Dr. Amron's Approach To Lipedema Patients With Liposuction
One of the most crucial elements of liposuction for lipedema patients is that the surgeon approaches it in a lymphatic sparing way. Dr. Amron uses a lymphatic sparing technique combining Water-Assisted Liposuction (WAL) in a tumescent fashion, which allows for proper hydro-dissection of the fatty tissues, and properly prepares the area prior to liposuction surgery. Dr. Amron has adapted this technique in a unique way in order to safely anesthetize the patient under local anesthetic.
Dr. Amron strongly believes that is important to avoid complete general anesthesia in order to achieve the best possible functional and cosmetic results. Instead, he offers two ways to approach sedation, both of which are a variation of local anesthesia - pure local tumescent anesthesia or local tumescent anesthesia with twilight sedation.
Approximately two thirds of surgeries are performed with pure local tumescent anesthesia and without an anesthesiologist present. For the remaining one third of patients who have more complicated medical histories or are too anxious about surgery, Dr. Amron will perform the procedure under twilight sedation with a board-certified anesthesiologist present.
The type of sedation to be used is always discussed with the patient prior to surgery. Regardless of which method is used, there are no increased risks nor impact on the functional or cosmetic results achieved. The only factor to consider is the incremental cost of the procedure due to the additional fee for the anesthesiologist.
The Benefits of Local vs. General
- Faster Recovery
- Optimal Results due to the ability to optimally position the patient
There are numerous advantages to performing surgery under purely tumescent water- assisted liposuction. First, it's a much safer approach than performing liposuction under general anesthesia. Second, the recovery time using purely tumescent water-assisted liposuction is much faster. Patients are typically able to get up and walk around as quickly as 15 or 20 minutes after the surgery. Additionally, they show a dramatic improvement in pain, discomfort and bruising. Lastly, Dr. Amron believes it is his surgical experience and his unique 3-dimensional method of performing liposculpture along with precise patient positioning that is responsible for the best possible aesthetic results - this is only optimized without complete general anesthesia.
By using a lymphatic sparing, tumescent approach, Dr. Amron is able to perform liposuction surgery while the patient is conscious under local anesthesia. With this specific positioning of the patient, Dr. Amron is able to remove the diseased fat while achieving the best functional and aesthetic result. Liposuction is a very precise technique, and since the patient is conscious, it allows Dr. Amron to stay solely within the subcutaneous layer of fat and perfectly position the patient.
Curing lipedema can be difficult, and various medical treatments have been met with limited success. However, Dr. Amron' s approach to treating lipedema has proven to be extremely effective and successful.
Dr. Amron’s Surgical Technique The Amron Method™
Dr. Amron has pioneered a “three-dimensional circumferential contouring” approach to treat lipedema, and views each body part in a complete, comprehensive three-dimensional fashion. He approaches each cosmetic unit one at a time, rather than breaking it up into different procedures and surgeries. This allows Dr. Amron to remove the diseased fat from a particular body part in one single surgery and cosmetically blend the entire body part.
With more than two decades of liposuction experience, Dr. Amron has perfected his surgical technique, which involves precise placement of the axis, or incision points, to approach every area of the body with respect for tissue settling and lymphatic flow. Dr. Amron is extremely careful to stay only within a specific layer of fat to ensure he performs each procedure in a lymphatic sparing manner.
Dr. Amron uses a combination of various techniques and devices to precisely remove the diseased fat and sculpt particular areas of the body. After the incision points are placed, using various cannulas, Dr. Amron utilizes water-assisted liposuction (WAL) to anesthetize and hydrodissect the fatty layer.
Next is the emulsification of the fat and ultrasonic release of fibrotic scar tissue with VASER. Depending on the degree of skin elasticity, Dr. Amron may also use radiofrequency BodyTite™ for additional skin tightening and improvement of cellulite. Smart Lipo Laser may possibly be used in patients with extensive fibrotic nodules or Dercum’s disease.
Finally, Dr. Amron sculpts the areas and removes the unwanted fat with a vibrational device, Power Assisted Lipo also known as (PAL), his approach aims to achieve not only the best functional results, but also the best aesthetic result for every patient.
Liposuction for Lipedema is Not the Same as Cosmetic Liposuction
- Lipedema is a disease. Treating it requires a surgeon experienced with the disease to form a comprehensive treatment plan.
- Lipedema commonly has extensive fibrosis (scar-like changes).
- Lipedema affects complicated areas most surgeons avoid such as calves, ankles, front of the thighs, knees, and forearms.
- Lipedema fat wraps around the entire body part necessitating a more complete or circumferential approach to treat it properly.
- Lipedema patients are at an increased risk for bleeding and extensive bruising.
- Lipedema patients are at an increased risk for Deep Vein Thrombosis (DVT) requiring perisurgical anticoagulation prophylactically.
- Lipedema patients have a delayed lymphatic flow or co-existing lymphedema causing delayed recovery and require a more specifically designed pre- and post-surgical compression regime including customized compression garments, Manual Lymphatic Drainage (MLD) or pump therapy.
- Lipedema patents usually have reduced skin elasticity due to co-existing Ehlers-Danlos Syndrome.
- Lipedema patients require a lymphatic sparing approach to liposuction surgery.