Special Report. The Truth About Liposuction: What Every Patient Needs to Know

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1 Special Report The Truth About Liposuction: What Every Patient Needs to Know At last! A trimmer, healthier, better-looking body can be yours! Imagine having the body you ve always wanted. What would it mean to you if you never wanted to turn away from a full-length mirror again? Or how great would it feel to not come home empty handed from a trip to the mall? Well it s all possible. In fact, Dr. Jeneby has helped many people just like you feel more confident, secure, and just plain ecstatic with their bodies. Many of who didn t think anything would help. The decision to have liposuction could change your life forever and this special report will provide you with a great deal of information and education about all the facts you need before you do anything. So turn the page and let s start...

2 Why Diet, Exercise and Wishful Thinking Will Never Get You The Body You Want! Dear Friend, Let s face it. You can jog on the treadmill for hours...starve yourself on the latest fad diet...and still not have the figure you want. Those little bulges and trouble spots still refuse to go away. And to make matters worse, they probably never will. You see, after the age of 30, the amount of fat you gain is largely due to genetics. This kind of fat doesn t usually respond to exercise or dieting. That means you can run on the stepper until you re blue in the face and it still won t matter. But there is a solution. Instead of trying to hide your stubborn hips, stomach, arms, thighs, or butt you can do something about it -- permanently! Imagine looking at yourself in the mirror and seeing the body you ve always wanted. Picture how great you would feel. Wouldn t that be fantastic? Well, that s what liposuction can do for you. Every day hundreds of people are turning to liposuction as their solution. A way to help you get that trimmer, healthier, better-looking body and a way to keep it that way. But, what you may not know, is the fact there are new, easier ways to have liposuction done. These new techniques are virtually pain-free and your recovery time is quick (usually you can be back at work within 2 or 3 days). There s almost no scarring and little bruising. But before I tell you more about this technique let me explain about liposuction in a little more detail...

3 Liposuction, also known as lipoplasty, is the surgical removal of excess fat from fatty deposits between the skin and muscles. Developed in the early 1980 s by a dermatologist, liposuction has become one of the best methods to eliminate unwanted body fat and achieve greater body proportions. Because of its safety and effectiveness, liposuction has become the most common cosmetic procedure performed. In fact, just last year over 300,000 people had liposuction done. The procedure usually involves small incisions (about 1/2 in length) made in the areas from where the fat will be removed. Then a hollow, blunt-tipped instrument (cannula) is inserted through the incisions and connected to a suction unit. As the suction cannula is moved back and forth, it draws out the unwanted fat, while the blood vessels and nerves leading to the skin remain unharmed. The removal of fat is accomplished by the suction cannula creating tiny passages through the fatty layers. Then after the surgery these tiny passages collapse and result in an improved body shape. Liposuction can be performed in your physician s office, a free-standing surgery center or in a hospital. Believe it or not, there is little weight actually lost but dramatic changes in your silhouette and body shape are often possible. The cosmetic success of liposuction is based on removing inches not pounds. Now before we go on, I want you to see if you can relate to some of the thoughts ordinary people had before deciding to have liposuction. See if any of these sound familiar: * * * * * I always thought that if I exercised more my saddlebags would disappear. Unfortunately, no matter how many toning tapes I tried or how often I ran on the treadmill those bulges wouldn t budge. I wasn t desperate for an amazing body -- I just wanted to feel better about myself. Woman 5'6" 128 lbs., age 32, retail buyer I d exercised faithfully for eight years -- putting in hours on the StairMaster, lifting weights, and doing more squats than any human alive. It was horribly frustrating to put so much energy into exercising and see so few changes in my lower body Woman 5'5" 135 lbs., age 34, V.P. Marketing

4 Until recently, I dreaded getting up in front of people, knowing they were thinking, She s pretty -- but what a big butt...i wasn t grossly overweight. But shopping was pure torture because my thighs, butt and hips were so big...for several years I worked hard to slim down: I walked a couple of miles three or four times every week. I did tons of lunges and squats because I wanted to tone my legs and butt...last year I came home from a five-hour shopping trip empty-handed...i then decided that I had to do something about my body Woman 5'9" 145 lbs., age 32, cosmetics salesperson * * * * * (excerpts taken from interviews in Fitness Magazine May 1998) Do any of those stories sound painfully familiar to you? Maybe you are thinking those same thoughts right now and wondering if your body is right for liposuction... Well, let me tell you about the best candidates for liposuction First, you should realize that liposuction can benefit both men and women and there is no defined age or weight limit for liposuction. A good parameter is if you are within pounds of your ideal weight and your weight has been stable for several years now. Plus it s important that you are in good health. What if you don t quite fit those guidelines? Don't worry even people who are somewhat obese have had success with liposuction, especially if there are certain concentrated problem areas. Also, realistic expectations are extremely important. Skin with a rippled or dimpled surface ( orange peel or cellulite) usually cannot be improved with liposuction. No two people will respond the same way to liposuction, even if they have similar physical appearances. Overall factors such as your skin condition, underlying bone structure, location of fat, amount of fat, and overall health habits will all contribute to the final results. What s more I probably don t need to tell you this, but I will anyway: Liposuction is not a treatment for general obesity nor is it a replacement for good eating and exercise habits.

5 With that said let s discuss the most common liposuction techniques being done: First is the Tumescent Liposuction technique: This is probably the most significant improvement of the liposuction technique. The tumescent technique, developed by a Dermatologist in 1985, permits liposuction to be performed totally by local anesthesia instead of general. The tumescent technique uses large volumes of a diluted solution of lidocaine (a numbing agent), and epinephrine (a drug which temporarily shrinks capillaries and blood flow), gently injected into the targeted pockets of fat to numb the area. This numbing fluid then loosens the fat and shrinks the blood vessels for minimal bleeding and bruising. The large amount of diluted local anesthetics injected into the fatty tissue will cause the tissue to become swollen and firm (tumescent). This magnifies the fatty area which is to be treated by liposuction. With the tumescent technique very small micro cannulas are used, ranging in size from 2.5 to 3.1 mm in diameter. These micro cannulas permit a more delicate and gentle approach to the procedure. Since these micro cannulas require a minimum amount of force to place them inside the fatty tissue, the surgeon can better control the direction and position of the cannula with more precision. Which helps you end up with better and smoother results, since there is a greatly reduced chance of coming too close to the undersurface of the skin, which would cause irregularities. Also since the tumescent technique uses micro cannulas only tiny incisions are required. These tiny incisions are so small that no stitching is performed after the procedure. The wounds heal by themselves and virtually disappear over time. The next method is Smart Lipo Assisted Liposuction Technique or S-L for short: Smart Lipo (is a new liposuction technique here, but it s been used in Europe since Smart lipo uses a laser cannula to remove fat. Liposuction is performed by passing an smart lipo probe through incisions in the fat. The smart lipo probe emits very

6 hot fiber optic light causing the fat cells to rupture and makes it easier for the fat to be sucked out. Dr Jeneby was the first to perform this in San Antonio in 2007 and has been training doctors ever since! Every person s situation is unique, so before deciding which technique is best for you it s a good idea to come in for a consultation. And then you ll be making comments just like these Here s what those same women said after having tumescent liposuction done: * * * * * I love my new body and I m wearing clothes I wouldn t have been caught dead in a year ago. My husband tells me I look great, and he s ecstatic that I no longer stand in front of my closet and say, I can t go out! I have nothing to wear! Woman 5'6" 128 lbs, age 32, retail buyer Presurgery size: 8 Postsurgery size: 6 Some people might assume liposuction gives you the freedom to be lazy. That wasn t the case with me. Dropping two sizes gave me new motivation to work out and eat right. These days I love to hike and bike. I exercise at least 3 days a week Woman 5'5" 135 lbs, age 34, V.P. Marketing Presurgery size: 14 Postsurgery size: 10 Once I decided to have the surgery, I didn t hide the fact from my friends. Actually, at the office, I bragged about how the lumps of fat on both sides of my thighs disappeared immediately...i m a size 10 now and I m so much more confident. It feels great not to have to try so hard to look good. I m a regular at the gym and I ve been in-line skating and biking with my sisters. I m not ultraskinny, but finally, I feel normal. Woman 5'9" 145 lbs, age 32, cosmetics salesperson Presurgery size: 10 on top, 14 on bottom Postsurgery size: 10 top and bottom (excerpts taken from interviews in Fitness Magazine May 1998) * * * * * By now you probably have a few questions. So here are some of the most frequently asked questions I get: Q. How will my skin look after surgery?

7 A. Because the fat is removed by suctioning small tunnels through the fat, the skin remains completely connected to the muscles underneath it. So, as healing occurs, the fibrous strands which connect to the skin will contract and pull the skin closer to the muscles. This process does not leave the skin hanging in loose folds after liposuction. If done correctly, the surgeon should leave a thin blanket of fat attached to the skin which will let the skin have a soft and natural feel after surgery. Although the results of liposuction are often excellent, it s not realistic to expect perfection. For instance liposuction of the thighs will improve the silhouette, but won t necessarily remove subtle puckering of the skin or cellulite. Stretch marks, dimples, and ripples remain unchanged following surgery. The changes following liposuction are similar to what you would expect if you could lose fat in a concentrated area just by dieting. Usually within two to four weeks you ll be able to see dramatic effects, however the ultimate results will be seen twelve to sixteen weeks after the procedure. Q. Are there any scars after liposuction? A. Typically no. The incisions made by the micro cannulas are so small that these tiny incisions will become almost invisible without any stitches needed. Q. Will the fat ever come back to the sculpted areas? A. The fat cells that are removed will never return. As long as there is no excessive weight gains the new sculpted silhouette will be mostly permanent. If you were to gain weight, the areas treated by liposuction are less likely to accumulate deposits of fat. Any new fatty tissue will be concentrated mostly in areas not treated.

8 Liposuction can not be a substitute for abusing diets after surgery. Q. I ve heard most liposuction patients must have second surgeries or touch-up procedures, is this true? A. Only about 5% of patients have secondary surgeries to correct uneven contouring. Such things like saddlebags with tiny remaining bulges. A full 50% of second surgeries are done because patients were pleased with the results and wanted additional areas done or more fat removed. Q. What complications and risks are possible? A. Just like any surgical procedures there are certain risks involved. However serious surgical complications of liposuction (especially tumescent) are quite rare. More severe complications such as infection, blood clots, skin loss and even cardiac arrest can occur. These are very rare, particularly if a well-qualified surgeon performs your procedure. The use of local anesthesia for tumescent surgery greatly reduces the inherent risks with general anesthesia. Minor side effects such as swelling, numbness, and bruising are somewhat common. Although irregularities of the skin are possible following liposuction, this side-effect is greatly minimized using the tumescent technique. Any facility you choose should have emergency and life-saving equipment readily available. And the staff and surgeon should be trained in ACLS (Advanced Cardiopulmonary Life Support). Q. How soon can I return to my normal activities? A. You can usually be back at work within 2 or 3 days. You ll probably be asked to start walking around as soon as possible (to help prevent blood clots from forming in your legs). And normal physical activity immediately following surgery should be limited only by your common sense. Most patients are surprised how quickly they are out doing anything they like. Q. How much does it cost?

9 A. Liposuction costs are based upon the areas performed. The larger the area the greater the cost. Most patients consider the cost an investment in themselves for life. Q. Which specialists do liposuction? A. Liposuction can be performed either by dermatologic surgeons, cosmetic surgeons, or plastic surgeons. In fact, and plastic surgeons are taught liposuction during their residency training programs. Q. How do you choose a qualified doctor or surgeon? A. When choosing a doctor or surgeon look for someone who has completed additional, specialized training in liposuction. Find out how much experience they have with the liposuction, especially more specialized techniques. Choose a surgeon who you have a comfortable chemistry with. Someone who listens to your concerns and is easy to talk with. The only way to find this out is by scheduling a consultation. The decision to have liposuction is a personal one. No one can decide for you. Many people worry about what others will think or say after your procedure is done. Or whether or not you should tell anyone. Keep in mind your procedure or consultation will always be completely confidential, so your decision to tell anyone is up to you. Liposuction can make you feel more confident about yourself and your body. It can help you see results you ve wished you could get from diet and exercise. But it s not a magic formula or surgery for happiness. Does all of this make sense to you? I hope so. And I hope you ve found this report educational and informative. You wouldn t find this kind of straightforward information anywhere else. Which is why I want to make you a

10 special offer. Although my practice is quite busy, I would like to offer you a chance to come in and talk with me personally. I would like to buy you a free consultation. So we can discuss your specific situation in detail. An opportunity for us to get together to see if liposuction is the best option for you. Like I explained before in the report, you just come in and see if you feel comfortable with me and then decide if there should be a next step. There will be absolutely no obligation and no pressure. Before you put down this report, give Candace a call today at and tell her you got the special report and you would like to schedule a complimentary consultation. She ll take care of everything from there. I ve helped a lot of people get the bodies they ve always wanted and I hope I can do the same for you. Why not spend some time, at my expense, finding out if this is right for you. I look forward to seeing you soon. Sincerely, Thomas T. Jeneby M.D Board Certified Plastic Surgeon P.S. Are you still hesitant? Why not call my assistant Candace at and she can answer your remaining questions over the phone.

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