Posts Tagged ‘coolsculpting Atlanta’

Your Body Contouring Questions Answered!

Body Contouring Options - Non-surgical & Surgical On March 28th, 2017, Emory Aesthetic Center plastic surgeon, Dr. Gabriele Miotto held an informative live chat on body contouring. With summer coming, many want to know how to improve the shape of their body and tighten excess or loose skin. Dr. Miotto discussed both non-surgical and surgical options – including CoolSculpting, liposuction and tummy tucks.

The live chat had a great turnout and is now available online.

Body Contouring Live Chat, 3/28/17

[Mar 28 2017, 11:48 AM] EmoryHealthcare: We are starting the live chat in 14 min. Are you, guys, ready? We see a few people online waiting and we are ready for your questions. Dr. Miotto is so excited to help all our guests today!

[Mar 28 2017, 12:00 PM] EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about
Body Contouring with Dr. Gabriele Miotto of Emory Aesthetic Center.

[Mar 28 2017, 12:02 PM] EmoryHealthcare: We’ll get started in just a minute. Dr. Miotto is here to answer all of your questions!

[Mar 28 2017, 12:05 PM] EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all of your questions today.

[Mar 28 2017, 12:06 PM] EmoryHealthcare: We received some questions that were submitted in advance of the chat, so we’ll get started by answering a few of those first.

[Mar 28 2017, 12:08 PM] EmoryHealthcare: Lynn asked: “I am 5’10” and 126lb. I look skinny but have severe cellulite. I’m embarrassed to wear a bathing suit. What do you recommend?”

Dr. Miotto: If there is no weight issues, cellulite can be improved by localized leg exercising and changing your diet (no sugar, low carbohydrates, etc). Healthy life habits always improve the skin overall. Lymphatic drainage massage can have some beneficial effect if there is fluid retention in the tissues.

If the dimpling is very severe, we can perform a procedure

[Mar 28 2017, 12:11 PM] EmoryHealthcare: Anna asked: “Are there any changes to my diet that I can make to reduce my cellulite?”

Dr. Miotto: Low sugar diet can help with cellulite. If you are overweight, weight loss associated with exercise also improve the quality of skin.

[Mar 28 2017, 12:14 PM] EmoryHealthcare: Sydney asked: “Do sleep and the level of stress I have affect my weight?”

Dr. Miotto: A good night sleep is very important for balancing the body functions. It helps the body produce its hormones and can definitely affect your weight. When stressed, we tend to eat more and not to pay attention to the quality of the food we eat, so it can promote weight gain.

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Tina asked: “After having two babies, I have a lower abdominal pooch that just won’t go away with diet and exercise. I’d love to get back into my bikini. What can I do?”

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Dr. Miotto: After having babies, the abdominal pooch is usually caused by fatty deposits, skin laxity or muscle laxity, or even a combination of those. During the consultation, we can determine the main cause of the pooch and decide between the different procedures we do which one will be best for you. Options include liposuction, tummy tuck, Coolsculpting or a combination of them.

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Tatyana asked: “I am unhappy with my stomach. I am considering liposuction. What is the recovery like?”

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Dr. Miotto: Recovery depends on the amount of liposuction that we need to do but usually patients go back to work in 5-7 days.

It is common to have tenderness for the first 48-96 hours that responds well to pain medications. A postoperative compression garment is also recommended for a couple of weeks to help with healing. Mild bruising and swelling can last for a few weeks so plan to do the procedure at least 4 weeks before going to be beach

[Mar 28 2017, 12:25 PM] EmoryHealthcare: Caroline asked: “I like to eat fruit for dinner. Like bananas and grapes. And oranges. Does this habit contribute to my weight gain?”

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Dr. Miotto: Weight gain can have many factors.

Eating fruits at night could contribute to weight gain. Sweet fruits like bananas, grapes, oranges have a high fructose content that functions as sugar in the body. Think about sweet fruits as desert and start your dinner with vegetables and legumes instead to balance your diet and reduce the sugar content of your overall intake.

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Maria asked: “When I wear a dress, it looks like I have a muffin on my belly. I don’t like being in pictures because of it…. How can you help me?”

[Mar 28 2017, 12:28 PM] EmoryHealthcare: Dr. Miotto: Fatty deposits in the abdomen can look like a “muffin top”. Depending on your skin laxity and muscle tone it is possible to remove the extra fat with liposuction or a tummy tuck. Non-invasive fat removal using Coolsculpting could also be an option in some cases.

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Kara asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:33 PM] Guest5387: what exactly is cool sculting

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Dr. Miotto: CoolSculpting® is an FDA approved treatment that works without surgery, needles, or anesthesia.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: The procedure cools and freezes unwanted fat—without damaging surrounding tissues.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Once the fat has been frozen and crystallized from the treatment, the body will slowly break down the unwanted cells and dispose of them, resulting in gradual fat loss following the treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Most patients start to see results within about three weeks, with final results becoming apparent within 1-3 months after treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Great question, @Guest5387! Thank you.

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Kelly asked: “I want to add some fullness to my bottom. What are my options?”

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Dr. Miotto: A great option to add fullness to the bottom area is by transferring your own fat into the buttocks. Fat is removed from areas like abdomen, waist line, tights or back using liposuction. Then, the fat is prepared as a filler and reinjected into the buttock to increase the volume and improve the shape of the area.

[Mar 28 2017, 12:41 PM] Guest8698: Do you recommend waist training?

[Mar 28 2017, 12:41 PM] EmoryHealthcare: Great question, @Guest8698!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Dr. Miotto: That is an option for body shaping but the effects are not reliable for long term improvement. It also depends on your weight, initial body shape and exercising.

[Mar 28 2017, 12:42 PM] Guest7903: What procedures do you recommend for men?

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Thank you, @Guest7903!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Plastic surgery procedures can be done for men and women alike. Liposuction, tummy tucks and Coolsculpting are frequently used to improve body contouring in men of all ages.

[Mar 28 2017, 12:43 PM] EmoryHealthcare: @Guest7903, that was a response from Dr. Miotto 🙂 Thanks 🙂

[Mar 28 2017, 12:45 PM] Guest2220: Where can I see a full list of of the services Dr. Miotto offers?

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, Dr. Miotto does all of the facial and body contouring procedures available on the Emory Aesthetic Center’s website page here: http://www.emoryhealthcare.org/centers-programs/aesthetic-center/index.html

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, thanks for the great question 🙂

[Mar 28 2017, 12:47 PM] Guest8162: I’m a male with just enough fat below the bellybutton to bother me. A friend who’s had cool sculpting said it didn’t work. Do you recommend another type of non-invasive procedure?

[Mar 28 2017, 12:48 PM] EmoryHealthcare: @Guest8162, Dr. Miotto says: Unfortunately, there is no other non-invasive fat removal procedure that is effective. I would recommend a small liposuction. When the fatty deposits are small it can safely be even done under local anesthesia with a light sedation or even under straight local anesthesia.

[Mar 28 2017, 12:49 PM] Guest950: Sorry if this was already asked, but do those heat based non surgical procedures work and do you recommend them?

[Mar 28 2017, 12:50 PM] EmoryHealthcare: @Guest950, Dr. Miotto is asking if you could please clarify which ones you are including in your question. Thank you.

[Mar 28 2017, 12:52 PM] EmoryHealthcare: We are so excited about your questions, everyone! We have 9 min left and 3 questions are now being answered by Dr. Miotto, so they will be posted in a minute. Please submit your question asap if you’d like her to answer them. Thank you 🙂

[Mar 28 2017, 12:52 PM] Guest950: I think it’s called thermage?

[Mar 28 2017, 12:53 PM] EmoryHealthcare: Thank you, @Guest950, Dr. Miotto will answer in just a second 🙂

[Mar 28 2017, 12:55 PM] EmoryHealthcare: We have 2 questions’ answers coming and you have 6 min left to ask yours 🙂

[Mar 28 2017, 12:56 PM] Guest761: Can I get body contouring after bariatric surgery?

[Mar 28 2017, 12:56 PM] EmoryHealthcare: Very good question, @Guest761!

[Mar 28 2017, 12:56 PM] EmoryHealthcare: @Guest761, Dr. Miotto said: “Absolutely! There are several procedures that can be performed to treat the extra skin and fat that remains after massive weight loss.”

[Mar 28 2017, 12:57 PM] EmoryHealthcare: Bella asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:58 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:58 PM] Guest2220: Does Emory offer financing for procedures?

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest2220, we do offer financing through Care Credit https://www.emoryhealthcare.org/centers-programs/aesthetic-center/become-a-patient/index.html

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest950, Dr. Miotto said: Heat based procedures were designed to improve skin laxity of the face and body. They have some effect for mild laxity, mostly on the face and neck, but not a consistent effect for body skin laxity. They are not effective devices for fat removal.

[Mar 28 2017, 1:00 PM] EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! As we mentioned, we’ll follow up with a blog post to answer any questions we didn’t get a chance to address today.

[Mar 28 2017, 1:01 PM] EmoryHealthcare: Thanks for your questions. Have a great day, everyone!

[Mar 28 2017, 1:02 PM] Guest950: Thanks for your time

[Mar 28 2017, 1:02 PM] Guest3275: thank you!

[Mar 28 2017, 1:02 PM] Guest5784: It says Dr. Miotto explores cutting edge technology. are there any techniques or procedures she uses that haven’t been mentioned?

[Mar 28 2017, 1:02 PM] FSUnole755: I’ve seen advertisements to Cool Sculpting and it seem like everyone is doing it. Should I be selective on choosing a person to do body contouring?

[Mar 28 2017, 1:03 PM] EmoryHealthcare: All unanswered questions will be answered in a followup blog. Thanks, everyone and enjoy the rest of your day!


About Dr. Miotto

Dr. MiottoDr. Miotto is constantly exploring cutting edge technologies to provide the best available options to her patients. She has published and presented on aesthetic plastic surgery in many national and international meetings. Her main interests include body contouring, facial rejuvenation, eyelid surgery, rhinoplasty, aesthetic breast surgery and fat grafting.

After completing medical school under a full academic scholarship at the prestigious Federal University of Rio Grande do Sul, Dr. Miotto trained at the Hospital de Clinicas and at Santa Casa in Porto Alegre, Brazil. She also received additional training at Emory University and completed a fellowship in Aesthetic and Oculoplastic Surgery with Dr. Clinton McCord and Dr. Foad Nahai at Paces Plastic Surgery in Atlanta. She is a “Membro Titular” of the Brazilian Society of Plastic Surgery, the highest level of credentialing for board-certified plastic surgeons in Brazil.

Dr. Miotto is committed to providing excellent care to her patients. She has a passion for restoring and enhancing beauty through surgical and non-surgical cosmetic procedures of the face and body.

Getting Rid of That Double Chin — Without Surgery

double-chin-smallSubmental fullness, often referred to as a “double chin,” is a common facial aesthetic condition that can impact both men and women. It can be related to the aging process or could simply be a part of your genetics. Though it can become more prominent with weight gain, sometimes diet and exercise alone do not make it go away. But chin up…we have good news for you.

Nonsurgical Treatment

At the Emory Aesthetic Center, we offer a nonsurgical approach (Kybella) to treat this common condition. Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of double chin.

Kybella contains deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. It is injected into the fat beneath your chin to destroy fat cells. Once the cells are destroyed, they can no longer store or accumulate fat. For most patients, two treatments are needed.

How Do I Know if Kybella is Right for Me?

Kybella is an effective treatment for submental fullness, but not everyone is a candidate. Your physician will help you determine if the treatment is right for you.

You may be a good candidate for this treatment if you:

  • Are bothered by the appearance of a double chin
  • Feel the condition makes you look older or heavier than you are
  • Eat well and exercise but submental fullness doesn’t go away
  • Prefer a nonsurgical approach

Some health problems may prevent you from being a candidate for treatment:

  • Bleeding problems
  • Difficulty swallowing
  • Infection in the area of treatment
  • Weak facial muscles

What Can I Expect During the Procedure?

The Kybella injection is a quick and minimally invasive procedure. Cold packs are applied to make the process more comfortable and, if needed, a topical numbing cream is used. The procedure typically lasts only 15 to 20 minutes, and discomfort should be minimal.

What Can I Expect During Recovery?

The injection involves minimal discomfort and absolutely no downtime. Many people even undergo treatment on their lunch break, and then return to work immediately afterward.

As with any needle treatment, the injection site may become slightly sore, red, swollen or bruised. These side effects are temporary and subside within a few days.

Kybella doesn’t produce immediate results. It works to reduce submental fullness, and you’ll usually see results within 4 to 6 weeks after treatment.

How Long Will My Results Last?

As with any fat removing treatment, your results are impacted by your commitment to a healthy lifestyle and weight management. You’ll continue to age, but your submental fullness will always be better than it would have been without treatment.

I’m Ready to Lose My Double Chin. How Do I Get Started?

At Emory Aesthetic Center, we offer Kybella and CoolSculpting® to address double chin.

Schedule a consultation with one of our skilled, board-certified cosmetic surgeons. They’ll discuss with you how it works, what to expect and your goals for treatment.

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Or call us at 404-778-6880 to schedule your personal consultation

About Dr. Anderson

anderson-ericaErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

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Get Ready for Swimsuit Season! Join our Live Chat on Body Contouring

swimsuit-chat-260x200-emailSpring is here, therefore, swim suit season is just around the corner. To help get your body ready for the warmer weather, join Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, on Tuesday, March 22, 2016 at 12:00 p.m. EST as he discusses body contouring solutions to help improve your shape and tighten excess or loose skin. Dr. Eaves will answer all of your questions and walk you through both non-surgical and surgical body contouring options – including CoolSculpting®, liposuction and tummy tucks.

If you have been wondering if a cosmetic body contouring procedure is right for you, you won’t want to miss this chat.

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About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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Liposuction versus CoolSculpting®: Which is Right for You?

Lipo vs CoolSculptingLiposuction and CoolSculpting® are two very different procedures that are designed to reduce unwanted fatty deposits. So with both procedures producing the same outcome in the end, how are you to decide which is best for you? Like so many things in cosmetic medicine, it depends . . .Let me break down the differences between the two so that you can make the best decision for you.

Liposuction was developed in the 1980’s and has been around a lot longer than CoolSculping. There are now many types of liposuction including Suction Assisted Lipectomy (SAL) – the original technique but still a great one; Ultrasound Assisted Liposuction (UAL) that uses sound waves to break up the fat, Power Assisted Liposuction (PAL) that uses vibration, Laser Assisted Liposuction (LAL) that uses laser energy, and Fluid Assisted Liposuction (FAL) that works like a water jet. Despite the different approaches, all of these techniques can work well, and none is clearly superior over the other, despite marketing claims to the contrary.

Liposuction is a surgical procedure and can be performed under local anesthesia, under sedation, or with full general anesthesia. The type of anesthesia you will need depends on the area(s) to be treated and the amount of fat that needs to be removed. In general, the more areas that you treat, the more sedation or full general anesthesia you will need. The incisions for liposuction are small, typically less than 1/4 inch, so there isn’t much scarring. There is, however, a recovery period that lasts for a few weeks – bruising and swelling are most common. Patients can usually resume light exercise after a few days.

As opposed to liposuction, CoolSculpting® is a non-invasive procedure that doesn’t require anesthesia at all. The CoolSculpting system includes a disposable gel pad that is placed over the treatment area. A cooling head is then placed over the gel pad and suction is activated. The machine has a base that cools the liquid flowing through the headpiece and pulls the fatty area into the head, therefore, freezing the fat. After an hour or so (or two hours for a non-suction treatment type) the cooling head is removed and the frozen area is massaged briefly. Although there can be some discomfort when the tissue is first pulled into the cooling head, this becomes numb once the cooling starts and the massage doesn’t hurt. Like liposuction, it takes a few weeks to see the final result, and although there really isn’t much pain, like liposuction, the treated area can feel a little tender for a while.

Liposuction is the more aggressive treatment of the two, allowing more fat to be removed in a single session. Because CoolSculpting removes less fat per treatment, patients may need several sessions of CoolSculpting to get their optimal result.

Patients who are thinking about other cosmetic surgical procedures may be better candidates for liposuction than CoolSculpting since they would already be under aesthesia. In addition, the combination of liposuction with an excisional procedure (think tummy tuck with liposuction) is very powerful and can deliver dramatic results. Another example of when liposuction is preferable is when a patient might want to add volume to an area and they want to do so with their own fat. Liposuction can be used to harvest fat for fat transfer to another site. Liposuction is often preferred when there are many body areas that the patient wants treated, as these can be done all at one time, rather than over many different sessions with CoolSculpting.

CoolSculpting can be a great option for smaller fatty deposits. It is also a great choice for patients that are keen to avoid surgery, either for personal preference or because of health issues that may increase the risk of surgery.

Patients always wonder which is more cost effective – liposuction or CoolSculpting. This is another it depends situation. If a patient is treating a single small area that will probably be effectively treated with two sessions, then CoolSculping makes a lot of sense and may be cheaper. However if there are multiple sites to treat, and some of these will need three or more CoolSculpting sessions to get full resolution, then liposuction may be the less expensive of the two.

In the long run the choice of which is best for you depends on you – how you feel about it, what issues are the most important, and how aggressive you want to be in removing the fat. If avoiding surgery is super important to you, and you’ll accept less dramatic results in order to do so, then CoolSculping might be your best option. On the other hand, if you’d rather get as much fat off as possible, and would rather do this in one session instead of several, then liposuction may be your best bet. Let the board certified cosmetic surgeons at the Emory Aesthetic Center help you figure out what approach is best for you.

404-778-6880
emoryaesthetic.org

About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Takeaways from Dr. Eaves’ Body Contouring – Getting Ready for Summer Live Chat

Body ContouringThank you to everyone who joined us for the Body Contouring – Getting Ready for Summer live chat hosted by Emory Aesthetic Center surgeon, Dr. Felmont Eaves. Dr. Eaves discussed body contouring options to help shape the body for summer and tighten excess or loose skin. He described both surgical and non-surgical procedures – including liposuction, tummy tucks, arm and thigh lifts.

We were thrilled with the number of people who registered and were able to participate in the chat. The response was so great that we had a few questions we were not able to answer so we will answer them below for your reference.

If you missed this informative chat, be sure to check out the full list of questions and answers located on our chat transcript. You may also visit the Emory Aesthetic Center website for more information on therapies and solutions to get your body ready for the summer.

Question: What are new procedures for arm lifts?

Felmont Eaves, MDDr. Eaves: Arm lifts continue to evolve as we are doing more of them all the time. Arm lifts can be categorized into short scar techniques, full length techniques, and minimally invasive techniques. The short scar technique leaves a scar that is limited to the axilla (arm pit) and can help looseness in the upper part of the arm closest to the shoulder. But this technique isn’t as effective if the looseness goes far down the arm. In this case a full-length arm lift is recommended, although this does leave a long scar on the inside of the arm. For some patients, if skin laxity of the arms isn’t severe, liposuction alone may give a very nice result with a tiny scar. While there are some companies advertising significant arm tightening with non-invasive procedures, I haven’t seen impressive results with these yet.

Question: I have a normal BMI. How drastic can I expect the results of CoolSculpting to be?

Felmont Eaves, MDDr. Eaves: CoolSculping can certainly make some nice changes, but the results tend to be more subtle than that achieved by liposuction (or excisional surgery). However in patients that have excellent skin elasticity and limited fat deposits, it can do a great job of addressing what you want. It really takes an examination by someone who is familiar with all types of body contouring techniques (non-invasive, liposuction, and excisional surgery) to help you figure out which is best for you.

Question: I have a scar on my stomach from a childhood surgery. Can you fix this?

Felmont Eaves, MDDr. Eaves: That’s a good question. If you are talking about making a scar looking better, then yes, a scar revision can help. Even further, if you have a scar in the lower part of your stomach (below your belly button), that scar might be totally removed with a tummy tuck (although you’ll get a new tummy tuck scar – but it will be better positioned and hidden within the panty or bathing suit area).

Question: Can you get a 6-pack look with a tummy tuck?

Felmont Eaves, MDDr. Eaves: It is possible, but not usually. Having a real “6-pack” requires two things – well developed abdominal muscles (specifically the two muscles in the middle, known as the rectus abdominus muscles) and a very low body fat percentage. When we perform a tummy tuck, we thin out the fatty layers of the abdomen, however it is important to keep the thickness of the tissues in harmony with surrounding areas of the body, otherwise it may look odd. A tummy tuck won’t build up the abdominal muscles.

 

 

 

Coolsculpting® – The Nonsurgical Way to Remove Fat: How Does It Work?

coolsculpt atlantaWith the holidays coming to end, we can start to think about the arrival of warmer weather. It’s almost time to shed those winter layers, and trade in scarves and hats for shorts and bandeaus. But when losing layers, we may notice some unwelcome bulges we’ve gained along the way.

Coolsculpting®, a noninvasive procedure to “freeze the fat”, may be just the solution to address muffin tops, love handles and saddlebags on the thighs. A nonsurgical way to remove fat? Too good to be true, right? Let’s explore how Coolscupting® works and some frequently asked questions about the procedure.

What is Coolsculpting® and how does it work?

Coolsculpting® is an FDA approved procedure that safely delivers precisely controlled cooling to an area of the body. It targets the fat cells underneath the skin being treated. The fat cells are more vulnerable to cold and crystallize (freeze) leaving the other tissues in the area unharmed. Over the next several weeks to months, your body eliminates these dead cells, leaving a more sculpted you.

Will the fat come back?

To answer that question, we need to distinguish weight loss from fat reduction. When you lose weight, your fat cells get smaller, although they remain the same in number. With weight gain, the cells get larger. Coolsculpting actually reduces the number of fat cells in the treated area. If the cells are gone, they cannot get bigger.

Are there side effects that I should be aware of?

During the procedure, you may experience deep pulling, tugging, numbness and discomfort. Following the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. You should not have the procedure if you suffer from cryoglobinemia or paroxysmal cold hemoglobinuria. The treatment is not for obesity.

What is the downtime like?

Because CoolSculpting® is completely nonsurgical, you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often patients return to work after the CoolSculpting® session is over.

If you are ready for swim suit season but have trouble areas that have not responded to diet and exercise, CoolSculpting® may be for you. Come meet with one of our cosmetic physicians and aestheticians at the Emory Aesthetic Center for a complimentary consultation and say goodbye to stubborn fat.

CoolSculpting Special

For those who have made the resolution to lose weight or tone your body this new year, the Emory Aesthetic Center is offering a promotion discount of 20% off a package of 3 or more CoolSculpting® treatments. Learn more.

404-778-6880
emoryaesthetic.org

About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

Related Resource

CoolSculpting – A Non-Surgical Solution to Removing Stubborn Fat

cool-sculp2tHave you heard the logo “Freeze the Fat!”? If you have, you may know that it is in reference to CoolSculpting, a non-surgical treatment to remove fat from trouble spots on your body like love handles, muffin tops and the dreaded tummy pooch. First, let me tell you, it works! And second, we offer the treatment here at the Emory Aesthetic Center. Before you decide if this is the right treatment for you, let me answer some questions that I am frequently asked by my patients.

How does it actually work? CoolSculpting uses a fat freezing technology to safely and effectively kill unwanted fat cells. The FDA-approved procedure provides targeted cooling to your fat cells in the chosen trouble area. Just the fat cells are damaged without harming surrounding skin or soft tissue. During the weeks after your procedure, your body will naturally remove the damaged fat cells, leaving you slimmer. The great thing about the procedure, besides the eventual outcome, is that no anesthetic is needed, and no incisions are made. And you can return to normal activities right after your treatment.

Can anyone have it done anywhere on their body? CoolSculpting is not for everyone. Ideal candidates should have discrete bulges of fat. Obese individuals are not typically good candidates, and CoolSculpting is not a weight loss procedure. The anatomic regions that the device is able to treat most effectively include the abdomen, flanks (love handles), and back (below the bra strap area). Arms and inner thighs can be treated in select cases. The Emory Aesthetic Center just introduced a new hand piece that can treat other areas like the outer thighs.

How many treatments will I need? Depending on the amount of excess tissue to be reduced, one or more treatments per area may be necessary. Many patients are satisfied after one treatment. The process begins with a consultation with one of our physicians. During this appointment, your areas of concern will be evaluated for their appropriateness for treatment. CoolSculpting does not remove the same degree of fat as liposuction so this evaluation will ensure your expectations can be met. You will also meet with an aesthetician at the Emory Aesthetic Center Spa to further define a treatment plan.

What can I expect during the procedure? CoolSculpting treatments are performed in the Emory Aesthetic Center Spa without sedation, pain medications, anesthesia or numbing cream. To initiate the treatment, a protective gel pad is applied and then the device is positioned on your targeted area of concern. There is minimal discomfort as the vacuum applicator is applied and cooled. A typical session to treat a single area on both sides takes 1 to 2 hours. The Emory Aesthetic Center Spa has two CoolSculpting machines to reduce your treatment time. Patients are encouraged to bring a book, computer, or other activity to pass the time during a treatment.

Are there any side effects after the treatment? Some patients experience redness, tingling, and numbness. Bruising of the treated area is not uncommon after the procedure. This resolves over a period of days to weeks like any other bruise. There are no special instructions or limitations of activity after a CoolSculpting treatment and often patients return to work or other activity after the session is over.

How soon after treatment will I begin seeing the results? You will start to see changes as quickly as three weeks after your treatment and will experience the most dramatic improvement after one to three months. Even at that point, your body is still flushing fat cells and will continue to do so for up to four to six months. If additional treatments are recommended to facilitate your transformation, these are typically spaced three months apart.

If you have trouble areas that have not responded to diet and exercise, CoolSculpting may be right for you. Come meet with one of our physicians at the Emory Aesthetic Center for an evaluation and say goodbye to that stubborn fat.

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What is the Best Method of Liposuction?

Liposuction AtlantaStandard Lipo, Laser Assisted Lipo, Ultrasonic Lipo, Power Assisted Lipo, Tumenscent Lipo, Smart Lipo, Safe Lipo, Tickle Lipo…there are many different types of liposuction procedures currently offered in the market place, so logically patients are always asking “which is best for me?”. Although some practitioners may have strong feelings one way or another, the short answer to the question is that all of these techniques work, and the results are similar for all.

Liposuction became popular in the 1980s. The initial method of liposuction used hollow tubes (cannulas) to suction out fatty tissues from under the skin using very small incisions. Although initial techniques worked well, the results got even better when surgeons began using smaller, finer cannulas. A major advance occurred when the technique began to incorporate the injection of a dilute solution prior to suctioning. This technique was very helpful in reducing blood loss and bruising, and is commonly used in most types of liposuction today. During the 1990s, new technologies began to emerge to make the procedure even easier by using the application of energy to break up fatty tissues. Ultrasonic assisted liposuction (UAL) uses sound waves, power assisted liposuction (PAL) uses mechanical vibrations, and laser assisted liposuction (LAL) uses laser energy to this end. Some even newer technologies use water pressure to the same effect.

Although companies advertise significant advantages of their technologies over the competition, the scientific literature does not support major differences. Two particular studies about liposuction deserve special attention. The first study looked at over 26,000 consecutive patients undergoing liposuction by many of these different technologies.1 The authors found that overall the results were similar between these different groups. A second study published in 2011 examined trends in liposuction techniques among 492 plastic surgeons.2 In this study, the authors found that all these technologies are currently used by plastic surgeons, but that only a minority (about 10%) used laser liposuction (which include “Smart Lipo” and “Slim Lipo”), and that standard liposuction was still the most common technique used. While energy-based liposuction techniques can help your surgeon with hard to treat areas like the flanks, chest, and back, they also have an increased potential for complications such as burns. With experience and familiarity, however, all of these techniques can be safe and effective.

Non-Surgical Liposuction?

There is even a non-surgical procedure that may be an option for you. Cool Sculpting, which freezes the fat, is an office procedure that doesn’t require anesthesia.

So if all these technologies work, how should a patient choose? First of all, don’t be fooled by fancy ads promising huge results using the latest technology. Second, do your homework to select a qualified plastic surgeon with significant experience in all types of body contouring surgery, including both liposuction and excisional surgery such as tummy tucks. Here at the Emory Aesthetic Center, our surgeons have extensive experience and can explain the differences between all these techniques. We offer a full spectrum of options, and we will customize a plan that best fits your needs.

References
1Triana L, Triana C, Barbato C, Zambrano M. Liposuction: 25 years of experience in 26,259 patients using different devices. Aesthetic Surgery Journal 2009: 29: 509.
2Ahmad J, Eaves FF, Rohrich RJ, and Kenkel JM. The American Society for Aesthetic Plastic Surgery (ASAPS) Survey: Current Trends in Liposuction. Aesthetic Surgery Journal 2011: 31; 214.

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