Showing posts with label liposuction. Show all posts
Showing posts with label liposuction. Show all posts

Tuesday, 26 July 2016

Gynecomastia, male chest reduction, gland excision, VASER liposuction

Many of my male patients have some form of male breast enlargement.  Not all decide to have that area treated as it does not bother them that much.  However, the patients that seek to have treatment for this particular area frequently ask about the other options available.  If they dont ask it is part of my consultation process to inform them of the other options available that are suitable.
In this day and age most patients opt for the non or minimally invasive procedures as they carry less risk and the down-time is less and recovery is faster.
In some cases though it is not appropriate to perform the non-invasive techniques and the surgical ones are more indicated.  It is then also imperative to inform the patients of the associated risks with the surgical options.  Although you may get a better result, you may also put yourself at more risk in terms of complications and side-effects.  It is thus important to balance the risk to benefit ratio.


We want exactly the opposite of what is depicted in this image.
If the wrong technique is used then the risk of adverse outcome is also higher.




The options are really 1. doing nothing 2. weight loss and losing some fat deposit in the area (if the bulk is glandular tissue then weight loss will not help at all) 3. traditional liposuction 4. VASER tumescent liposuction 5. Micro-cannula tumescent liposuction 6. surgical excision

Any of these can of course also be combined.  The most conservative is obviously 1. and 2. These may certainly not be an option if the situation is causing distress, clothing limitations and self consciousness.
Patients coming to us will have started doing some research on the various techniques available and generally come with some idea of what may be required.

3. is old style technique and usually performed under general anesthesia (completely asleep).  It has its limitations and works well if there is mainly fatty tissue and little breast gland.

4. targets the gland and the fat and can be performed under local anesthesia (only the treatment area is numbed)

5. targets the gland and the fat - suitable with smaller amounts of bulk.

6. suitable for large gland excision and  often skin excision in combination.  This is always performed under general anesthesia (completely asleep).  It comes with a variety of different risk factors and longer recovery period.

The important factor is that not too much of the tissue is removed and leaves fibrotic scar tissue that is visible when the chest muscle contracts.  This may leave you with an indented nipple or nipple that gets sucked in when you contract your chest muscles (see pictures below)






These are patients that have presented to me after surgical excision that have had too much removed.  The scar tissue attached to the underlying muscle now causes the nipple to get sucked in when contracting the chest muscles.
Hence I always leave some tissue behind which can be felt as a small disc of hard tissue just behind the nipple complex.








Seen on the left is a common male chest diagram with representation of enlargement of the gland component (right).  This may appear in  various degrees - some having more fat or some having more gland.  We obviously want to remove as much as possible, but also prevent the nipple retraction.





                                                         www.DrWolf.com








Thursday, 23 June 2016

VASER 360 degree legs (circumferential)

We have had a resurgence of requests for the circumferential treatment of legs/ thighs.  Our success rate has been really good.
With the majority of patients also having mild lipoedema we always work hand in hand with MLD therapists.
Some of the excellent practitioners we refer to are Henrietta Cassar from MLDLondon , Julie Bradford and Petra Erving, Kimberley Harrington, Helen Fox
It really is vital to find a good therapist that will see you through the recovery period.




Obviously the more fatty deposit there is the more impressive the results will be.  We can however also make smaller thighs look more shapely by making them more proportionate.




The important factor is the skin texture and elasticity.  If this is not ideal then any removal of tissue may result in loss of skin turgor and resultant laxity.  Then one would need to consider a thigh-lift which is more complex and involves excising skin and pulling the remaining tissue tighter by stitching it back together. 
We would certainly recommend this option if the VASER liposuction is not suitable.
In all cases it is important to maintain realistic expectations.  We are not magicians and cannot create something out of nothing.......
In most cases we can create something more shapely that will fit much more comfortably in clothes especially around the hips and thighs.





Thursday, 19 May 2016

3000 VASER liposuction procedures!!!



I am pleased to be able to share with you that I have just recently performed my 3000th case of liposuction using the VASER.
Due to patient confidentiality we could not share this publicly, but the patient was pleased to be able to celebrate this milestone with us.

We did however take a celebratory "Team" photo.



Looking forward to the next 1000!!!

DrWolf.com

DrDennisWolf.blogspot.co.uk

YouTube DrWolf.com  channel





Tuesday, 21 April 2015

Expectations after Lipo

The challenge for any medical practitioner in the aesthetics industry is to make an accurate assessment with regards to the suitability of a patient.  After thorough medical history taking and short psychological profiling the mainstay of suitability is not only physical examination, but also what the expectations are.
Every patient needs to be seen as a new canvass and no two patients can be compared. The variables of any patient pathway is different to the next patients'.
The human body is complex structure and thus we can broadly describe a recovery processes, however, each individual will have his/her unique recovery path.  Thus we can only give guidelines and estimate time scales, or give broad time frame ranges.
Expectations need to be very realistic.  We as Doctors are not magicians and are governed and restricted by anatomical features and physiological processes that we have no hold over.
Yes we can improve features, yes we can subtly change shapes or alter contours - there are however limitations.

If you are striving for perfection then having aesthetic/cosmetic surgery or treatments is not the right solution.  You need to have very realistic expectations.
If anyone promises you perfection or picture perfect results you should also be alarmed.

Realistic results will include slight imperfections and slight asymmetries.
The human body is not a perfect symmetrical structure and anything the resembles that is most likely photoshopped or fake.......


Tuesday, 10 February 2015

Fat Freezing, 3D lipo, Strawberry lipo......VASER lipo

I often see patients that have tried numerous other promising techniques to reduce some stubborn areas of fat before they end up in my consulting rooms. These range from fat freezing, infra-red, ultrasound, external laser therapy etc. Don't get me wrong - these can have a purpose in treating certain small pockets. However, in the majority of cases the areas are substantial and often require some form of contouring too. Remember that shrinking the respective areas is not always enough and that sometime one needs to create some shape too. In this instance the external devices and techniques are not really useful. The only method that really is suitable is some form of aspiration or suction. Most of the external devices rely on the immune system to remove the injured or damaged tissue and this subsequently can take 6-12 months before one sees any changes. This often results in demotivation and patients will often fall into their same routine lifestyle with no change in diet and exercise routine. Occasionally patients will deny having had any intervention such as external treatments. They may also have forgotten as it was long ago or they didn't really see it as a treatment as it was not successful. I will notice this in the texture of the tissue when I commence my VASER treatment as the fat layer is very fibrous and scarred. This can make the VASER treatment more technical and also the results a little less predictable. Essentially, if you are considering external treatments for larger areas, then understand that these will cause significant scar-tissue under the skin (not visible) and make any subsequent treatments a little less successful. The risk of irregularities and dimples is also more likely. Best research all the treatments and go for consultations for all the treatments so you are well informed....

Tuesday, 30 September 2014

2 hour surgery time slots are a No,No - alarm bells should ring

I've had a few patients see me recently for a consultations for various treatments that have had consultations at other clinics.
A common question I get asked is how many 2 hours slots will be required, or if we work in other time limited surgery slots.
I am amazed that doctors actually try and work and perform treatments limited to time slots.
A procedure should be performed to its completion regardless of how long it takes.  If the doctor is limited by time then there is a good chance that the procedure is either rushed or incomplete.  This will results in poor results or complications.
Remember that you are not paying for the time, but for the complete procedure and result.  The doctor should not be limited by a 2 hour time slot.

I thus advise that any clinic that performs surgery in limited time slots should be avoided.

Have a look at my YouTube channel DrWolf.com for some really informative videos.

Tuesday, 16 September 2014

VASER, traditional liposuction and MLD

In my practise I see many patients that do their homework and attend 1-3 consultations to gather information on treatments.  It gives the patient the opportunity to get to know the doctor and determine whether they like/get on with them.
Remember that having any cosmetic procedure means you are going to have a patient-Dr relationship for 6-12 months, if not more.  You need to "like" your doctor....!!
Seeing more than one doctor also allows you to gather more information about procedures and appreciate different approaches of doctors.
Its much more likely that you will all your questions answered by seeing more than one doctor.
I often get asked why some doctors are still practicing traditional liposuction and have not converted to VASER.  The answer to this is multifactorial - some patients still warrant having traditional liposuction for massive bulk reduction.  When removing large volumes (5 litres upwards) it is advisable to stay overnight to monitor your fluid balances.
Some doctors prefer to stick with what they know works; others are not keen to progress on to newer treatments.  The machines are very expensive and not every doctor can afford to purchase these machines.

Over the years the progress that has been made in terms of aftercare has been phenomenal.  I still battle to understand though why old-school surgeons have not adopted the train of thought that MLD post-op is firstly very effective to reduce swelling, secondly, expedite recovery, thirdly, reduce bruising, fourthly, reduce the incidence of irregularities and lastly, also afford a continuity of care.
I work hand in hand with many MLD practitioners and many of them are now well experienced in treating post-op VASER patients.  Reassuringly, many comment on how much faster VASER patients recover compared to traditional liposuction patients.

see below a video

Come see our website www.DrWolf.com 

Lipoedema, lipedema

Once again I have seen numerous patients in the last few weeks that have mild to moderate cases of lipoedema and have been seen by several GP's and plastic surgeons who fail to recognise the condition.
This is very frustrating for patients as they are continuously asked to lose weight.  LIPOEDEMA does not respond to dietary weight loss or exercise.

Patients find it such a relief when they are told of the condition and informed on what they have and why they themselves cannot change their shape.  They find it a relief that they have not failed in attempting to change their body-shape, but that they have this condition which prevents this.

I can only hope that the awareness and acceptance of Lipoedema improves in the medical circles.

Some help forums -
www.Lipoedemaladies.com      Facebook - Lipoedema ladies webpage
www.Lipoedema.co.uk

 I cannot strongly recommend you do as much research as possible and also get in contact with a MLD therapist in your area   www.MLDuk.org.uk





Below is a video of one of the options to improve the appearance of Lipoedema

Come see our website www.DrWolf.com 

Tuesday, 30 July 2013

Cellulite

This condition is probably the bain of many a women's life.....
I get asked about solutions and treatments for this skin appearance on a daily basis.  It rears its head in many forms and severities from mild dimpling to severe orange-peel effect.


 https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcLSfD2T2Sno9DjR8w-Mrbbk-a6XBK16d4hmGjmOJUw5kLM7HjIY3EMR4Oo_g5PLNZve7AMOgKMoUHR8YhTc9MhgjcoVZxsJsAIOgJMPuhIXnJdqAi9NH5I4iNzw6X2BGIFEUgwp690TU/s640/cellulite.jpg
            mild cellulite only on compression                                               visible without compression

The underlying architecture of the subcutaneous fat is the cause of the visible change.  There is herniation of fat deposits in between fibrous connective tissue strands.  Almost like a honey cone where the honey represents the fat and the cone the fibrous septa.
 



CELLULITE is almost exclusively found in women, although occasionally seen in men on hormone treatment.  We see it most commonly in post-pubescent women.
Scientific evidence is still scanty on the exact cause and related factors, but we know that oestrogen hormone plays a large role.  Other factors include genetics, lifestyle, diet, weight (esp. raised BMI).  Some of these factors we can obviously change, but others not.

Treatments
At this stage there are no specific treatments that can conclusively eliminate cellulite.  External treatments that promise to eliminate cellulite are not very successful and result in many post-treatment tears and disappointment.  The vital ingredient of any cellulite-busting treatment will be to remove the fibrous septae.
I am working on a novel treatment that is minimally invasive and involves separating the fibrous strands under local anaesthetic.  The results look promising, but we are waiting for longer term results to offer this treatment confidently.  WATCH THIS SPACE...........

Come see our website www.DrWolf.com 

Tuesday, 30 April 2013

Update on MLD and foam inserts, compression garments after Lipo or VASER

Our experience in postop care has improved tremendously in the last few years.  I suppose with the vast number of patients we are treating (I'm treating on average 9-12 patients a week) we come across all types of torsos and body types.  This helps us understand many different types of healing and recovery times.
As all patients are different in terms of how rapidly they heal and can return to normal activity, we can give most patients an accurate idea of what to expect.

Our instructions on postop garment wearing has not changed much.  Furthermore, the MLD routine has also not changed much.  I think the awareness of MLD in the post lipo patient aftercare has become much more commonplace, although I still get the odd patient that comes to see me for advice after being treated elsewhere.  This is usually in connection with what to do about lumpiness.

Abdo insert
I have also started using foam inserts or vests which create a  more even spread of pressure and compression.  These pieces of foam are inserted between the garment and the skin (available from Macom-medical).  They fill the negative spaces which are often not filled be the compression garment.  Also, they tend to force upright posture which will prevent skin creasing which is an occasional concern in patients that have fluctuated in weight and have some skin laxity.  See abdominal insert (top) and flank insert (lower).  For any form of definition I create it is vital to use the full abdo insert vest which contours the negative and positive spaces.

Flank insert





















Come see our website www.DrWolf.com





Tuesday, 7 August 2012

360 Degree Legs with VASER

Liposuction of the thighs is often limited to the outer thigh, buttocks crease and inner thigh.  Liposuction surgeons have been apprehensive in treating the legs circumferentially in fear of leaving tram tracks or furrows and dimples.
With the VASER system the emulsification allows for the fat to be liquified before being suctioned out.  This allows for smoother results and appearances with less chance of dimples and irregularities.

Dr Wolf has now started performing 360 degree legs with the VASER system with stunning results.
Most women will find that its not only their outer or inner thighs, but also their knees, and buttocks crease that are a problem.  By treating the legs circumferentially we get an even and smooth result.
Makes buying jeans much easier..........

This treatment is great for patients with an element of Lipoedema which usually results in deposition of fat in a circumferential pattern along the legs.

Come see our website www.DrWolf.com 




Come see our website www.DrWolf.com

Thursday, 7 June 2012

VASER Breast reduction - non surgical

The female breast reduction procedure is generally a surgical procedure to reduce the weight and size of the breasts.  During the surgical version of the procedure fat, gland and skin are removed to resize the breasts and in most cases the nipple needs to be repositioned.

Breast size varies in women and often there is an asymmetry between the left and the right side.   A variety of factors determine the size and shape - genes, hormones, body frame, weight and lifestyle.
In later life the breasts often lose volume and may become droopy, especially in some that have breast fed and have had children.

Breast reduction can assist in lifting the breasts and changing the size, weight and shape.

Physical problems may also include:
  • backache 
  • neck pain
  • skin irritation
  • poor posture
  • excessive sweating, rashes and skin
  • infections under the breasts
  • weals or grooves on the shoulders from bra straps
  • an inability to exercise or take part in sports
Common psychological problem also include:


  • unwanted attention or harassment
  • self-consciousness
  • depression


  • Traditional breast reduction involves a general anaesthetic and fairly extensive scars that take on an "anchor shape".  Many women find this option unattractive due to the risk factors.


    An alternative to this is VASER Breast Reduction
    The procedure is performed under sedation and local anaesthetic.  The access points are very small (5-6mm) and heal to leave almost no scar.  The postoperative care includes MLD sessions which remove unwanted fluid and swelling.  The breasts will be relatively firm and swollen for about 1-3 months, although this various between individuals.  MLD sessions help alleviate the swelling.
    As the VASER helps contract the skin it also creates a bit of a lift of the breast.


    The main benefits of VASER breast reduction are:

    • volume reduction
    • weight reduction the breasts
    • reduce backache and neck pain
    • marginal lift
    • local anaesthetic
    • minimal scarring
    • day case procedure
    Dr Wolf recommends a mammogram before and about 6-12 months after the procedure.


    VASER - MLDUK conference

    I was kindly invited to give a talk at the MLD conference in May to share my experience of VASER and what recommendations I had for MLD therapists with regards to post-op treatment.  The talk was fairly general with an overview describing the treatment and its indications to give the MLD fraternity an idea of what is achievable.
    I was very surprised at how many therapists had come across VASER patients and had actually treated them; quite a number of them being my patients.  I was very please to hear that I was one of the most active MLD supporters for VASER patients.
    Traditional liposuction surgeons tend not to refer patients for MLD - not sure why?  They are possibly unaware of the benefits.

    The benefit that patients receive from having these treatments post-op is immense, not just in terms of reducing swelling and bruising, but also minimising subsequent risk of irregularities and lumps and bumps. Most patients will report softening of the tissue immediately post MLD.  The treatment is also very relaxing and most therapists will show the patients self-help techniques they can perform at home on a daily basis.

    There is significant scientific research to support the benefits of MLD in the post-op period.
    As patients vary significantly in their healing phase the number of sessions required varies from individual to individual.  Generally I would suggest starting with 3-5 in the first 2 weeks and then re-assessing the situation.  Most practitioners will have one post-op review in that time and can then recommend further sessions if required.
    For Hi Def patients the treatment regime is more intense and rigorous for the first 2 weeks (almost daily MLD sessions).

    All in all it was a very interesting meeting with copious networking opportunities.

    Friday, 27 April 2012

    Lipedema- My VASER experience

    My VASER experience

    Six months ago I had never heard of lipedema. As far as I was concerned, I was an overweight woman, with fat legs, who in spite of 43 years of trying to lose weight, had never managed to do so. In addition to being fat, therefore, I carried the burden of my self-perception as being weak-willed and incapable of exercising control over my body, an attitude that spilled over and profoundly influenced almost every area of the rest of my life.  

    I had come to the Private Clinic because I wanted a breast reduction having heard about the miraculous Vaser technique, which seemed almost too good to be true: a short, minimally invasive procedure under local anaesthetic, which promised minimal downtime… However during the breast consultation I realized that this might also work for my fat legs and so it was, when Dr Wolf was assessing me for treatment, I first heard about lipedema.
    It is not an overstatement to say that day was one of the most significant days of my life. Internet searches for lipedema yielded results that were simultaneously desperate, depressing, liberating and yet hopeful. Depressing and desperate because nine out of ten websites delivered the news that it was a chronic and incurable condition of unknown cause. Liberating because at a stroke I realized I was the victim, not the perpetrator, of my affliction (removing guilt at a stroke). And hopeful because one in ten sources mentioned Vaser, or tumescent liposuction: a new technique, which was apparently ‘transforming’ the lives of some lipedema sufferers.
    It is hard to know where to begin to describe the experience of the last 4 months in which so many physical, psychological and emotional changes have taken place. I’ll begin with the experience of surgery itself: I have had 5 procedures in 4 separate operations over 4 months. The experience of Vaser itself is, as promised, short, minimally invasive, minimally uncomfortable and carried out by medical teams who are quite exceptional in terms of the quality of care, technical expertise and follow up treatment they provide. Within half an hour, a double chin I had hated since my teens, was removed. Within a further two hours, the breasts I had loathed since my early 40s, and which had ballooned since the menopause, were considerably reduced (the most marked result being that I no longer walk with a stoop, a life long affliction I had assumed was a spinal deformity). The tum which had grown since the menopause was radically reduced within 2 hours, and the same for thighs and calves (in addition to lipedema, the latter were very disfigured in an RTA I had when I was 17. Selective fat removal has rendered them almost symmetrical and looking far more like normal legs. Again, all under local anaesthetic and within the space of less than 2 hours).
    At this juncture it is worth remarking on how, in just one patient, this extraordinary treatment has alleviated such a wide range of life-long afflictions, resulting from such various causes as the menopause, an RTA, the condition of lipedema and (in the case of my double chin) some unfortunate genes!
    My recovery from each of these procedures has been very smooth. I liken the operations to rather long trips to the dentist (although unlike the dentist, you can chat!) and the recovery period is comparable with getting over a mild cold or having a period. I had to wear a compression garment for 2 weeks, take a course of antibiotics and have some (very enjoyable!) MLD.  Post-operative pain was minimal and alleviated with an occasional paracetamol.
    Visually, I look very different.  I never wanted to be a catwalk model or an athlete – that’s not what I wanted from my body – but I now look OK, and looking OK is not something I take for granted! Having spent over 4 decades feeling I was deficient and abnormal, looking OK is a HUGE thing for me, and precisely what I wanted to achieve.  I used to think I didn’t fit in and my physical problems were in the foreground of people’s perception of me. Now I look in a mirror and am happy with what I see, which means I can get on with my life and my relationships with other. I’m OK!
    Looking OK, means that the psycho-emotional jumble of self-deprecating thoughts and feelings have been defused.  It is impossible to overstate just how significant this is. It is fair to say that even if I hadn’t had Vaser, the guilt about my condition would have gone, at a stroke, with Dr Wolf’s diagnosis. But with Vaser I find I am more psychologically outgoing. Unconsciously, as the condition took hold and became compounded, post-menopause, with larger breasts and tum, I had let friendships lapse: I have now picked up the threads of some treasured old friends and have many social events planned, which I would otherwise have avoided.
    I don’t quite know where the energy has come from. Yes, I have lost bulk and feel more psychologically inclined to move and be active, but the resultant energy seems above and beyond these causes. Whatever the cause, this has been a fantastic result and find I DO so much more of everything – gardening, housework and so on. With the increased activity is a further enhanced sense of wellbeing. At one point I was doing so much that my son asked if anything was the matter with me, so unaccustomed is he to having an active mum!
    The Vaser results have given me a huge boost, which I am building on with changes in lifestyle. I am learning more about lipedema and eating better, plus taking regular exercise. I recognize that these choices will support my overall health now and into the future.
    Speaking of which, in 2 days time I will arrive at the milestone of my 60th birthday with all that that bespeaks. I shudder to think how I would have felt at this juncture in my life, had I not discovered Vaser. My physical condition would have been unaltered, and I would have hovered in that horrible hinterland of guilt, desperation and false hope. I now feel as though my life has just begun. I have the energy and self-confidence to face the future with enthusiasm, excitement, curiosity and a sense of physical and mental well-being. It is true to say that I feel healthier, in every sense, than I felt at any of my other milestone birthdays.

    I cannot recommend Vaser too highly and while I realize that results doubtless vary with the individual, dependent on all sorts of factors, not least patient expectations, I am happy for my results to be used to help others who are in a similar position to where I found myself 6 months ago.  


    CM, Shropshire, April 2012.

    Come see our website www.DrWolf.com

    Tuesday, 6 March 2012

    VASER treatment areas in male and female patients

    Alternative, non-invasive liposuction techniques have been developed to treat smaller areas of adipose deposit.  The collection of anatomical areas has remained fairly consistent over the last few years in both male and female patients.
    Our figures confirm this - for males the most popular treatment area is still the abdomen and chest (gynecomastia) and flanks.  Males tend to limit themselves to these areas as they have only really become aware of the cosmetic industry in the last few years.  As treatments become more available and less invasive our male patients will undoubtedly look at other treatment areas.



    For females the most popular treatment areas remain the abdomen, flanks, outer thighs (saddle bags) and gluteal fold.  For women the most troublesome areas are the midriff and the outer thighs.  These respond well to VASER with most patients achieving very good results.



    Audit Figures of VASER Gender distribution 2011

    I've looked at all the VASER cases I performed last year and audited the figures.  Interesting stats to say the least.  On the whole female patients still form the bulk of my clientele.   Male patients have certainly become more aware of their aesthetic requests and demands.  Industry figures correlate with these stats nationwide.  I think males are becoming less critical and less averse to cosmetic procedures and are realising that there is nothing wrong with looking after one-self.








    Wednesday, 29 February 2012

    Skin Laxity after VASER

    Many patients, in fact all patients, will during some stage of a consultation ask about skin laxity.  Most will mean they are concerned about skin wrinkling or having rolls of skin hanging from their torso.
    In my experience it is fairly easy to assess whether a patient will react well to the VASER treatment and suffer from lax skin or not.  If there is any doubt that there is going to be wrinkly skin then the patient is not a candidate and I decline to treat them.
    The term "Loose skin" applies to the mobility of the skin.  This occurs when the interface between the muscle and skin becomes less elastic and allows the skin to move freely over the muscle and connective tissue.  As we become older our elastic tissue becomes a little lax and thus allows for the skin to be a little more mobile.
    This becomes especially noticeable when someone has lost a few stones.  Compare this to a ballon that deflates - the membrane becomes flaccid as the volume depletes.   Similarly the skin becomes a little "wobbly" over the muscle.  VASER does help a little with skin tightening, but there is a limit as to how much will take place.

    I hope this explains and reassures you a little with regards to skin laxity.


    Come see our website www.DrWolf.com 

    Thursday, 9 February 2012

    VASER Hi Def - before and after

    I saw another VASER Hi Def patient yesterday.  The procedure was performed in June last year.
    One of the important aspects of having this treatment is being willing and able to maintain the result.  Its not a quick fix at all.  Ideally prospective candidates should be relatively fit and already have a fair amount of contour.  The procedure is aimed at pronouncing the contour and definition.
    I see many patients that see themselves as very fit, but are not suited for the procedure.  This can be due to a variety of reasons:
    lax skin, too many stretch marks, musculofacial laxity (when the skin is very mobile), too much visceral fat (fat around the organs), clear inability or lack of motivation of not being able to maintain the result.


    Understandably many patients are disappointed if I tell them that they are not suitable for the VASER Hi Def procedure.  It all boils down to being honest and realistic.  There is no point in trying to attempt to perform the procedure on a patient that is not suitable.  Firstly its unethical from a medical standpoint, secondly the patient will not be satisfied, and thirdly, one will be trying to correct what one cannot achieve.

    There are many before and after pictures available on the net that are good examples of patients that were not suitable for the VASER Hi Def procedure.

    The procedure needs to be tailored to the individual patient.  Thats where the 3D "vision" comes in.  Visualising the anatomical landmarks and underlying muscles is of paramount importance.  Hence its easier to treat patients that have a fair amount of muscular definition already.  It is although not impossible to visualise these under a thinnish fat layer.  Also important is input and feedback from the patient prior to the procedure. Some patients don't want specific types of the definition and its important to specify this at the marking stage.  I always get my patients to look at their marking and make sure they are in agreement with the style of definition.  Before pictures of the markings will then also confirm this.
    Below is a picture of another content patient who has managed to maintain his result.......




    Come see our website www.DrWolf.com

    Click here to see a video on VASER, its indications, how it works and what it can achieve.
    ;