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LIPOSUCTION FROM BOTH ENDS OF THE CANNULA
What I Learned as a Doctor and as a Patient
(press release from Dr. Stan Gore)
article sponsored by:
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(Thu Jul 21 2005) When I became a cosmetic surgeon in 1983, liposuction was the most exciting and
popular cosmetic surgery procedure ever. It seemed to offer a quick fix for just
about everybody: the chubby, the obese, the cellulite-afflicted, the
disproportioned, even athletes. As with every wonder-cure, it usually takes
years to refine the procedure and understand its limits. Dr Jeff Klein, a
California dermatologic surgeon, introduced the first major advance in the
mid-80’s: the tumescent technique. Injecting large volumes of dilute local
anaesthetic into fat, prior to removing it, not only allowed liposuction to be
performed under local anaesthesia, but also improved fat harvesting, expanded
the target areas and decreased patient discomfort and post-op risk. Yet
liposuction was still far from perfect.
As a doctor, I felt it was being promoted as a panacea for too wide a range of
problems, resulting in disappointed (and sometimes deformed) patients.
• liposuction is not a treatment for obesity. The removal of large volumes of
fat is not only dangerous, it leaves excess hanging skin. Similarly, because it
does not tighten skin, liposuction is not an appropriate treatment for very
large areas. Removing litres of fat can create an unsightly apron of skin. The
proper surgical treatment for large bellies is a tummy tuck (removal of fat and
excision of excess skin at the same time) and it should not be undertaken taken
lightly - this is major surgery with longer general anaesthesia, more medical
risks, a prolonged recovery period, discomfort and the possibility of long, wide
• liposuction is not a treatment for cellulite. Cellulite represents excess,
engorged fat cells stored within a honeycomb structure of fibrous tissue below
the skin. Because it is impossible for an equal amount of fat to be removed by
suction from each “room” of the honeycomb, liposuction can leave cellulite areas
more irregular than before treatment.
• removing fat cells from one area of the body doesn’t guarantee that fat is
gone for good. Regular exercise and good nutrition are still required. A couch
potato will first accumulate fat in areas adjacent to the liposuction site and
ultimately fat cells will repopulate the surgical area. Lazy abdominal
liposuction patients soon notice increased thickness in love handles, low back,
bra-line and pubic areas.
As a surgeon, I knew the distinct medical risks and downsides to the procedure.
• aggressive liposuction is cosmetically risky. With large cannulas and powerful
suction machines, it takes a fraction of a second of poor judgement to remove
too much fat from an area, creating gouges, grooves and irregularities.
• liposuction requires not only technical skill, but also surgical artistry. The
ability to visualize what a body should look like after recontouring and then to
consistently achieve that goal is the hallmark of a gifted cosmetic surgeon.
Your result depends in large part on the surgeon you choose.
• large, sharp cannulas used with aggressive technique can dislodge pieces of
fat, push them into the bloodstream and ultimately into the lungs, causing
life-threatening fat emboli.
• constrictive post-operative garments worn for weeks, plus immobility,
predisposes to blood clots in the legs and lungs.
Understanding those concerns, I myself chose to undergo liposuction in the
mid-nineties and only then learned first-hand the ground zero problems with
liposuction from the patient’s perspective. For 2 weeks after surgery, I felt
like I had been run over by a truck. I couldn’t work. I couldn’t look at red
meat. I had to wear an uncomfortable abdominal binder 24 hours a day for 2
months and was prohibited from exercising during that time. Noticeable swelling
and tenderness persisted for 6 months post-op. I was really irked at paying
thousands of dollars to suffer! There had to be a better way to balance vanity
with sanity–more predictable results, less discomfort, inconvenience, downtime
and risk – and I became determined to find it.
Through many years of research I’ve developed a minimally invasive form of
liposuction and in 2003 I introduced Infusion Lipolysis and my new Mini-Lipo to
Toronto patients. I believe it represents a significant advance in patient
comfort and safety. The key is gentleness. A Mini-Lipo is quite different from
traditional liposuction. Under local anaesthesia, I slowly remove about half the
fat cell volume of traditional liposuction by hand, using only syringe suction
and fine cannulas. Then, I shrink the remaining, engorged fat cells to normal
size and tighten overlying skin, over the course of weeks, with Infusion
Lipolysis. The cosmetic result of these combined procedures appears to be at
least equivalent to that of traditional liposuction with added benefits;
• no downtime; patients exercise after their procedure and continue with normal
activity and work routine the next day.
• minimal discomfort, swelling or bruising compared to traditional liposuction.
• minimal inconvenience; the patient wears a light body slimmer for only 2
• fewer surgical and cosmetic risks.
• skin tightening and smoothing (which doesn’t occur with traditional
• a rapid shape change within 2 weeks, then a more gradual recontouring over the
course of the next 8 weeks;
• no surgical incisions, sutures or heavy binders, so no one need know.
• long-term sustainable results, obtained by combining an activity/nutrition
program with transdermal maintenance medications.
Infusion Lipolysis is also a stand-alone treatment for areas of
exercise-resistant fat, particularly post-partum tummies, love handles and
cellulite. You can combine the Mini-Lipo with Infusion Lipolysis for saddlebags
(outer thighs), hip rolls, larger tummies and love handles. Either way, you’ll
need only one minimally invasive office procedure lasting approximately an hour,
followed by 10 weeks home application of medications formulated in transdermal
creams. There are no ‘machines’ involved. Patients really appreciate the
convenience of not needing repeat office treatments.
The Mini-Lipo is meant to be a refinement to, rather than a replacement for,
conventional liposuction. It’s geared for people who desire a rapid, visible
recontouring but would never undergo the inconvenience and risks of conventional
liposuction. It is ideal for smaller areas where traditional liposuction is
‘overkill’, like saddlebags and love handles. It can used it to improve
irregular liposuction or tummy tuck results. In short, the Mini-Lipo is the kind
of liposuction I would have undergone myself, had it been available ten years
Further information and before-and-after photos can be found at
This procedure is only available in Canada at present, but Dr. Gore will soon be
training and licensing physicians world wide.
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