is the most effective technique for removing fat from the chin, cheeks and jowls at transparent price between INR 50,000 and INR 1,00,000.

Flanks Male Liposuction, Male Flake or Love handle Liposuction reduces the fat that of oblique area of stomach and lower back of Male at affordable price between INR 60,000 and INR 1,00,000.

Inner Thighs Liposuction, Inner Thighs or Inner Knee Liposuction removes the extended fats from the inner thigh and improv the silhouette of the thigh and reduce the rubbing together of the inner thighs at cost between INR 70,000 and INR 80,000.

Legs Ankles Liposuction, Leg or Ankle or Cafts Lipsocution reduce the bulky look of the calves by removing fats deposited in lower part of the legs at reasonable cost between INR 80,000 and INR 1,20,000.

Outer Thighs (Saddlebag) Liposuction, Liposuction of the Outer thighs and Hips is an easy and painless way to remove fat from outer area of the buttock at price between INR 70,000 and INR 80,000.

Six Pack Abs Liposuction, Abdominal etching or six pack liposuction (liposculpture) is an effective procedure to define abdominal muscles in the abdominal area at affordable price between INR 1,00,000 and INR 2,00,000.

Mega Liposuction (Large Volume Liposuction), Mega Liposuction removes excess fat cells from the body to reduce the body volume and size at transparent cost between INR 2,50,000 and INR 3,00,000.

Surgery

Liposuction Surgery Mumbai,India

So far, one of the most common cosmetic  procedures performed in Allure Medspa, liposuction is a surgical procedure that removes fat. Because it seems a simple concept to remove fat, and there are very few people who don’t have areas of fat that they would like removed, it is unfortunately an area that is ripe for hype and marketing tactics that overplay its simplicity and results. Because the body needs just the right layers of fat underneath the skin and there is far less control by the cosmetic surgeon than most aesthetic procedures, this is perhaps where you want the surgeon with the best understanding of the procedure and has the best judgment in precisely how much and where to remove fat. Too much fat removed and the skin sags. Fat removed from the main area without attention to surrounding areas leaves unevenness. Fat removed from superficial areas can leave ridging and dimpling that is very difficult to correct. Lack of understanding of where fat decreases or increases with age can produce acceptable immediate results, but poor results in the long term.

Perhaps the biggest advance that has contributed to the safety of liposuction in Allure Medspa is the understanding that placing the right fluid in content and amount within the fatty tissue, allows safer removal of fat (less blood) and the replacement of fluid that is essential to the body when fat is removed. There are many marketing forms of liposuction including “laser liposuction”, “external liposuction”, and “ultrasonic liposuction”. Suffice it to say that the surgeons at DPSI of Allure Medspa, because of the volume of cases they do and their prominence in the field of plastic surgery, have the opportunity to study all of these techniques and incorporate those that are truly useful and safe, and eliminate those that are empty marketing promotional techniques.

Liposuction can frequently be done safely in combination with other cosmetic cosmetic surgery procedures such as breast augmentation, tummy tuck, rhinoplasty, and others. You want advice and recommendations from a surgeon that is experienced and knowledgeable in all fields of cosmetic surgery and understands the physiological implications on the body.

The surgeon and patient are partners in achieving the best possible long term results. A patient does not have to be at his or her ideal weight, but needs to have a nutritional and activity lifestyle that allows the necessary postoperative maintenance of results . Uncontrolled weight gain after the surgery can overcome many of the benefits produced by the liposuction surgery.

Your Next Step

While we provide our patients with an opportunity to look through before and after photos of actual liposuction patients during their consultation with Dr. Doshi at our Medspa office, we urge our visitors to view our interactive before and after photo gallery while visiting our website. If you have any questions about liposuction please send us your questions or call our Medspa  office directly at (+91 – 98690 41559).

If all of your doubts have been cleared and you feel confident about taking the next step towards a successful liposuction surgery you should schedule a consultation with Dr. Doshi today!

Rapid Healing

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (HK Pads).


Liposuction

Liposuction is the process of  removal of fat from deposits under the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction can be accomplished either with the use of general anesthesia, or with heavy IV sedation, or totally by local anesthesia. This web site considers  the benefits  of local anesthesia and of systemic anesthesia.

Tumescent Liposuction

Tumescent liposuction a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to be come tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours there is no need for narcotic pain medications after surgery.

Modified Tumescent Liposuction

Modified tumescent liposuction refers to a combination of tumescent local anesthesia plus some form of systemic anesthesia (general anesthesia or heavy IV sedation). Because general anesthesia or heavy IV sedation can be dangerous, they must be administered by an anesthesiologist.

The Various  Liposuction Techniques

There are various ways to do liposuction, for example liposuction can be accomplished painlessly either totally by local anesthesia or with general anesthesia. In the realm of liposuction, maximum speed and maximum volume of aspirate are not criteria for excellence. Ultimately, excellence is measured in terms of patient happiness which is a function of safety, patient comfort, finesse, and quality of results. The important distinction between liposuction surgeons who are board certified is the liposuction technique that they use. The surgeon’s specialty is not as important as the surgeon’s technique, experience and attitude toward safety.

Liposuction Complications

Patient may develop complications  in  lack of caution, in poor  judgment, over confidence, ignorance about pharmacology, or in adherence to faulty dogma. We shall discuss these traits, and explains how to reduce the risk of liposuction surgical complications.

The “Art of Liposuction”

Liposuction is a medium of artistic expression that displays itself in (1) a practical application of scientific knowledge, (2) the production of what is beautiful, (3) a perfection of workmanship, (4) a perpetual quest for improvement in technique, and (5) a skill attained through clinical experience, and above all (6) making people feel happy about what they see in the mirror.

Artistry and Safety are Related

we assert that artistry and safety depend on each other. The word “art” implies skill and mastery of a technique. In order to master an artistic liposuction technique, the surgeon must have the skill and intelligence to avoid exposing patients to unnecessary dangers. The true artist provides better results, and uses the safest technique and never forgets the duty to “first, do no harm.” For example, even if a patient wants to have a large volume of liposuction accomplished in one session, the artist convinces the patient that serial liposuction procedures are safer and ultimately yield better results. It is not artistry to take unnecessary risks or push liposuction to the limits of safety.

Tumescent Technique is the Safest

The tumescent technique for liposuction is unquestionably the safest form of liposuction. When tumescent liposuction is done correctly (not excessively), it is a very safe procedure.. Even when general anesthesia is combined with the tumescent technique, liposuction is quite safe provided the volume of fat removed and the number of areas treated during a single surgery is not excessive. The dilute epinephrine contained in the tumescent anesthetic solution profoundly shrinks capillaries and thus virtually eliminates surgical blood loss.

Faster Cosmetic Results

The tumescent technique allows the use of microcannulas which in turn yields smoother cosmetic results. Traditional liposuction cannulas (stainless steel tubes) have a relatively large diameter and remove fat rather quickly. However, with the use of large cannulas (diameter greater than 3 millimeters) there is an increased risk of irregularities and depressions in the skin. Microcannulas with a diameter less than 3 millimeters, allow fat to be removed in a smoother and more uniform fashion. Some surgeons prefer larger cannulas because it allows liposuction to be done more quickly.

Rapid Healing Process

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (HK Pads).

Rapid Drainage

Rapid drainage of blood-tinged anesthetic solution out of incision sites, increases  the rate of healing, and reduces post-operative pain swelling, and bruising. Post-liposuction drainage of blood-tinged anesthetic solution can be maximized by 1) leaving incision sites open and not closed with sutures, 2) placing several adits (1.5 mm tiny round holes) in the skin to encourage drainage, 3) placing HK Pads on the skin to absorb the drainage, and 4) wearing spandex compression garments to encourage drainage.

Rapid Healing

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (HK Pads).

 


Standards of Safety

Two Standards:  Difference

The tumescent technique for liposuction has emerged into two distinct but similar procedures, with two distinct standards of safety. The basic difference between these two standards is “the amount of liposuction that is considered to be safe”. The term “amount of liposuction” refers to both the volume of fat removed and the number of areas treated by liposuction on a single day or week. When compared to liposuction by general anesthesia, liposuction totally by local anesthesia is usually done more gently, with lesser areas treated and smaller total volumes removed, and fewer unrelated surgical procedures attempted on the same day. When liposuction is done under general anesthesia there is a temptation to maximize the total volume of fat remove, to treat too many areas, and to do other unrelated cosmetic surgical procedures on the same day.

Drugs Used for General Anesthesia

General anesthesia produces unconsciousness and insensibility to pain. A systemic anesthetic is any parenteral drug that can be expected to impair the patient’s respiration, impair protective airway reflexes, and impair the ability to communicate verbally at commonly administered doses. Systemic anesthesia includes general anesthesia given by inhalation of anesthetic gases such as halothane or isoflurane, intravenous (IV) drugs injected into a vein such as propofol (Diprivan), midazolam (Versed), ketamine (Ketalar) and narcotics such as meperidine (Demerol), or fentanyl (Sublimaze). All of these drugs are commonly used to achieve general anesthesia.

Which Form of Anesthesia is Safest?

If a routine surgical procedure can be done using either local anesthesia or general anesthesia then the choice of anesthetic technique depends upon several factors including safety, and convenience. Although dentists can do routine dental procedures using either local anesthesia or systemic anesthesia, they usually choose local anesthesia because of its superior safety. Local anesthesia is widely regarded as being safer than systemic anesthesia. Systemic anesthesia is safest when administered by an attentive anesthesiologist. The dangers of systemic anesthesia increase when either the surgeon or the anesthesiologist ignore the risks of excessive liposuction, or the risks of attempting multiple unrelated surgical procedures on the same day. It is in the patient’s best interest to tell the surgeon not to attempt an excessive amount of liposuction on the same day.

Convenience and safety at the cost of each other

If you are thinking of  liposuction of a large volume of fat, one must weigh the safety against the convenience and economy of doing all the liposuction during a single day. Considering the expense associated with each use of general anesthesia, financial concerns may induce a patient to have multiple cosmetic surgery done on a single day. Doing one mega-session of cosmetic surgery only requires one recovery period, but dividing multiple cosmetic surgeries into separate days may allow shorter recovery periods and less total time away from work. Many patients and surgeons believe it is safer to 1) limit the amount of liposuction done in one day, and 2) avoid doing liposuction with unrelated cosmetic surgeries on the same day. It is up to the patient to make the choice.

Training for Tumescent Anesthesia

Without specific training, most surgeons are incapable of doing routine tumescent liposuction totally by local anesthesia without systemic anesthesia. Anesthesiologists are trained to provide systemic anesthesia, but they are not trained to inject tumescent local anesthesia without systemic anesthesia. Most surgeons who do liposuction using general anesthesia have no experience doing liposuction totally by local anesthesia unless they have had specific training.

Two Types of Excessive Liposuction

There are two forms of excessive liposuction:

  1. Removing too much fat on single day
  2. Treating too many areas on a single day. Some surgeons feel it is not excessive to remove more than 5 to 8 liters of fat under general anesthesia in one very prolonged liposuction procedure. Other surgeons feel it is excessive to remove more than 3 to 4 liters of fat on any one day. On the other hand, when treating a relatively thin patient, it might be extremely dangerous to remove as little as 2 liters of fat if the patient is subjected to total-body liposuction. When a patient desires liposuction of large volumes of fat, it may be safest to divide the liposuction into two or more separate procedures, separating sequential procedures by at least 3 to 4 weeks.

Normal amount of fat removal is always safe.

It is not possible to know a point where liposuction becomes unsafe. When liposuction crosses into the domain of excessive surgical trauma, it changes from a benign cosmetic procedure into a potentially lethal process. Satisfying a desire to “do it all in one surgery” may be dangerous. There is no antidote for a toxic dose of surgical trauma. The only safe approach is prevention, which requires careful attention , and prudent limits to the amount of surgery.

Excessive Surgical Trauma is Dangerous

The body can only bear a limited amount of surgical trauma before the risks of serious surgical complications increase dramatically. Too much surgical trauma in the form of total body liposuction on the same day can be fatal. It is also dangerous to attempt too many unrelated cosmetic surgical procedures on the same day. For example, a facelift, breast augmentation, facial laser resurfacing and large volume liposuction on the same day can be fatal. Cosmetic surgery is not emergency surgery. It is far safer to subdivide a long list of desired cosmetic procedures in two or more separate days.

Contrasting Infiltration Techniques

Tumescent liposuction with general anesthesia is different from tumescent liposuction totally by local anesthesia. With general anesthesia the infiltration of the local anesthesia solution does not need to be thorough. Under general anesthesia the patient is unconscious and is not aware if there are areas of insufficient local anesthesia. In contrast, liposuction totally by local anesthesia requires training in order to skillfully produce 100% complete tumescent anesthesia.

Public opinion about Anesthesia Safety

A survey of cosmetic surgery regarding  preferences for anesthesia revealed a possible inconsistency. Among plastic surgeons who have had a cosmetic surgical procedure, 90% had chosen to have local anesthesia. In contrast, among the patients of these very same surgeons, only 40% received local anesthesia for the same cosmetic procedures.

Conclusion

Liposuction by either local or general anesthesia is regularly accomplished without serious morbidity. However, when attempting a very large volume of liposuction,surgeon’s wit plays very important role . . In this sense, there are far greater risks with liposuction using general anesthesia. To the best of our knowledge, there have been no deaths associated with tumescent liposuction totally by local anesthesia when the surgeon used well recognized safe dose limits of local anesthesia.

Rapid Healing

After tumescent liposuction, there is a certain amount of blood-tinged local anesthetic solution that remains under the skin. This excess fluid is either slowly absorbed over several weeks into the blood stream, or it can be rapidly removed by drainage through skin incisions and absorbed by special absorptive pads (HK Pads).

 


Liposuction History

Liposuction has become one of the most commonly performed cosmetic surgeries in India. In 1974, Dr. Giorgio Fischer, a gynecologist from Italy invented the original form of liposuction. French physicians Illouz and Fournier further developed liposuction around 1978. By 1980, liposuction was extremely popular in India but was confronting negative publicity due to patients experiencing excessive bleeding and undesirable rippling of the skin after surgery. In 1985, Dr. Jeffrey A. Klein, a California Dermatologist, invented the tumescent technique for liposuction, revolutionizing liposuction surgery. His “Tumescent Technique” allowed patients to have liposuction performed totally by local anesthesia using much smaller cannulas. Patients could now have liposuction surgery without the fear of excessive bleeding and undesirable skin depressions. Follow the links above to read more extensive information about the history of liposuction.


History of Tumescent Liposuction

The tumescent liposuction technique uses large volumes of very dilute solutions of local anesthesia that is gently injected into subcutaneous fat. Tumescent liposuction is the only technique that permits liposuction to be accomplished totally by local anesthesia. It is also the only technique that virtually eliminates both the need for general anesthesia and surgical blood loss as a routine problem of liposuction. Some surgeons use a modified version of tumescent liposuction consisting of general anesthesia or heavy IV sedation and tumescent infiltration for eliminating blood loss. Tumescent liposuction was invented by Jeffrey Klein, M.D., a dermatologist in San Juan Capistrano, California.

Traditional Assumptions

Traditional assumptions were not correct. In many ways, the effect of the tumescent technique for local anesthesia is just the opposite of what one might predict using “common-sense” assumptions and traditional surgical teachings.

  • One might suspect that by diluting a solution of local anesthetic (containing lidocaine and epinephrine) the anesthesia would be less effective; instead the dilution permits a larger volume of local anesthesia that can spread more widely and produce larger areas of anesthesia.
  • Although microcannulas remove less fat per minute compared to larger traditional cannulas, microcannulas permit the removal of a greater total volume of fat and produce much smoother results.
  • During liposuction by local anesthesia, patients are awake, but experience less pain than patients who have liposuction under general anesthesia. After awakening from general anesthesia patients require narcotic analgesia, whereas local anesthesia persists for many hours after surgery so that patients only require acetaminophen (Tylenol).

Official FDA Lidocaine Dose Limits

Official FDA lidocaine dose limits were established by the FDA in 1948 at a time when the United States Food and Drug Administration (FDA) did not require objective data before approving a drug company’s dosage recommendations. The 7 mg/kg of lidocaine dose limit was approved by the FDA without supporting scientific data. In fact, the official dose limits for lidocaine were established in 1948 in a brief letter to the FDA from the drug’s manufacturer which simply stated that “the maximum safe dose of lidocaine is probably the same as that for procainamide.”

No FDA Data on Subcutaneous Lidocaine

Under the Freedom of Information Act, the FDA has stated that it has no further data upon which to support its current recommendations. The FDA has no data regarding maximum safe doses of lidocaine with epinephrine when injected under the skin. The only data the FDA has relate to the use of local anesthesia injected into deeper tissue such as around the spine. In fact, data published in scientific medical journals and years of experience has shown that the safe upper limits for dilute tumescent lidocaine with epinephrine is approximately 45 mg/kg.

General Anesthesia Might Be Used Unnecessarily

General anesthesia might be used unnecessarily when anesthesiologists are unaware that the FDA limits on lidocaine were designed exclusively for epidural anesthesia (7 mg/kg) and that the limits for tumescent local anesthesia are much higher (45 mg/kg). In effect, the underestimation of the maximum safe dosage of dilute lidocaine and epinephrine when injected under the skin has encouraged the use of general anesthesia in some situations where it is not necessary.

Liposuction Before Tumescent Technique

For many years, general anesthesia was an absolute requirement for liposuction. The standard cannulas of the 1980’s were huge, having diameters of 6 to 10 mm and cross sectional areas 9 to 25 times greater than today’s 2 mm microcannulas. The first written description of liposuction was published by Fischer of Italy in 1977. Soon afterwards, the French surgeons and Fournier popularized liposuction using blunt-tipped cannulas. Preoperative infiltration of a small volume of a vasoconstrictive solution of epinephrine into the targeted fat was termed the wet technique. Using no preoperative infiltration was known as the dry technique. In 1982, several American dermatologists, plastic and cosmetic surgeons visited France to observe Illouz do liposuction. By 1983, Americans were doing liposuction using general anesthesia, epidural regional anesthesia, or heavy IV sedation supplemented by small volumes of local anesthesia. In the 1980’s and early 1990’s, among surgeons who did not use the tumescent technique, liposuction was frequently associated with excessive bleeding, prolonged recovery time, and disfiguring irregularities of the skin.

The Inventor of Tumescent Liposuction

The tumescent technique was invented by Jeffrey A. Klein, M.D., a dermatologist who now practices in San Juan Capistrano, California. Dr. Klein attended medical school at University of California San Francisco. After medical school, he obtained training and board certification in Internal Medicine at UCLA and Dermatology at UC Irvine. Additional studies included a masters degree in biostatistics at UC Berkeley, and a National Institutes of Health (NIH) research fellowship in clinical pharmacology. Dr. Klein started his private practice of dermatology in November of 1984.

Invention of the Tumescent Technique

In February, 1985, Dr. Jeffrey Klein attended a liposuction course where all of the faculty did liposuction using general anesthesia. Liposuction by local anesthesia was thought to be impossible. However, to Dr. Klein it seemed obvious that one could at least do a small volume of liposuction by local anesthesia. The real question was “How much liposuction could be done using local anesthesia?” He decided to determine how much fat could be removed with the use of a maximum of 500 mg of lidocaine, and 0.5 mg of epinephrine. Dr. Klein observed that each increase in the dilution of the lidocaine and epinephrine permitted local anesthesia of a greater volume of subcutaneous. It only remained to determine the ideal dilution, and to estimate a safe maximum total dosage of lidocaine.

The First Tumescent Liposuction Patient

On April 5, 1985, Dr. Klein performed his first liposuction procedure. The patient had a localized accumulation of fat on the lower abdomen above a transverse hysterectomy scar. The liposuction was accomplished using undiluted commercially available concentrations of local anesthesia (500 mg of lidocaine and 1 mg of epinephrine in 50 milliliters), and only a small volume of fat (less than 100 ml) was removed. This first patient experienced absolutely no pain during the liposuction, and also no surgical bleeding because the epinephrine caused capillary vasoconstriction. However, the injection did cause a stinging pain and there was a rapid heart rate (tachycardia) after completing the injection as a result of the high concentration of epinephrine (also known as adrenalin).

Early Tumescent Liposuction Patients

Each successive patient received a solution of lidocaine and epinephrine that was more dilute than that of the preceding patient. Surprisingly, Dr Klein observed no change in the degree of local anesthesia, but there was less stinging with the injection and there was less tachycardia (rapid heart rate) after the injection. Furthermore, each successive dilution provided a larger volume of local anesthesia, which allowed local anesthesia over a larger and larger volume of subcutaneous fat. By the end of 1985, an elementary form of the tumescent liposuction had evolved. The optimal concentration of tumescent solution of local anesthesia was found to be between 500 mg to 1250 mg of lidocaine, and 0.5 and 1.0 mg of epinephrine per liter of solution.

First Publication of the Tumescent Technique

The first public description of the tumescent technique was a lecture by Dr. Klein in Philadelphia in June of 1986. The first article describing the tumescent technique was published in the American Journal of Cosmetic Surgery in January of 1987 (Klein JA, The tumescent technique for liposuction surgery. American Journal of Cosmetic Surgery, 1987, volume 4, pages 263-267).

Improved Anesthesia

Continual process of refinement and improvement of the tumescent technique over the years now allows liposuction to be done with exceptional finesse and gentleness and totally by local anesthesia. The stinging pain originally associated with infiltration of local anesthesia (the result of the acidic pH of commercially available lidocaine) has been eliminated by adding sodium bicarbonate (NaC03) to the anesthetic solution. The incidence of rapid heart rate resulting from the epinephrine in the tumescent anesthetic solution has been almost eliminated by the use of clonidine (0.1 mg) taken by mouth immediately prior to surgery.

Maximum Safe Dose of Tumescent Lidocaine

Having established the feasibility and safety of liposuction using large volumes of tumescent local anesthesia containing lidocaine the final step was to find an estimate of the maximum safe dose of lidocaine. A dose of lidocaine is considered to be excessive and potentially toxic if the concentration of lidocaine in the blood exceeds 6 milligrams per liter. By repeatedly measuring lidocaine concentration in the blood after tumescent infiltration, Dr. Klein discovered that the peak lidocaine concentration in the blood occurs at approximately 12 hours after initiating the tumescent infiltration. This finding was unprecedented. The prevailing belief was that peak lidocaine blood levels occur less than 2 hours after infiltration. By graphing the magnitude of the peak concentrations as a function of the lidocaine dosage (mg/kg), a safe dosage for tumescent lidocaine was shown to be 35 mg/kg to 50 mg/kg. (Klein JA, Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. Journal of Dermatologic Surgery and Oncology 16:248-263,1990).


Early Liposuction

The liposuction technique innovator. Professor of post-graduate education in aesthetic and plastic surgery. Head surgeon of the aesthetic section of the department of plastic surgery at the Saint Louis Hospital in Paris ( France ).

Biography

  • Active Member of the New York Academy of Sciences
  • Born on September 12, 1939 in Oran (then French Algeria)
  • Primary and secondary school in Oran
  • Bachelor in Arts and Philosophy in 1956
  • Degree of Sciences at the University of Montpellier
  • Medical college of the University of Paris in 1957
  • Practice at the Paris Hospitals: admission
  • General Surgery, Hôpital Bichat (Prof. Charrier)
  • Nutrition Diseases, Hôpital Beaujon (Prof. Azerad)
  • Resident, Paris Hospitals
  • Resident, Paris Area Hospitals
  • Neurosurgery, Hôpital Lariboisière (Dr. Lebeau)
  • Orthopedic Surgery and Treatment of Paralysis (Dr. Gérard Lemarchand)
  • General Surgery, Hôpital Saint Denis (Dr. David)
  • Congenital Deformities and Surgical Treatment of Paralysis (musculotendon transplantation), Hôpital Saint Louis (Dr. Lance)
  • Vascular Surgery (Prof. Mondor, Prof. Olivier, Prof . Oudot, Prof. Couinaud)
  • Congenital Deformities, Hôpital SaintDenis (Prof Duhamel)
  • Burns, Surgery and Plastic Surgery, Institut Gustave Roussy (Dr. Monsaingeon)
  • General Surgery, Hôpital d’Argenteuil (Dr. Lazard)
  • Obstetric Surgery (Dr. Auclair)
  • Cancer Surgery and Reconstructive Surgery, Institut du Cancer (Prof. Redon)
  • Traumatic Surgery, Hôpital de Bondy (Prof. Rouvillois)
  • M.D. diploma, Paris Faculty

Board:

Qualified Surgeon by the French Medical Council, 1968.
Certified Plastic Surgeon.
Plastic surgeon at the Hôpital Saint-Louis (Paris).

Societies:

French Society of Aesthetic Surgery, 1971, Board of Directors
Teacher and Member of the Board of Examination for the Board Certification of Aesthetic Surgery : President elect in 1985. Resignation in 1986
President of the international Society of Body Contouring and Lipolysis (1981)
Fully registered at the British Medical Council (1982)
Fully registered at the Bahamas Medical Council (1983 – 1986)
Fully registered at the Dutch Medical Council (1995)
Since 1979, Plastic and Aesthetic Surgery
Certifié par le “Conseil Médical Hollandais” (1985)
Corresponding Member of the Sociedad Colombiana de Cirurgía Plástica (1983)
Honorary Member of the Chicago Society of Plastic Surgery (1983)
Corresponding Member of the Brazilian Society of Plastic Surgery (1983)
Fellow of the Israel Association of Plastic Surgeons (1984)
Corresponding member of the Argentina Society of Plastic Surgery (1984)
Corresponding member of the Turkish Society of Plastic Surgery (1984)
Corresponding member of the A.S.P.R.S. (1986)
Member of the French Society of Plastic Reconstructive and Aesthetic Surgery (1986)
Member of the I.S.A.P.S. (1987)
Corresponding member of the A.S.A.P.S. (1987)
Honorary Member of the International Society of Clinical Plastic Surgeons at Cancún (1987)
Honorary Member of the British Association of Aesthetic Plastic Surgeons (1988
Member of the French College of Plastic Surgeons (1990)
Member of the Faculty I.S.A.P.S : Los Angeles, Montreal, San Diego, Malaga, Stockholm, New Delhi, New York, Paris, Istambul, Zurich, Tampere, Berlin, Puerto Vallerta, Johannesburg.

Distinctions:

  • Clinique Spontini: a place of honor liposuccion.com/uk/spontini.htm
  • Médaille Vermeil (highest Paris decoration)
  • Diffenbach Medal (Berlin)
  • Diploma of Honour (Pasteur and Weizmann Institutes)
  • Expert at the the Paris Court of Appeals

Founder:

Charity Organization “MEDECINS SANS FRONTIERES” (French Doctors) with charity mission in Burkina Faso and Ethiopia
S.O.F.C.E.P. (Société Française des Chirurgiens Plasticiens Esthéticiens) equivalent to A.S.A.P.S. (1987)
Founder and Honorary President of the American Society of Body Contouring and Lipoplasty (1982)
Innovator of the ILLOUZ’ TECHNIQUE FOR LIPOLYSIS, 1977

Bibliography

Co-auteur du Livre Annuel de Chirurgie Esthétique (Librairie Maloine, 27 rue de l’Ecole de Médecine, 75006 PARIS)

Une nouvelle technique pour les lipodystrophies localisées : la lipectomie sélective ou lipolyse (Journée de Chirurgie Esthétique de l’Hôpital de Montreuil, 9-10-11 November 1981. Chirurgie Esthétique 1981-1982, Maloine.)

Réflexions sur ma technique de lipolyse (La Revue de Chirurgie Esthétique de Langue Française Numéro 27, Tome VI, June 1982)

Chirurgie Traumatique et Sculpture du Corps : Technique du Dr. Illouz (Les cahiers de Chirurgie. Numéro 46 – 2ème trimestre 1983 )

La technique d’ILLOUZ (Les cahiers de Chirurgie. Numéro 46 – 2ème trimestre 1983 )

Body contouring by lipolysis: A 5 year experience with over 3000 cases (American Journal of Plastic and Reconstructive surgery. Vol.72, Numéro 5, November 1983)

L’histoire de ma technique de lipolyse-aspiration (La Revue de Chirurgie Esthétique de Langue Française Numéro 34, Tome IX, March 1984)

Une nouvelle maladie lipomateuse : la déformation en “Knichers” (La Revue de Chirurgie Esthétique de Langue Française Numéro 35, Tome IX, June 1984)

L’avenir de la réutilisation de la graisse après liposuccion (La Revue de Chirurgie Esthétique de Langue Française Numéro 36, Tome IX, Octobre 1984)

LIPOASPIRACAO
 en collaboration avec le Dr. Juarez AVELAR = (BRASIL) – 1986 (cliquez sur la couverture pour l’agrandir)

ILLOUZ’ technique of body contouring by lipolysis (Clinique in Plastic Surgery, Vol 11, Numéro 3 – July 1984)

Remodelage chirurgical de la silhouette par lipolyse-aspiration ou lipolictomie selective(Les Annales de Chirurgie Plastique et Esthétique, Numéro 2, Volume XXIX – p.162-179 – 1984)

Co-auteur du livre “LIPOPLASTY” en collaboration avec le Docteur Gregory P. HETTER – Little, Brown and Company – USA, 1986

Co-auteur du livre “AESTHETIC PLASTIC SURGERY” en collaboration avec P. REGNAULT, MONTREAL – CANADA, 1984

Les différents stades de traitement contre le vieillissement du visage par ma technique des “tunnel-aspiration” (La Revue de Chirurgie Esthétique de Langue Française Numéro 38, Tome X – March

Surgical remodeling of the silhouette by aspiration lipolisis or selective lipectomy (Aesthetic Plastic Surgery 9 : 7-21, 1985.

De l’utilisation de la graisse aspirée pour combler les défauts cutanés et Aspiration au niveau des membres supérieurs (La Revue de Chirurgie Esthétique de Langue Française Numéro 40, Tome X – Septembre 1985

Aspiration : résultats à long terme et commentaires et traitement du vieillissement du visage par assistance de la liposuccion (La Revue de Chirurgie Esthétique de Langue Française Numéro 41, Tome X – Decembre 1985

Co-auteur de “LIPOASPIRACAO” édité par le Dr. Juarez AVELAR (BRESIL) – 1986

Die selektive Lipektomi oder Liplyse nach ILLOUZ (avec la collaboration du Dr.PFLUG) (Handchirurgie Mikrochirurgie Plastische Chirurgie – Hippokrates Vergag Stuttgart : Heft 3, 18 Jahrgang Seite 113-196, Mai 1986.

A new technique to fill depression; the fat cells graft (ASPRS Journal, July 1986

TRANSACTIONS of the IX International Congress of Plastique and Reconstructive Surgery, New-Delhi – Inde, March 1-6, P.382/384 – 1987.

Les séquelles esthétiques ou les résultats indésirables de la lipo-aspiration (Les Annales de Chirurgie Plastique et Esthétique, Numéro 3, Volume XXXII- p.229-245 – 1987)

Livre : “La Sculpture Chirurgicale par Lipoplastie” édité par Churchill Livingstone – ARNETTE 1988

Une nouvelle notion en chirurgie plastique : les “points fixes” et leurs conséquences chirurgicales (Les Annales de Chirurgie Plastique et Esthétique, Numéro 3, Volume XXXIII- p.237-246 – 1988)

Present result of fat injection (Aesthetic Plastique Surgery. Volume 12, Number 3, P.174-181. August 1988)

Le point sur la lipo-aspiration, interview de Y.G. ILLOUZ recueillie par le Docteur G. FLAGEUL (Annales de Chirurgie Plastique et Esthétique, Numéro 4. p.288/382 – December 1988

Livre : “Body Sculpturing by lipoplasty”, édité par Churchill Livingstone – 1989.

Surgical Implications of “fixed points”: a new concept in Plastic Surgery (Aesthetic Plastique Surgery. Volume 13, p.137/144 – 1989

Etude de tissu graisseux sous-cutané (Annales de Chirurgie Plastique et Esthétique, Numéro 6. p.493/509 – 1989.

Refinement in the Lipoplasty technique (Clinics in Pastic Surgery Vol. 16, Numéro 2 p.217/233 – April 1989

Plaidoyer pour une aspiration non sanglante (Annales de Chirurgie Plastique et Esthétique, Numéro 1. p.62/65 1990)

L’abdominoplastie en bloc : une technique moins risquée et plus esthétique (Annales de Chirurgie Plastique et Esthétique, Numéro 43 p. 233/242 – 1990)

A new Safe and Aesthetic Approach to Suction Abdominoplasty (Aesthetic Plastique Surgery p.237/245 1992)

La lipoaspiration “Modern Style” (Profils Medical – Octobre 1992

Advances in Lipoplasty (Problems in Plastic and Reconstructive Surgery Vol. 2 Numéro 3 – Decembre 1992

La Lipoaspiration a-t-elle une place dans le traitement de l’obésité? (Revue Cardinal. Time V, Numéro 7 – September 1993)

Co-auteur du Traité de Chirurgie Plastique Reconstructrice et Esthétique avec le Dr. P.BANZET et J.M. SERVANT (publié par Flammarion – 1994.)

Isolated Cervicofacial Liposuction in Facial Rejuvenation ; Co-auteur avec le Dr. G. FLAGEUL – (Perspectives and Plastic Surgery p. 95-106 – 1996

Disclaimer: Above information is general in nature which may not suit all patients, for individual basis information we highly appreciate your call to Our Counselor: +91 9869041559.

Mr.Paresh Doshi

Sr. Cosmetic Counselor 

Allure Medspa, Mumbai INDIA

Dr. Milan Sir ASPS Web Banner

Dr. Milan Doshi- Founder and Medical Director of Allure Medspa, He is (M.S, M.Ch) Indian Board Certified Plastic Cosmetic Surgeon with International Expertise and qualification (Member of ISAPS- International Society of Aesthetic Plastic Surgeon). Read more..

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