New plasma energy for skin tightening and resurfacing

Every year it seems that new technology emerges in the field of aesthetics and lipo suction.  I always listen to the sales people and read what they have but take a critical view of each new device that comes out as many of them are a re-make or a combination of older devises.  Last year in 2017 I started looking at a completely new method for skin tightening with lipo that also can be used for facial resurfacing.  I glanced at it at first then saw a presentation on it at a national meeting on lipo and fat transfer.  Wow, a new game changer was on the market.  After spending some time with one of the pioneer users I am amazed at what it can do.  Presently it is called J-Plasma but soon will be marketed as Renuvion. 

What makes it unique?  The Bovie corporation who have made coagulation units for the OR for over 50 years was able to combine Radio-frequency energy with Helium to produce a cold plasma stream that is shown to tighten skin and also resurface facial skin giving an almost “face lift ” appearance….all without any surgery.  Radio frequency energy has been used alone in several devices for years for external skin tightening.  You would come in, get a 20 minute treatment with the device and repeat in a few days.  Some skin tightening was evident but in my opinion was not great especially in larger patients.  Now Bovie has taken that energy and as I said used it in a stream of Helium gas and created a plasma beam.  This was first used for precision cutting in open surgery cases but is now being utilized under the skin during liposuction and giving an almost instant contraction of the skin that continues for several weeks. I am seeing skin laxity decrease at a much faster pace than what I was seeing with using the laser for skin tightening.

Another use of this technology is to go over the skin (after numbing) to resurface the facial skin and tighten it.  Before and after pictures are showing stunning results.  It is necessary to have about 7-10 days of down time with the facial resurface as the skin has to grow back after the resurfacing.  The doctor I trained with told me he has completely given up doing face and neck lifts since starting use of this plasma technology.  It’s that good.

Genesis is once again proud to be the first in South Carolina to incorporate this new technology into our lipo and facial program.  Staying on the cutting edge with the right devices and treatments is what we always want to bring to our patients.  We will be posting more info on our web site soon.  Again, Bovie corporation will be changing the J-Plasma name to Renuvion in the next couple of months and you should be seeing more ads and info about it as they begin to promote this platform in multiple magazines and on television.

In the meantime…..stay healthy……stay beautiful

Dr. ODell

New inside, Bodysculpting and self confidence

For the uninitiated and those who need little cosmetic work done it is easy to look at those who do need it and judge them that they are somehow vain and selfish.  I will repeat what a famous General in WW2 said about surrender….NUTS.  Yes, there are those who look great already but continue to want more and tweek their look into something not natural.  But what we do goes way beyond the visible.  What cosmetic transformation does for the majority of my patients is give them back not only a better look but an inner self confidence that many have not had for years.  I recently had a young woman who has been obese since her teen years and is now 30.  She was tired of being relegated to the larger, loose clothes and other than work did not want to go out in public or participate in any social activities.  We did our Genesis Signature LipoSculpting on her abdomen and flanks with attention to contouring details that would develop as her skin retracted.  Because of her size a minor touch up on the abdomen was done to further stimulate the skin to retract.  Now at 5 months out from her first procedure she is smiling and wearing form fitting clothing that was denied her for over 10 years.  She admitted that she now realizes that her size made her depressed and that drove her to eat more which made her bigger then more depressed which drove her to eat more…get the endless cycle.  Lipo has given her body back to her and in turn her diet is healthy now and her social life is exploding.  A recent picture she sent in was a wonderful “wow” moment for me and my staff.   I am not implying that all obese people lack self confidence and are ashamed.  Many live life to the fullest. But so many don’t due to self conciousness about their size.  If you are one of those consider a combination of Lipo at Genesis along with a re-focus of your diet and lifestyle.  You may be the next one for that “wow” moment.

Live healthy

Dr. ODell

Fat transfer in body Liposculpting including the lastest tech

As part of our ongoing Signature LipoSculpting program we do a lot of fat transfer/grafting to several areas of the body.  Simply put, fat is harvested gently from one area such as the abdomen or legs, processed to remove excess fluid and debris then transfered back to an area of the face or body needing enhancement or correction.  We commonly Lipo the flanks and lower back to give a beautiful curve to the back but find that the buttocks is flat and needs to be rounded out.  Strategically placed we can give the buttocks that “pop” that has been missing for so long.  Other areas can be done such as breast enhancement using your own fat and also the hands to make them look younger.  Transfer to the face is our number one area.  If you are tired of looking tired due to the baggy skin sagging under the eyes or those deep defects around the mouth then fat placement there and other areas on the face can correct it with ease.  We can even fill in hollow temples and effect a slight brow lift by placing fat in those areas.  We have used fat to correct surgical defects that sometimes occur after mastectomy reconstruction and even filled in areas on the hip and buttocks caused by frequent medication injections.

New to Genesis over the last 5 months is the introduction of O2 enhancement to the grafted area.  This has resulted in a tremendous increase in fat retention survival and further enhancement of the grafted site.  Simply done, after the area is numbed, CO2 is passed into the graft site thru a small injection needle.  Once under the skin, CO2 is then quickly replaced by Oxygen and the CO2 is removed thru the blood stream.  This results in a marked increase in the oxygenation of the grafted fat giving us tremendous survival of the fat. I am excited at how this CO2 technology is improving our fat grafting/transfer program.  Also new this year is the addition of low pressure infusion for grafting larger areas.  Fat is delicate and this system prevents high pressure injection of the fat that may rupture the fat cells and decrease survival.

I am so excited to let you know about our newest enhancements.  It is always my goal to offer the latest technology that will give you a better result and the look you desire.  In future blog posts you will see more on the CO2 therapy for other conditions.  This is technology that has been worldwide for over a decade and has recently been approved by the FDA in the U.S.  Stay tuned.  Stay healthy.

Dr. O’Dell

Awake anesthesia in Lipo Sculpting

One of the most frequent questions I am asked when doing LIPO seminars is how we do this without general anesthesia.  Our minimally invasive LipoSculpting uses what is known as Tumescent Anesthesia.  Basically we mix Xylocaine (Lidocaine) into an IV bag of normal saline and add Epinephrine and Bicarbonate to the mixture.  The Xylocaine is the same numbing medicine used by just about all doctors for doing minor skin lesion removal or for sewing up a wound.  It is also used in spinal and epidural preparations.  It is very similar to what your dentist uses when numbing your mouth.  We very carefully calculate the maximum amount of Xylocaine that we can use based on your weight and medicine profile.  The epinephrine is used to make the small blood vessels in the fat “spasm” closed so that it will minimize any blood loss during the procedure.  In addition it helps to slow the absorption of the Xylocaine so that the numbing is slow to wear off.  The bicarbonate is a buffering agent to raise the pH of the solution so that it won’t sting going in.

This solution is then placed under the skin of the area you are having sculpted.  We do this through small puncture holes strategically placed in your skin.  There is NO cutting or incisions involved.  The numbing solution works rapidly to numb the area but at the same time acts to spread out the fat so it is more easily treated and suctioned.  Yes, it provides complete numbing of the area without the need for general anesthesia.  More can be added during the course of the case if needed.  We do give you oral meds pre-procedure that will relax you and sometimes let you doze off during the case.  Nice thing is that you don’t have an anesthesia hangover afterwards.  Also nice is the excellent safety profile of this type of anesthesia.

Dr. ODell

 

Laser your way to tighter skin

Many of you have asked specifically how the laser works in both Liposculpting and skin tightening.  At Genesis we have several lasers of different frequencies that are used in different ways.  First of all let’s address the one we use in LipoSculpting.  The frequency of our Lipo laser is tuned so that it maximizes both skin tightening and disolving  of fat.  Basically we place it under the skin via an artificial quartz fiber and use it to make micro damage on the underside of the skin.  We are very careful not to burn the skin but only to do micro damage.  The body wants to heal those micro burns so it sends in some platelets that then bring in growth factors and cells to make new collagen protein to replace the damage.  The new collagen is very elastic so it tends to shrink and, therefore, pull the skin tighter as it does so.  This results in a remarkable lifting and tightening of loose skin that has stretched out due to excess fat that is also being removed.

Likewise, a similar laser with a different frequency is used externally on the face and neck to tighten  wrinkles, close open pores, and lighten pigmented areas.  This is our Fraxel laser.  The Fraxel handpiece is rolled over your numbed skin and very tiny “pixelated” pin size punctures in the skin are the result.  Again there is micro damage under the skin that results in new collagen protein being formed that shrinks as it heals.  The result….tighter skin and less melasma.

We also use the laser for hair removal.  This laser has a frequency that is tuned to the color of dark hair and is , therefore, absorbed by it.  The laser heat is then transmitted into the hair follicle which is then destroyed.   Reapeat treatments are then done to assure all the follicles in that hair “pore” are destroyed by the laser.

Next blog post…..our newest laser for vaginal rejuvination and bladder leakage.  Stay tuned.

 

Dr. O’Dell

Lipo of the arms

We do LipoSculpting all over the body.  One of the often needed areas is the upper arm.  Many women get that loose hanging skin early in life due to genetic factors while some have it after weight loss or aging.  The Signature Lipo works well for this area.  We have had many women who are told that cutting and removing the skin is the only way to achieve a slimmer look but that is not true.  I have seen some patients who had the removal surgery done only to have an unsightly scar down the inner upper arm.

With lipo of the arm we simply make a small puncture just above the elbow toward the outside edge of the arm.  Through that small hole we fill the hanging area with our tumescent numbing fluid.  After adequate numbing the Vaser is used to break-up and liquify any fat in the hanging area.  This is followed by a thorough treatment with our Laser to stimulate tightening of the skin.  Suction then follows to remove the fat that has been destroyed.  We then send you home with an arm garment to conform the newly treated skin to the underlying arm.  While you are healing and awaiting the skin to tighten I usually suggest doing triceps exercises starting about 2-3 weeks post procedure.  This will build up the triceps muscle under the treated area to give you a more shapely arm.

This treatment is ideal if you are tired of having to wear longer sleeves all year to hide your arms.  We have so many patients who are thrilled to get back into short sleeves or sleeveless clothes within weeks of the procedure.  Now is a good time for us to look at any issues you may have with your arms.  Getting that area treated now can make you look good in that slimmer top for summer.

Thought:  When you common things in an uncommon way, then the world takes notice.

Dr. O’Dell

Lipo vs. Tummy Tuck

I am all the time seeing patients who want to know if they should get a tummy tuck or do the LipoSculpting in order to pull up that loose skin at the bottom of your abdomen.  Many have seen another doctor about a tummy tuck and told to go ahead but decided to see what we could offer.  In most cases our Signature LipoSculpting is the ideal way to correct that sagging tummy.  Best of all it can be done using only small puncture holes and not a very long incision required for a tuck.  The tummy tuck requires removing all that skin using an incision that extends from over the hip, across the lower abdomen and ending over the other hip.  Many times moving the belly button is required due to the amount of pull down.  Beside having a very long scar another problem is that most surgeons do nothing to the upper abdominal fat or the fat on the “love handles” or flanks.  Therefore, you have a nice flat lower ab below the belly button but continue to have a lot of unsightly fat above it and on the sides.  I have had many patients who have come to me about a year or two out from a tuck wanting the upper abs lipo’d and the flanks and back sculpted in order to look balanced all around.

What we can achieve with our Signature LipoSculpting is to safely remove the fat in both the upper and lower abdomen then laser the skin to get a pull up that results in a flatter abdomen WITHOUT the long incision.  In addition, by using our Vaser and Laser along with careful suctioning we can sculpt that 3-D hour glass figure that makes you look so fine. Yes, it is entirely possible using our lipo system.

So don’t think that if you have that hanging skin at the bottom of your belly that all you can do is a tummy tuck.  With our LipoSculpting we have time and again helped our patients achieve a tighter, lifted tummy without the long incision and downtime required.

Thought of the day:  Music washes away from the soul the dust of everyday life.   Berthold Auerbach

Stay healthy,

Dr. ODell

 

Genesis LipoSculpting…Super bowl of fat removal and shaping

Well I just finished watching Super Bowl 50.  What a game, no matter the outcome.  I was thinking after the game that what I just saw was a culmunation of everything that both teams do well, all blended into a defense and offense.  That got me thinking about how we do our Genesis Signature LipoSculpting.  The football team does not just run on offense, although they would gain yards.  By the same token, they don’t just pass, although that alone will get them yards.  They don’t just have one play.  They blend several plays together in a series to accomplish that TD or first down.  With our Lipo we don’t just use suction to remove the fat, nor do we only laser the fat and skin before suctioning, although that gains us some results.  What we do is blend two very successful technologies together with Vaser and Laser in order to maximize the fat dissolve and the skin tightening.  Our last step to get that TD….your sculpted body… is to use our powered Tickle Lipo suctioning devise to remove the dissolved fat in larger quantities and more efficiently than by manual suctioning alone.  Manual suctioning is then done at the end in order to give the finesse to the suctioned area, much like the extra point after a TD in football.  We use multiple types of suction instruments to that we can taper and blend areas on the edge of the sculpted area.  Certain of those instruments are also used to sculpt along the abdomen muscles to give you a more defined look.  Similar to a football game all these plays together give you the shaping and reduction you have tried to do but could not accomplish.  Go ahead, kickoff 2016 with a touch down to a new you.  Signature LipoSculpting  is the team you want to be with.

Dr. ODell

 

That saggy Chin and Neck

Aging happens.  What happens with it is skin laxity caused by sun damage, smoking, menopause, weight loss, and collagen protein weakening from aging.  Some people do it gracefully, others not so much.  What results is anywhere from just a little loose skin under the chin all the way to the “gobbler neck”.  Sometimes it’s genetic factors.  Yes, your aunt’s chin you made fun of as kid is now yours.  However, now you can do something about it.  At Genesis we offer several treatments that can help you.

Our main one is laser-lipo to the chin and neck and jaw line.  We call it our “week-end chin and neck lift” because we try to do them on Thursday or Friday so that you can return to work on Monday or even to church on Sunday.  The procedure takes only about 30-45 minutes.  Basically after some oral sedation a small skin area at the chin is numbed and a needle puncture made.  Through that puncture a numbing solution is placed under the skin of the chin and upper neck using tiny instruments.  After adequate numbing we use our laser to tighten that loose skin and desolve any fat that may be there.  Suctioning is done lightly afterward.  At the same time we can go down the jaw line to lift any jowling present and remove sagging fat that is present.  A chin strap is worn for 48 hours (excluding shower time) then only overnight for a week.  What results is a lifting and revitiliazation of the skin with a more defined angled look.  Minimal soreness is about the only discomfort.

We are now an authorized office to use the new Kybella method for fat reduction in the chin.  This  method involves two treatments about 8-12 weeks apart where a fat dissolving substance is injected into the fat under the chin.  Over the next 6-8 weeks the fat is broken down and removed by the body thereby getting rid of the sagging  double chin look.  If all you have is loose skin without fat then you would not qualify for this method as Kybella may not result in skin tightening in some cases.

Hey, don’t go around with the gobbler neck or feel you have to look up all the time to tighten your chin.  We can help.

“If you don’t go after what you want, you’ll never have it.  If you don’t ask, the answer is always no.  If you don’t step forward, you’re always in the same place.”  Nora Roberts

Dr. ODell

Buttocks fat transfer/ Brazillian Butt Lift

I had some questions today about our fat transfer to the buttocks and how ours differs from that of other cosmetic surgeons.  A patient came by inquiring about how we do ours and stated she had been told by other surgeons she could not work or sit for about 3 weeks and she must sleep on her stomach.  Our instructions differ and this is why.  My buttocks fat transfer concentrates on placing most of the fat in the upper 2/3 of the buttocks away from where you sit.  Pay attention as to what part of your derrier bears the weight and you will find it is the top of the leg and only the lower portion of the buttocks.  I have been able to acheive an enhanced rounded look without having to place fat on the “sitting” portion of your rear end.  Also by using the Brazilian butt lift technique we very carefully place fat in the Gluteal muscle under your butt to get a nice rounded lift without having to fill in that lower 1/3 where the sitting occurs.  Now I do recommend sleeping on your stomach for 2-3 weeks but if no fat is placed on the side of the butt you can sleep on your side as long as a pillow is to your back to prevent rolling over.  I had one patient to sleep in a recliner but she had excessive padding around her buttocks.  Her results were still stunning.    Another way we differ from other centers is our usage of  PLATELET RICH PLASMA (PRP).  My nurse will draw blood before we start the transfer procedure and then separate the platelets from the other blood cells.   The platelets are then concentrated and mixed with the fat before the fat is injected.  These activated platelets then stimulate STEM CELLS which grow new blood supply and structural elements to help the fat survive and your new shape to be accomplished.

It’s time to get rid of that “pancake butt” from weight loss or aging and get your new shape.  It can also be time to enhance what you already got.

Your new look can be acheived.  The art, the technology, and the expertise is available at Genesis.

Let 2016 be YOUR year for the new you.  Keep the promises you made to yourself.

Thanks

Dr. ODell