Liposuction in Broomfield, Colorado:
Smart Lipo, Tickle Lipo, Tumescent Lipo
Serving Denver, Broomfield, Westminster, Boulder, Arvada, and surrounding areas
Most Effective Way for Removing Fat
Liposuction is the most time-tested, precise, and effective method for removing unwanted fat from the body. Many new non-invasive technologies are on the market today that freeze, heat, or otherwise destroy fat cells through the skin. However, many of these treatments are also imprecise, ineffective, can require multiple treatments, and can be excessively painful.
Liposuction, on the other hand, allows Dr. Janowski to sculpt your body and remove fat in a much more targeted way. Dr. Janowski uses a technique pioneered by Dr. Jeffrey Klein in the 1980s called tumescent liposuction. Tumescent liposuction just means that the patient is awake, and numbed locally in the treatment areas with lidocaine. Once numb, the fat is removed with a small cannula by Dr. Janowski. This means less risk, and less recovery for you, the patient, than a typical surgical procedure involving anesthesia. Dr. Janowski trained directly under Dr. Klein to master this technique.
At Sonata, we combine tumescent liposuction with "tickle" technology that allows for a much more gentle procedure and even an easier recovery. The "tickle" is simply vibrational energy delivered to a vibrating cannula that actually “tickles” the patient, and extracts fat more gently.
In certain body areas, like the abdomen, liposuction can be combined with laser assisted "Smart Lipo" tightening technology. What this means is that once the fat has been removed, the skin is tightened internally using a laser tipped device. This gives you both skin contraction and fat removal in a precise, relatively easy, and effective way.
The benefits of tumescent/tickle liposuction technology are that you don't have to undergo a full surgery, you can do the procedure in the office, and the recovery is minimal. On appropriate areas, the laser/Smart lipo technology tightens the skin below the skin's surface, providing a superior result to any over the skin tightening technology. When you remove fat, you can create skin laxity, and the laser tightening is meant to mitigate that outcome.
The recovery involves soreness in the treated areas, and we recommend you take it easy for about a week or two. Most patients continue to work and do their daily activities, but you will want to avoid strenuous exercise or lots of lifting or bending until the soreness subsides.
The procedure itself is very tolerable, as once the area to be treated is numbed, most patients feel almost nothing. Upon request, we will provide you with oral sedatives - just to help you relax during the procedure, and we insist that you have a ride home post-treatment.
Immediately after liposuction, you will have some additional fluid and swelling, but within about two weeks, you should be able to see an improved body contour. Skin tightening make take additional time, sometimes up to 6 months for a final result. You will have small (about 1/4 inch or less) incision points where a cannula was inserted, and with proper care, these should resolve and fade and the incisions do not require stitches.
Liposuction can be repeated on multiple areas on the body!
Typical treatment areas are:
- Flanks / love handles
- Outer and inner thighs
For fat in the neck area, we have a specialized liposuction and tightening treatment called Precision.
Once fat has been removed you can use discard it or use it to rejuvenate the face. Fat cells contain stem cells - and can significantly rejuvenate your skin.
Your fat can be processed and used in two ways. It can be applied topically and microneedled in to the skin to give your skin a rejuvenated glow.
It can also be processed and then injected in to the face to act as both a filler and a skin rejuvenator. Fat transfer or fat grafting, as this process is known, allows you to use your own fat as your most natural, longest-lasting, and most rejuvenating filler.
Liposuction is best for people who are close to their ideal body weight and just have some troublesome fat pockets. You also want to be in good overall health, with minimal skin laxity/loose skin in the treatment areas. Remember, liposuction can make skin laxity worse, so you want to make sure your skin is buoyant.
If you are interested in feeling more confident with an improved body contour, the next best step is to come in for a consultation with Dr. Janowski.
Tickle Lipo & SmartLipo Body Contouring - FAQs
What is SmartLipo?
Smartlipo is laser-assisted liposuction. It is the application of laser heat under the skin for the purpose of heating and destroying fat cells and tightening skin. It is performed just prior to liposuction, which removes the unwanted fat cells.
What is Tickle Lipo?
Tickle Lipo is vibration-assisted liposuction. It employs the use of a vibrating cannula that removes fat gently, safely and painlessly, and with minimal recovery.
Where can it be used?
Smartlipo and Tickle Lipo can be used in any areas that traditional liposuction is performed, such as abdomen, love handles, thighs, and other areas.
Who is a good candidate?
The best candidates are people with unwanted fatty deposits in one or more body areas that are unresponsive to diet and exercise. They should also meet the following criteria:
- BMI (body mass index) of 27 or less
- In good health
- Does not have excessive loose skin
- Has fat to remove (not purely a skin problem)
- Has realistic expectations of results
How is the procedure performed?
First, the area to be treated is locally infused with fluid containing lidocaine (a local anesthetic) and epinephrine (a blood vessel constrictor). This allows for a safe and painless procedure without the need for general anesthesia. Next, the Tickle Lipo device is used to remove unwanted fat, vibrating through the tissues as it moves back and forth. Many patients actually describe feeling “tickled”!
How long does the procedure take?
A typical procedure will take about 1- 2 hours.
What is the recovery like?
There will be some soreness in the area for 1-2 weeks. Bruising and swelling are also possible, but usually quite limited. Bed rest is discouraged. One can resume normal activity as tolerated. Avoid strenuous exercise for at least 2 weeks. You will need to wear a compression garment for several weeks.
What are the risks?
The most common risks are an unsatisfactory result, contour abnormalities, scarring at the entry points, and prolonged recovery.
How much does Tickle Lipo cost?
Pricing is by area. No more than two areas will be treated at a time. Typical pricing ranges from $3500-7000, although it is best to have a consultation with Dr. Janowski to determine your candidacy and pricing specific to you.
What do you do with the fat that is removed?
You have three options: *
- Discard the removed fat
- Receive a Stem Cell Facial - a facial rejuvenation procedure utilizing the removed fat
- Facial fat grafting - using the fat as a filler
* The latter two options involve an additional fee.
Before & After Images
Liposuction Myths vs. Realities
Although body contouring has always been and continues to be a very sought-after procedure, fears regarding liposuction have fueled a massive non-invasive body contouring market in recent years. Many of these fears are not justified, and may be based on the way liposuction used to be performed. The truth is, liposuction is still by far the most effective and reliable body contouring method available. And you just might be surprised how easy and safe it is. Here are some common myths and misconceptions explained:
- MYTH: Liposuction is an operation that needs to be done in an operating room under general anesthesia
- REALITY: Nothing could be further from the truth. Liposuction is now an office procedure performed under local anesthesia. In the modern era, there is absolutely no reason to subject a liposuction patient to general anesthesia. Once general anesthesia was eliminated, so too were most of the risks.
- MYTH: Liposuction is painful
- REALITY: Liposuction has become a virtually painless procedure. Infusion of lidocaine solution under the skin numbs the entire treatment area. This process is quite easy and the patient feels mostly a pressure sensation. After this step, the patient feels nothing. I am often having a conversation with the patient about their kids or their most recent vacation while I am performing the liposuction. We give patients a light sedative pill, that’s it.
- MYTH: Liposuction has a long recovery time
- REALITY: Patients are up and about the day after surgery, with some soreness. Within 2-3 days they are performing most normal daily activities. Most patients return to full exercise in 1-2 weeks.
- MYTH: Liposuction is dangerous
- REALITY: The dangers of liposuction have been all but eliminated. Risk used to come from general anesthesia, IV anesthesia, IV fluids, long periods of immobilization, and aggressive technique. None of these techniques are used any longer. After decades of newer techniques, modern liposuction has proven itself to be incredibly safe. The main risks associated with liposuction are cosmetic risks: An irregular contour or asymmetric result. These are almost always correctable.
Having experimented with several so-called “non-invasive body contouring” devices, I was quite disappointed with the technologies. Results were inconsistent (and often non-existent), treatments were uncomfortable or painful, and patients often required multiple treatments. After these experiences, I now firmly believe that liposuction remains the best option for patients seeking high-quality, long-lasting body contouring results. Feel free to ask me if you are a good liposuction candidate.
Body Contouring: What’s Old Is New Again
The choices and technologies on the market today for body contouring seem to multiply every year. The options can be confusing and overwhelming for the consumer: Freeze the fat, heat the fat, zap it with lasers, radio frequency waves, ultrasound, fat dissolving injections, liposuction…it goes on and on! The non-invasive body contouring market is exploding with all of these technologies, presumably because patients fear invasive procedures. But the ultimate question is, what is the safest, most effective, and most economical choice for body contouring? The answer is, it depends.
One of the problems with most of these newer technologies that attempt to contour the body from the outside, is that they are not terribly precise. It is difficult to predict results in any given individual, because the device is attempting to destroy fat without coming in contact with it directly. The practitioner has less control over what is being targeted and, therefore, results can be disappointing. Patient selection becomes extremely important. Other problems include pain during or after the procedure, irregularities created by the device, recovery issues such as swelling, numbness and skin changes. Lastly, many of these procedures must be done in a series of treatments, and the cost can rival or exceed invasive methods.
The answer to this dilemma is actually quite simple. If you are interested in body contouring, why not use the most tried and true method, the second most popular cosmetic surgery in the world, liposuction? Most people have unfounded fears and misconceptions about liposuction. People assume that because it is invasive, it is not safe. This could not be further from the truth. Since the introduction of awake tumescent liposuction in the 1980’s by Dr. Jeffrey Klein, liposuction has become incredibly safe. Virtually all of the risks of liposuction came from exposure to general anesthesia, which is no longer needed. People also assume that, because it is invasive, it will hurt. Again, entirely untrue. With the use of tumescent fluid (dilute lidocaine solution) that is infused locally under the skin in the treatment area, the procedure is painless. Liposuction has been around for many decades and it too has evolved to become easier and more effective. Now here’s the new part. Tickle lipo is a way to deliver liposuction with vibrational energy that allows for a much more gentle procedure, and an even easier recovery. The vibrating cannula actually “tickles” the patient, and extracts fat more gently. It’s also ideal for fat harvesting for a fat grafting procedure, whereby we can use the extracted fat as a filler in the face. This yields long-lasting filler results using your own natural body tissues.
Having tried multiple body contouring devices on patients with mixed results, I have become convinced that modern safe liposuction techniques provide far superior and more precise results, are cost effective, safe, and easy to recover from.
Let us know if you would like a consultation to see if you are a good candidate!
*Results may vary from patient to patient