PEARLS ABOUT THE LIPOSUCTION ASPIRATE

The most exciting part of a liposculpting surgery, especially for the patient awake, is the aspiration of the fat, as the fat is suctioned with a cannula, travels in the tubing, and is deposited in the fat canister. Patients are in awe and satisfied to see that finally, those pockets of stubborn, accumulated fat will be gone for good.

Local tumescent anesthesia fluid is used to anesthetize the areas treated by liposuction. Upon
aspiration, fat and blood-tinged tumescent anesthesia fluid will be extracted. Aspirate fills the canister and settles, the contents divide into:

• A top layer of oil
• A yellow layer of fat (supranatant fat) FAT FLOATS!
• A bottom layer of blood-tinged anesthetic solution (infranatant fluid)

PEARLS ABOUT THE LIPOSUCTION ASPIRATE:

• The total aspirate volume is an inaccurate measure of post-operative complications as the vasoconstriction offered by the tumescent anesthesia eliminates surgical blood loss.
• It is essential to maintain the extract count, as the amount of pure fat taken out at a time varies by state/country regulations. This regulation is for patients’ safety.
• The patient’s size and amount of areas to be treated are essential factors in maintaining the patient’s safety and avoiding potential complications.
• At the end of the surgery, the total volume collected in the canisters is added. Then the total is divided into what is pure fat and blood-tinged-tumescent anesthesia fluid.
• Sufficient time (> 30 minutes) needs to pass for the fat and the tumescent fluid to separate. The time passed will provide a good indication of the volume of fat aspirated.
• Factors that will determine the supranatant volume/infranatant volume ratio, making the aspirate contain more infranatant tumescent fluid, are:
• Time elapsed between the completion of anesthesia fluid infiltration and the beginning of surgery
• Fibrous areas of liposuction
• Males (more fibrous fat)
• Patients that have lost significant weight
• Experience in the liposuction technique

Safety is always first, but patients will always ask about the amount of fat extracted as they will still be in awe and fascinated by how much was taken out of their bodies. Safety + results = satisfied patient.

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Who am I, Dr. A?


I am a Fellowship trained Cosmetic Surgeon Specialist in Body Contouring Surgeries, including Liposculting and Fat Transfer, who specializes in training new aesthetic professionals in the science and art of these procedures.

For many years, I practiced as an independent Cosmetic Surgeon in several medical spas offering body contouring procedures, while also doing training collaborative work with colleagues new to the aesthetic world. In doing so, I identified the need for surgical training and consulting in liposculpting and fat transfer surgeries, to help these new aesthetic professionals establish and grow their practices, while teaching them the use of cutting-edge technology to provide their patients with new and possibly life-enhancing treatments.

The diversity of medical professionals offering new aesthetic procedures is constantly growing and changing. During this ever evolving aesthetic journey, some aesthetic professionals are adding new procedures to their already existing aesthetic businesses while others are transitioning to an entirely different medical world.

My experience has led me to identify a real need for concierge comprehensive training and consulting targeting the specific needs of these aesthetic professionals and their staff. By imparting my knowledge on emerging surgical skills and techniques in cosmetic contouring procedures, Avellanet Surgical Aesthetics offers a one-on-one, customized, hands-on experience, offering the necessary tools, guidance and support to aesthetic providers that are committed in offering their patients beautiful results that could improve their self-esteem and quality of life.

Through Avellanet Surgical Aesthetics, I am now expanding my passion and knowledge spreading my expertise to the next generation of surgical aesthetic providers.

I look forward to connecting with you!

PATIENT COMFORT DURING SURGERY

Happy Thursday! Today I’m sharing easy tips to keep your patient comfortable  during surgery. A patient awake during an in-office surgical procedure should always be comfortable, from the moment she/he arrives at the clinic, during the entire duration of the procedure and until she’s /he’s discharged.

The patient is and should always be the central player in any surgery, specially if the patient is awake and conscious all throughout.  It is critical that the Cosmetic Specialist and his/her staff are aware of the patient’s comfort all throughout the procedure and one staff member, usually the circulating, non-sterile assistant, should be in charge of maintaining the patient comfortable from start to end of the surgery.

Some tips I can recommend to keep the awake patient comfortable during a liposuction/fat transfer surgery:

  • Heating pad for the surgical bed/chair
  • Socks
  • Cover for patient
  • Eye mask
  • Music
  • Warm skin disinfectant during prepping
  • Warm tumescent anesthesia fluid during infiltration
  • Oral hydration throughout the surgery
  • Verbal reassurance throughout the surgery

A comfortable patient will adequately behave throughout the duration of the surgery and will have a more enjoyable overall experience in the surgical suite.


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