Dr Nassif Soueid - Townson, Maryland

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American Society for Reconstructive Microsurgery
Member American College of Surgeons
MedChi
Weight Loss
     
 

Tummy Tuck

Abdominoplasty, or a "tummy tuck," is designed to correct a protruding abdomen resulting from weak abdominal muscles, weight gain or pregnancy. Obesity causes the skin to lose its elasticity. These conditions may not respond well to diet or exercise if the skin and underlying muscles have been stretched.

With abdominoplasty, the abdominal wall muscles are tightened and excess fatty tissue and skin are removed to improve the body contour. The goal is a narrower, flatter abdomen. Realistic expectations are important. Abdominoplasty is not a substitute for weight loss.

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Lower Body Lift

The body lift is performed to remove loose, excess skin from the torso and upper legs. It offers an improvement in appearance for patients who have lost significant amounts of weight due to childbearing, diet, exercise or bariatric surgery. The procedure is often combined with others such as breast lifts and arm lifts to retain a proper body proportion.

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Breast Lift (Mastopexy)

A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin's natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast reduction for added firmness. It is usually done under general anesthesia, and lasts from one to three hours.

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Thigh Reduction and Thigh Lift

Thigh reduction procedures are needed in patients with excessive skin and fat tissues in the inner thighs. After massive weight loss, inner thigh skin and fat can become excessively loose and flabby. The goal with thigh reduction is to tighten the skin and remove any excess tissue. Some patients have fat/skin tissue that descends way down past their knees and these procedures are tailor-made, to account for the various levels of excess. Some patients may need a small horizontal and vertical excision high in the upper thigh area, while others require longer incisions that sometimes go past the knees. It is important to appreciate that patients requiring longer incisions had been heavier than those who require smaller incisions to have a good outcome. After the procedure many patients find that the thighs have been lifted into a more youthful and attractive position.

Dr. Soueid performs thigh reduction and lift procedures in a hospital setting and keeps patients in the facility overnight. All patients are expected to walk the evening of surgery. The next morning, a soft diet is started only after the patient gets out of bed and walks 20 paces.

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Arm Lift or Brachioplasty

The arm lift procedure or brachioplasty, is a surgical procedure to remove loose skin and excess fat deposits in the upper arm. With age, upper arm skin can become loose and flabby. The goal with brachioplasty is to tighten the skin and remove the excess fat tissue. In some cases your plastic surgeon may suggest that liposuction be used alone or in conjunction with an arm lift to remove excess fat in the upper arms.

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Liposuction

Liposuction is a very common, popular procedure. It is designed for the permanent removal of fatty tissue, commonly referred to as "cellulite." It is an elective procedure that allows the plastic surgeon to remove undesirable, subcutaneous fat in isolated areas that do not respond to diet and exercise. These areas include the hips, thighs, abdomen, knees, ankles, face and neck.

Liposuction is most successful in people with good skin tone who have fatty deposits. It is not a treatment for obesity. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated. The procedure can be repeated, if necessary. To maintain the safety of the procedure, there is a limit on how much can be done at one time.

A variety of factors can affect the results: Physical condition, genetic makeup, diet, exercise, smoking, alcohol intake, and skin elasticity.

Liposuction can help reduce and remove localized excess fat in the following areas:

  • cheeks, jowls and neck
  • upper arms
  • breast or chest areas
  • back
  • abdomen and waist
  • hips and buttocks
  • inner and outer thighs
  • inner knee

Dr. Soueid performs liposuction using the Microaire Power-assisted Lipoplasty system; this new technique offers a lot of advantages.

Power Assisted Liposuction:
The Latest Advance In Liposuction

Liposuction, a surgical procedure that removes unwanted fat from the body, has been labor intensive process for the doctor as well as the patient, but now there is a new procedure that is less traumatic: Power Assisted Liposuction (PAL).

While liposuction, like any surgery, has its risks, doctors are reporting less bruising, less swelling and a quicker recovery time for patients undergoing power-assisted liposuction. Dr. Soueid  has adopted this procedure in his practice with excellent results.

In power-assisted liposuction (PAL), a new and improved microcannula powers through the fat and vacuums it out. The cannula is attached to a hand piece, powered by nitrogen, which causes it to vibrate. The vibration, or reciprocation, is 4000 times per minute. This low speed reciprocation delivers enough energy to the tip of the cannula so it passes easily through the fat with almost no physical effort by the surgeon. This result is greater control and less trauma to the patient. The vibration also assists in passing the cannula through fibers and scar tissue.

Power assisted liposuction has several advantages over ultrasonic assisted liposuction: the power assisted liposuction cannula are smaller (microcannula), resulting in smaller scars: there is no potential for burns with the power assisted liposuction; operation takes less time with power assisted liposuction, therefore is safer for patients; and postoperative pain is less with power assisted liposuction. Also with PAL there is less fatigue for the surgeon, allowing being more precise and focusing his attention to the sculpting aspect of the procedure. Power assisted liposuction is more effective in revisional surgery and in areas that are traditionally more difficult like chest and back.

Dr. Soueid feels that all these advantages make power assisted liposuction the way of the future, where high technology is used in combination of an artistic touch to create a beautiful result.

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For additional information go to MicroAire® website

 

Old Liposuction vs. Power Liposuction
Traditional Lipo Power Lipo
Procedure
A thin metal tube called a canula is inserted and manually forced around to break up the fat, which is then vacuumed out.

Anesthesia
General Anesthesia

Scarring
Quarter- to half-inch marks from each incision, which should fade
over time.

Recovery
Bed rest for four to five days; soreness and bruising for seven to ten days

Results
Permanent removal of fat

Possible Complication

Excessive blood loss, blood clotting, anesthesia allergy, skin rippling, asymmetrical contouring. In 1998, there were 20 deaths out of 100,000 operations.
Procedure
A motorized, vibrating canula is
inserted to break up and vacuum
out the fat.

Anesthesia
Local anesthesia with Demerol sedative

Scarring 
Same as with traditional lipo.

Recovery
Bed rest for one day; Soreness and bruising for three to six days

Results
Same as with traditional lipo, but the effect is much more precise and has scored higher in patient satisfaction.

Possible Complication
Same as with traditional lipo, but they occur less frequently. No stats on death rate are currently available

 

 
     

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