Liposuction Surgeon: Dr. Jugenburg
Liposuction Surgeon: Dr. Jugenburg
Liposuction, or lipoplasty, is a procedure that allows Dr. Jugenburg to reshape almost any area of the body by removing excess fat deposits. At the same time, the procedure can improve your body contours, body proportion and provide you with a renewed self-image. It is considered less invasive than other procedures, with a faster recovery time.
Dr. Jugenburg has performed thousands of liposuction procedures, as stand-alone procedure or as an additional procedure to other body contouring surgeries. We use the SAFELipo technique which is regarded worldwide as the best technique to avoid tell-tale signs of liposuction.
Are You A Candidate for Liposuction?
Regardless of the area of the body, liposuction candidates have localized fat deposits, and they are resistant to even the most vigorous exercise program or diet. These fat deposits can occur in the abdomen, arms, thighs, calves, buttocks – even the face and neck. Lipo can be used to treat them all.
The best candidates for lipo should have a stable weight, and should have lost the weight prior to the procedure. Lipo is permanent as long as weight remains stable. Candidates should be:
- Physically fit
- In good physical health
- No more than 20 pounds overweight
- Have realistic expectations
One of the other keys to being a good candidate for lipo is to have firm, elastic skin. To achieve ideal results, the skin must shrink after the procedure. As we age, we lose skin elasticity, which can compromise the results of the procedure. However, if the skin quality remains elastic, age is no barrier to having liposuction.
Using lipo to remove fat from specific areas of the body that haven’t responded to exercise and diet is a safe and effective practice. Areas of the body that respond to liposuction include:
- Chest and back
- Calves and ankles
- Hips and thighs
- Neck and face
The best way to determine if you are a good candidate for lipo is to have a consultation with Dr. Jugenburg.
Who is not a liposuction candidate?
Patients who are:
- overweight and looking to lose weight/fat
- have a lot of lose skin – no liposuction causes skin tightening
Liposuction cannot serve as a treatment for obesity. There is no substitute for diet and exercise, but once the weight loss is complete, lipo can reshape and sculpt the body when exercise simply won’t help. Liposuction is not an effective method for treating cellulite, and doesn’t help to treat loose, sagging skin. Other procedures are available to address those specific problem areas.
Types of Liposuction
There are many types of liposuction, and the type of procedure used depends on your specific problem areas and the judgment of Dr. Jugenburg. The different types of lipo include:
- Tumescent Liposuction: This is the most widely used form of liposuction. A mixture of sterile salt water to help in fat removal, an anesthetic (usually lidocaine) to relieve pain and epinephrine to constrict the blood vessels to reduce bleeding is injected into the area that’s being treated. Small incisions are made in the skin, and then a small cannula (small tube) is used to suction out the fat and fluids. There is less blood loss and bruising with this procedure.Learn more about Tumescent Liposuction here »
- Powered Liposuction: In PowerLipo procedure, a vibrating cannula is used to remove tough fat areas more easily. Powered lipo usually causes less pain and swelling, and lets Dr. Jugenburg remove fat with more precision – particularly on smaller areas like arms, knees and ankles.
- SAFELipo: This procedure was introduced in 2010 and it is a variation on the Power Lipo technique that is quickly becoming the most popular liposuction technique because of its ability to reshape the body and do so in a safe and effective manner. SAFE is an acronym for Separation, Aspiration, Fat Equalization, the three stages of the SAFELipo technique.You will be able to discuss the various procedures with Dr. Jugenburg during your consultation.
- SMARTLipo: SMART Liposuction is a trade name for a machine that uses laser to help break up the fat prior to liposuction. It is not ‘Smart’ as it smartly does things other liposuction don’t. SMARTLipo has a great marketing name and has been popular among family doctors, dermatologists, obstetricians and others that dabble in cosmetic surgery. However, most plastic surgeons experienced with liposuction agree SMARTLipo does not live up to its magical promise of skin tightening. As Dr. Mendietta, one of the world authorities in liposuction stated, ‘SMARTLipo is collecting dust’ in his basement, and he now uses SAFELipo instead.
- Other forms of liposuction: Ultrasound (VASER), Radiofrequency (BodyTite), and water spray (WaterJet) are just some of the other modalities used to assist with liposuction. Although they all claim to be superior to all other liposuctions, fact is no independent scientific study has yet shown that any one type of liposuction machine produces better results than the standard Tumescent liposuction.
Complementary Procedures: Tummy Tuck
While liposuction can remove pockets of fat in the abdominal area, it can’t be used to address sagging, loose skin. That’s why some patients choose to have a tummy tuck, or abdominoplasty, at the same time as lipo.
Candidates for a tummy tuck usually suffer from loose skin on the abdomen due to age, pregnancy or significant weight loss. An incision is made just above the pubic hairline, and excess skin and fat are removed. The abdominal skin is then pulled down tight, sutured to the incision area and bandages are applied.Because of the bruising and swelling, the recovery is longer than with liposuction alone.
You can discuss the procedure with Dr. Jugenburg during your consultation, as well as other procedures that he might recommend.
Scheduling your Liposuction Consultation
The process begins with an initial consultation with Dr. Jugenburg. You will have an opportunity to discuss your goals and expectations about the liposuction procedure with the doctor, and ask any relevant questions you may have.
During your initial consultation, Dr. Jugenburg will:
- Review your medical history and any medications you are taking
- Discuss the procedure and any related procedures
- Provide recommendations based on your needs and goals
Dr. Jugenburg will listen to your needs, expectations and your desired outcome from the liposuction. You will be able to tour our state-of-the-art surgical facility located in the beautiful Fairmont Royal York Hotel. During tis time you will also be able to meet with our caring staff that will be part of your team.
How Liposuction is Performed
Liposuction is done either under local anesthesia with intravenous sedation or under general anesthesia. Dr. Jugenburg will discuss this with you and recommend what is best for your individual situation.
Depending on the area involved, several small, inconspicuous incisions are made. Diluted local anesthesia is then infused in order to reduce bleeding and trauma. A thin, hollow tube called a cannula is then inserted through the incisions to loosen the excess fat, which is then suctioned out of the body. This is repeated as necessary until results are achieved. The procedure may take from 1-3 hours, depending on the amount of fat to be removed. Depending on the type of liposuction used, your incisions may be left open to promote draining. It is NORMAL to have fluid draining out after a liposuction surgery during the first 24 hrs.
Following your procedure you may want to recover in one of the beautiful Fairmont Royal York Hotel rooms. You will receive a care package from us and our staff is available to you while you stay with us. Should you desire, full room service is available to you.
You will see Dr. Jugenburg the day after your surgery and at specified intervals during the weeks following your surgery. This is done so that the doctor can personally monitor your recovery process, and to ensure that you have the best results possible.
The Recovery Process
When liposuction is completed, there will be swelling and bruising. You will have some discomfort, which can be controlled by the pain medication prescribed by Dr. Jugenburg. You may also be required to wear tight compression garments or elastic bandage for several weeks to help reduce swelling, as well as compress the skin to the new body contour. This will depend on the area that had the procedure. If needed (very rarely), temporary drains will be placed beneath the skin to help remove any excess fluid or blood. While results will be seen almost immediately, swelling will distort the actual results. Final results will take several months to subside.
Depending on the amount of lipo, you can return to work in 2-3 days. If more extensive liposuction is performed, you may want to take off one week from work. Swelling will be present, but begins to reduce in about 7-10 days. Mild exercise is permitted after 2 weeks, and full activity can be resumed in about 4-6 weeks. Swelling will continue to reduce, but there may be some remaining for 3-5 months before it is completely gone.
SAFELipo is not "Safe", it is an acronym for:
Separation, Aspiration, Fat Equalization
It is a technique using the PowerLipo system that has gained worldwide acceptance as probably the best technique to provide a safe, natural-looking liposuction result without the tell-tale signs of surgery - lumpy skin.
Numerous scientific studies have shown that Ultrasound (VASER), Laser(SmartLipo), or radio frequency (BodyTite) systems do not produce superior results nor do they cause skin tightening they claim to. What these systems do is help to break up fat cells which makes it easier for the surgeon to remove them, not easier to create a beautiful result. Beautiful results come from the skin and artistry of the surgeon, not from the tool he/she uses. Because of that, Dr. Jugenburg prefers to use the PowerLipo system which allows him to perform the SAFELipo technique. Additionally, studies have shown that PowerLipo cuts down on the operating time by up to 50% compared to ultrasound based systems and 25% compared to laser based systems.
Patients should have localized fat deposits, and should be close to their stable weight. In addition, the skin should be firm and have elasticity to it in order to shrink following the procedure. You should also be in good health.
You should stop smoking at least two weeks prior to the lipo, as smoking can seriously impede the healing process. Avoid aspirin and aspirin products in the weeks leading up to your surgery. In addition, Dr. Jugenburg will review your medications with you during your initial consultation, and may recommend stopping certain medications before your procedure.
Depending on the amount of area involved, lipo can take anywhere from 1-3 hours.
If you’re having tumescent liposuction, a mixture of sterile saline, an anesthetic and epinephrine is injected under the skin. Several small incisions are made, and a cannula is inserted in the skin to break up the fat, which is then suctioned off. Drains may be placed in the incision areas to reduce fluid buildup and swelling. A compression bandage or garment will be placed in order to help reduce the swelling.
Most patients are able to return to work in 2-3 days, but if extensive liposuction is done, it may require a week off from work.
Swelling will be present, but should begin to resolve in about 7-10 days. You can resume mild exercise in about 2 weeks, and full activity can be resumed in about 4-6 weeks.
Surprisingly, the procedure is not that painful. The pain and discomfort is managed by the pain medication prescribed by Dr. Jugenburg, and should reduce after the first few days.
If a large amount of fat is being removed (3-4 L) then you should expect to feel lightheaded and dizzy for the first two days after surgery. You will feel weak and tired for about a week and thus plan on taking a week off from work.
Dr. Jugenburg limits his liposuctions to a maximum of about 4 liters. If any more fat is removed, the risk of complications increases significantly. Therefore if you think you have more than 4L of fat you want removed, you may need more than one session of liposuction.
Yes, it is normal to have reddish colored fluid draining from your incision sites for the first 24hr after your liposuction. The procedure involves injection of a saline-based fluid to help break up the fat, minimize bleeding, and easy the suctioning of the fat. Some of this fluid is removed during the liposuction, some is absorbed by your body, and some of it drains out following the surgery. Patients sometimes think they are bleeding when in fact it is just the normal drainage after liposuction.
As with all cosmetic surgeries, there are some risks involved. These risks include bleeding, infection, swelling and blood clots, but they are rare. Our operating suite is state-of-the-art, and we do everything we can to minimize the risks associated with surgery. Most importantly, Dr. Jugenburg and his team have various protocols in place to prevent complications from occurring.