SmartLipo is part of the newest wave of body contouring procedures that takes advantage of safe, effective laser energy to help permanently melt and remove fat, reduce bruising, and tighten and tone skin and tissues. Typically performed under local anesthesia, SmartLipo reduces the amount of downtime associated with liposuction, allowing as little as 2 days off from work. Because it is performed while you are awake, it is safer, more cost effective, and can help tighten skin where traditional liposuction cannot.
Dr. Sohn and Dr. Hankins have been performing SmartLipo Body Sculpting for over 2 years, and were the very first to utilize this new laser in their plastic surgery practice. They have performed over 1000 SmartLipo procedures, and can attest to the excellence of the product and the results.

Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as lipoplasty or suction lipectomy, has benefited from several new refinements. Today, a number of new techniques, including ultrasound-assisted lipoplasty (UAL), laser-assisted lipoplasty (LAL), the tumescent technique, and the super-wet technique, are helping many plastic surgeons to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods. If you're considering liposuction, this informative section will give you a basic understanding of the procedure -- when it can help, how it is performed and how you might look and feel after surgery. It won't answer all of your questions, since much depends on your individual circumstances. Please ask Dr. Sohn if there is anything about the procedure you don't understand.
To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. It's important to understand that liposuction can enhance your appearance and self confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Sohn or Dr. Hankins. The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin. Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured.
In your initial consultation, Drs. Hankins and Sohn will evaluate your health, determine where your fat deposits lie and assess the condition of your skin. He will explain the body-contouring methods that may be most appropriate for you. For example, if you believe you want liposuction in the abdominal area, you may learn that an abdominoplasty or tummy tuck may more effectively meet your goals; or that a combination of traditional liposuction and UAL or LAL would be the best choice for you. Be frank in discussing your expectations with Dr. Sohn and Dr. Hankins. He will be equally frank with you, describing the procedure in detail and explaining its risks and limitations.
Individuals considering liposuction often feel a bit overwhelmed by the number of options and techniques being promoted today. However, Dr. Hankins and Dr. Sohn can help. In deciding which is the right treatment approach for you, they will consider effectiveness, safety, cost and appropriateness for your needs. This is called surgical judgment, a skill that is developed through surgical training and experience. They also use this judgement to prevent complications; to handle unexpected occurrences during surgery; and to treat complications when they occur.
Dr. Sohn, Dr. Hankins and their staff will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed. Though it is rarely necessary, Dr. Sohn or Dr. Hankins may recommend that you have blood drawn ahead of time in case it is needed during surgery.
Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at home for a day or two.
Liposuction is typically performed under local anesthesia in the office. This is often the safest way to performed the operation, and allows for the quickest recovery. Alternatively, it may be performed in an outpatient surgery center, or in a hospital. Smaller-volume liposuction is usually done on an outpatient basis for reasons of cost and convenience. However, if a large volume of fat will be removed, or if the liposuction is being performed in conjunction with other procedures, a stay in a hospital or overnight nursing facility may be required.
Various types of anesthesia can be used for liposuction procedures. Together, you Dr. Sohn or Dr. Hankins will select the type of anesthesia that provides the most safe and effective level of comfort for your surgery. If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs only the affected areas. However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed. If this is the case, a anesthesiologist will be used in the outpatient surgery center to make sure you are completely asleep during the procedure.
The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia and the technique used. There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome. Liposuction is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump. If many sites are being treated, Dr. Sohn or Dr. Hankins will then move on to the next area, working to keep the incisions as inconspicuous as possible. Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.
The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been developed and refined, several variations have been introduced. Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid -- a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) -- helps the fat be removed more easily, reduces blood loss and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery. The amount of fluid that is injected varies depending on the preference of the surgeon.
Large volumes of fluid -- sometimes as much as three times the amount of fat to be removed -- are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as3 to 4 hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or tumesced state of the fatty tissues when they are filled with solution.
The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires general anesthesia and typically takes one to two hours of surgery time.
Laser-Assisted Lipoplasty (LAL). This technique utilizes a laser probe to both heat up the skin causing collgen contraction and skin tightening, as well as literally liquefy the fat. We offer a number of different lasers in our office and surgery center, including the SmartLipo, LipoLite, and AccuLaser. Use of the laser often allows for a quicker recovery and smoother result with less bruising and swelling.
Liposuction is normally safe, as long as patients are carefully selected, the operating facility is properly equipped and the physician is adequately trained.
Dr. Sohn has not only completed an accredited plastic surgery residency program, but he has undergone advanced training in aesthetic surgery with special emphasis in body contouring. Also, even though many body-contouring procedures are performed outside the hospital setting, be comforted in the knowledge that Dr. Sohn has been granted privileges to perform liposuction at an accredited hospital - Sunrise Hospital and Medical Center.
Dr. Sohn and Dr. Hankins typically limit the amount of fat removed in one operation to a total of 5 liters. More extensive liposuction procedures require attentive after-care, and possible inpatient stays at an after-care facility. However, it's important to keep in mind that even though a well-trained surgeon and a state-of-the art facility can improve your chance of having a good result, there are no guarantees. Though they are rare, complications can and do occur. Risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size. Removal of a large amount of fat and fluid may require longer operating times than may be required for smaller operations. The combination of these factors can create greater hazards for infection; delays in healing; the formation of fat clots or blood clots, which may migrate to the lungs and cause death; excessive fluid loss, which can lead to shock or fluid accumulation that must be drained; friction burns or other damage to the skin or nerves or perforation injury to the vital organs; and unfavorable drug reactions. There are also points to consider with the newer techniques. For example, in UAL and LAL, the heat from the ultrasound or laser device used to liquefy the fat cells may cause injury to the skin or deeper tissues. Also, you should be aware that even though UAL and LAL has been performed successfully on several thousand people worldwide, the long-term effects of ultrasound or laser energy on the body are not yet known.
In the tumescent and super-wet techniques, the anesthetic fluid that is injected may cause lidocaine toxicity (if the solution's lidocaine content is too high), or the collection of fluid in the lungs (if too much fluid is administered). The scars from liposuction are small and strategically placed to be hidden from view. However, imperfections in the final appearance are not uncommon after lipoplasty. The skin surface may be irregular, asymmetric or even baggy, especially in the older patient. Numbness and pigmentation changes may occur. Sometimes, additional surgery may be recommended.
After surgery, you will likely experience some fluid drainage from the incisions. Very rarely, a small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. Dr. Sohn may also prescribe antibiotics to prevent infection. Don't expect to look or feel great right after surgery. Even though the newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications prescribed by Dr. Sohn or Dr. Hankins, though you may still feel stiff and sore for a few days.
It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better.
Healing is a gradual process. Dr. Sohn and Dr. Hankins recommend that you start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work typically within 3-7 days following your surgery. The stitches are removed in 7 days at your first postoperative visit. Although you may return to the gym typically in 1 week, vigorous weight-lifting or aerobic activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappears within 3-4 weeks, some swelling may remain for six months or more. Dr. Sohn and Dr. Hankins will schedule follow-up visits to monitor your progress and to see if any additional procedures are needed. If you have any unusual symptoms between visits -- for example, heavy bleeding or a sudden increase in pain -- or any questions about what you can and can't do, call Dr. Sohn or Dr. Hankins at 702-897-1330.
You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible. If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape.
Call our office today for your complementary liposuction evaluation appointment at 702-897-1330.
To see before and after examples of liposuction, visit our photo and video gallery.
SmartLipo Seminar by Dr. Sohn at Rainbow LocationThursday, January 28th at 6:30pmCome learn about Laser-Assisted Liposuction and whether it is right for you! Utilizes the latest in laser technology to melt fat and tighten the skin. Lose the inches from your waist and fit better into your jeans without breaking a sweat! Performed safely, effectively, and painlessly while you are awake! Call 702-897-1330 for further details. Rainbow office location: 2150 S. Rainbow Boulevard Las Vegas, NV 89146 |