Liposculpture has been around for many years. The concept is to analyse the shape of the body and, by using an artistic eye, sculpt the fat away in a 3-dimensional layer to produce the most even and smooth result. It is interesting how this is a skill that is so dependent on the surgeon. I have found it quite interesting that some procedures can be taught over to other doctors really easily, for example how to set a laser, since it is all dependent on a numerical value setting. However, liposculpture is a skill that some people either have it or do not. It really involves the ability to see a patient in 3 dimensions and to visualise ahead of time the type of 3-dimensional result that one wants to obtain.
Vaser is the 3rd generation ultrasound. The procedure that changed liposculpture is the tumescent one which was developed by dermatologist and cosmetic surgeon, Jeffrey Klein, in America over 25 years ago. In 1992 I arranged the first hands-on workshop of this method. Since then, cosmetic and plastic surgeons have been trying to develop ways to enhance the liposculpture method. One of the main issues with treatment of fat is how to develop the best and most efficient skin retraction. One method, called superficial liposculpture was developed by a plastic surgeon. This involves sculpturing the skin very close to the skin surface. In some areas, this procedure is really effective and a great tool. However, over time, we have learned that in other areas it is not the best way to go. Surgeons then developed ideas to heat the fat before the suction. Heat creates a fibrous reaction which enhances contraction and tightening. Unfortunately, some of the heat producing machines create too much heat which can cause scarring and lead to surface pigmentation and irregularities.
The vaser is a type of ultrasound that produces ultrasound waves in short bursts. It is almost like the way we use a laser on the skin to remove wrinkles. By having a laser beam that touches the skin so quickly, it causes what we want without too much heat. The vaser liposculpture method starts with the standard approach of marking out the areas we wish to do and filling the fat with the tumescent fluid. At that stage, the vaser probe, much like a wand, is passed through the fat. It is critical that the surgeon keeps the vaser deep in the fat and does not touch the surface skin which could cause a burn. After the vaser, the fat is then sculptured away. Vaser is particularly effective and helpful for when there is loose skin such as on a drooping stomach. It is also very effective and helpful when patients have fibrous and tough fat. This is particularly seen in men, such as on the chests and also on the back where fat tends to be more fibrous and hangs from the ribs. The vaser machine is very expensive and usually costs the surgeon over $100,000 to purchase it. It can therefore add to the costs of surgery. We do not charge extra for using the vaser and use it as an addition to help with the results.
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Another area where vaser liposculpture has been of great use is in high definition for 6-pack sculpturing. Men for years have dreamed and looked forward to develop a muscular appearance of the stomach. The abs have horizontal insertions across the upper stomach and vertical insertions on the sides of the abdomen. Very fit and healthy men can see their 6-pack and of course many stars are able to boast a 6-pack. The unfortunate truth is that a 6-pack is hard to develop and maintain and involves a lot of gym work and a lot of dieting. By using the vaser liposculpture we are able to sculpt away the fat selectively around the muscles so that the person’s own natural muscles become more visible.
Dr Lanzer performs the vaser liposculpture in his state-of-the-art Day Surgery Center in Malvern, Melbourne. Today, due to the amazing access with internet, Dr Lanzer will consult patients all around Australia and even patients overseas. It is not uncommon for patients to fly in and have surgery. With the internet, Dr Lanzer will arrange for all the appropriate pre-operative consultations to be done before you arrive in Melbourne. Basically, the surgery is performed when you arrive in Melbourne. Post-operative care is also very easy now with the internet. Cheaper flights have also made traveling for surgery much more affordable. Dr Lanzer has an after-care center which he makes available for patients to stay who are from interstate or the country. Vaser liposculpture is a further development of liposculpture. Dr Lanzer was the first in Australia to be trained in America on vaser high definition liposculpture. Dr Lanzer offers the latest methods in liposculpture and the latest devices in post-operative liposculpture care which includes VelaShape, freeze, radiofrequency, and acoustic wave therapy.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person’s experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.