Post liposuction surgery and healing may show irregularities in the contour of the skin’s surface. Such irregularities would include a bumpy or shriveled appearance over and around the treated area. This is due to factors involving the patient’s healing capability and skin elasticity. If the fat removal was uneven, it may appear as unusual lumps or dips in the skin. Fortunately, irregularities, whether minor or major, can be corrected with minimal follow-up surgery. Sometimes the ultrasound method may cause slight burning in the upper and lower portions of the tissue.

Lidocaine toxicity is a problem if too much of it is used in replacing bodily fluids during surgery. It manifests in a numbness or tingling sensation. In extreme cases it may cause seizures and unconsciousness, leading to cardiac or respiratory arrest. It is unlikely, though, since surgeons take great effort to administer exacting replacement fluids in relation to removed fatty liquids. Overall fluid imbalance is a risk after surgery but can be corrected and monitored when discovered.

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Recovery may only take few days or up to two weeks depending upon the extent of the surgery. Removable compression garments are routinely prescribed to help support the area and aid with healing. They are typically worn from two to four weeks and allow elastic motion and the
application of bandages. Sutures are generally taken out from five to 10 days.

Visible bruising usually fades within two days or may last up to two weeks, depending upon the patient’s healing potential. There may be evidence of swelling and numbness which may take as little as two weeks or a few months to completely subside. The final healing process may last only a month or may extend to six months.

Recovery is entirely in the hands of the patient. This means regular exercise and a diet that consists of all the needed vitamins and minerals.

The healing process for liposuction and visual appearance of the surgery area will hasten with the proper diet and physical exercise efforts put forth by the patient. In cases involving pain and discomfort, the doctor may prescribe medication for a certain period of time.

Physicians Becoming Activists

Many physicians like me have functioned in a politically “sterile” fashion – choosing to avoid the political
arena and focus on our scientific jobs. We may vote on Election Day or occasionally send a check to
support a political candidate. However, for many of us, this is the extent of our political involvement.
I’d like to blame my political complacency on my being a product of Generation X, the generation that
produced a large fraction of our current medical society members. Yet, I must confess that my political
complacency has been rooted in the “Other- doctors- are- taking- care- of- this” attitude. Evidently, I
was not alone with this attitude as physicians have been out-lobbied by attorneys, insurance companies,
and big Pharma. The recent physician-unfriendly legislative overhaul was quite a wake-up call to all of
us that unless we become more involved; we will continue to be run over. The economic climate
seemingly forced this monumental change in medicine and in doing so has changed how all of us will
look at socialized medicine.
How do we become more organized?
First and foremost, we must open our wallets. If you have not donated to a political action committee,
now is the time to start donating. Yes, this may mean donating to multiple organizations (your medical
specialty organization’s PAC, LCMS PAC, FMA PAC, AMA PAC). If you are already donating, consider
adding more zeros to that check. Many physicians, including myself, and state medical associations
have disassociated themselves from the AMA because it did not fully defend the interests of physicians.
It is time for physicians and state medical associations to rethink that strategy. The AMA is our primary
voice in Washington. Not only is the AMA competing against attorneys, insurance companies, and big
Pharma, it is also competing against medical specialty organizations for the ears of legislators. Instead
of abandoning the AMA, physicians need to join it and change the leadership from within.
Second, we must maintain our memberships. This also may mean maintaining memberships with
multiple organizations. When speaking to legislators, the more physicians these organizations can say
they represent, the more effective their efforts will be in defending physicians. Also, encourage
colleagues to join.
Third, we must inform our patients by taking every opportunity to discuss healthcare reform topics with
them. Hearing their physician’s perspective may influence their decisions at the polls.
Fourth, we should strive for more direct communication with our legislators. We can do this by writing
to our congressmen or by volunteering through the Lee County Medical Society to be a liaison to our

The Affordable Care Act in some form or another is here to stay. We need to be part of the discussion
as amendments will certainly be proposed. By physicians becoming activists, we can strive to influence
policy in a way that will protect our profession and our patients.

farahmandArticle provided by Dr Audrey Farahmand of


Attn. Cancer Victims: Be Aware of Breast Enhancement Options ASAP

Breast enhancement may be the last thing on your mind when a diagnosis of breast cancer is confirmed by your physician. However, breast enhancement should be thoroughly discussed with your physician during initial consultation, including the benefits and risks of all breast cancer treatment options. This is important considering that certain options leverage the opportunity for improved outcomes following cancer treatment.

Unfortunately, many breast cancer victims are missing out on the benefit of discussing all options at the time of diagnosis. Often times, there are only one or two physicians that participate in the diagnosis and treatment plan. Statistics reported by the American Society of Plastic Surgeons demonstrate that close to 70% of the women who were candidates for breast reconstruction were not informed of all applicable breast reconstruction options at the time of diagnosis. In 2008, there were over 79,000 breast reconstruction procedures performed on women who received treatment for breast cancer. The American Society of Plastic Surgery also suggests that there needs to be an inter-disciplinary approach to diagnosis and care for breast cancer patients. The types of physicians that should be involved in diagnosis and treatment plan to ensure an optimal outcome includes: the primary care physician, general surgeon, radiologist, pathologist, oncologist, gynecologist, and plastic surgeon.

There are numerous methods available for treating breast cancer. There are also a number of methods available to perform breast reconstruction, with or without breast implants. Breast implants is only one option in breast reconstruction treatment. Furthermore, breast cancer victims cannot look at breast augmentation results and feel that this will be the outcome for them. Aesthetic needs in breast cancer are highly individual and relate to the extent of breast cancer treatment. The techniques used in breast cancer treatment vary among physicians as well. So, the ultimate result of breast cancer treatment plays a role in the outcome of breast reconstruction. If you think you have breast cancer, be certain to involve all necessary physicians that the ASPS recommends for breast cancer diagnosis and treatment.

Mini-Sculpture Liposuction?

Mini-Sculpture Liposuction was introduced in 2007 which is a term that relates to the smaller cannulas that may be used in liposuction when compared to years ago. Manufacturers developed smaller cannulas to be able to treat smaller areas of the body and face, including: knees, arms, chin, calves, ankles, back and around the sides of the upper torso.
Liposuction uses cannulas to funnel dissolved fat cells from the body through a vacuum like suction. The idea behind mini-sculpture liposuction is to use cannulas that may be as small as 1mm to 2mm in size which results in a less invasive procedure and the ability to precisely treat smaller localized areas of the body.
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The greatest advantages to mini-liposuction is in the ability to have the procedure without sedation as well as with less swelling, bruising, and trauma to underlying tissues. When less swelling, bruising and trauma are associated with liposuction, the healing period is reduced and there is a greater prospect for better results. In fact, many plastic surgeons contend that the use of smaller cannulas allows for reduced discomfort and in most cases, a minimal recovery period when compared to the use of larger cannulas. Since general anesthesia is not necessary in mini-sculpture liposuction, the added risks that are associated with general anesthesia do not exist and recovery is quicker. Most patients may return to work within two days of the procedure. Mini-sculpture liposuction has definitely been an advantage to open up many other choices for areas of the body that may be treated through liposuction.

Risk of Lymphoma in Breast Implant Patients

There has been conflicting reports over the years about the relation between breast implants and lymphoma. The Journal of the American Medical Association had recently published a report citing that a risk had been identified based on study results gathered in the Netherlands. The study has demonstrated that the risk is low, but does exist. The study specifically pointed to the association between silicone breast implants and ALCL, a rare form of lymphoma. The lymphoma was located in the capsule that surrounds the breast implant in two breast implant recipients located in the Netherlands. shutterstock_176121479 The methodology behind the study was to review all records in the population of women from 1990 to 2006. A total of eleven women with ALCL were identified and of all cases two had silicone breast implants. There have been numerous other studies linking silicone breast implants to cancer and auto-immune diseases. For this reason, women with breast implants are advised to seek out testing through MRI’s and mammography equipment specifically designed for women with breast implants are regular intervals. By the same token, newer breast implants such as silicone gel breast implants that were approved by the FDA in 2006 have been identified by many plastic surgeons as much more cohesive and thus reducing the risk of diseases that may be related to breast implants. During an initial consultation for women interested in breast implants, plastic surgeons will review the benefits and the risks involved in breast augmentation. They will review all choices for breast implants listing the pros and cons to be certain you may make an informed decision. Over one quarter of a million women each year in recent years have found that the benefits of breast augmentation outweighed the risks and proceeded with breast augmentation.