June 14, 2010

FDA Warnings Against Lipodissolve False Advertising

If you are considering getting lipodissolve, also called mesotherapy and liposhape, please first consider the recent FDA warnings issued against this untested, unproven procedure.  In April, 2010—shortly after our article warning readers that lipodissolve has not been proven safe—the FDA contacted six different medical spas in the US to warn them not to make misleading claims about lipodissolve.  Lipodissolve and the other catchy names it goes by are becoming popular trends in some circles, but the procedure raises ethical questions against those who persist on providing it despite lack of medical support.

Liposuction Before and After Photo

Liposuction Before and After Photo

What is Lipodissolve?

Lipodissolve and its many other titles involves injecting chemicals into locations where one hopes to lessen the amount of fat present.  There are many chemicals and combinations of chemicals that may be injected into the body, and the most common two are phosphatidylocholine and deoxycholate.  The medical spas and even some physicians who advertise this procedure call it safe and effective; some even claim it is better than liposuction.  This is dishonest at best, because lipodissolve has not been demonstrated to be safe or effective.  Because there is not enough scientific basis to medically sanction this procedure for human use, it is not FDA-approved.  Furthermore, the reported complications make it unlikely that the FDA will approve it anytime soon, and they probably won’t ever.

What Are the Risks of Lipodissolve?

With such little scientific knowledge about lipodissolve, we cannot quantify the risks of lipodissolve, but those receiving it have experienced complications such as scarring, skin irregularities, blood vessel damage, and subcutaneous nodules that cause pain.  Perhaps even more dangerous than these reports is the fact that those who insist on offering lipodissolve may have little respect for other scientific and medical safety conventions.

Without a broad and precise understanding of the exact risks and effects of lipodissolve, it is virtually impossible to administer the treatment using the amount of control needed to deliver the best results, and it is also difficult to know the best way to treat complications. Science is not on the side of lipodissolve injectors, so the best a practitioner of lipodissolve can do is guesswork.

What Warnings Did the FDA Give?

In April we saw that the FDA gave warnings to the following spas:

•    Monarch Medspa in King of Prussia, Pennsylvania
•    Spa 35 in Boise, Idaho
•   Medical Cosmetic Enhancements in Chevy Chase, Maryland
•    Innovative Directions in Health in Edina, Minnesota
•    PURE Med Spa in Boca Raton, Florida
•    All About You Med Spa in Madison, Ind.

A Brazillian company also received warning letters because of its marketing tactics online:

•    www.zipmed.net
•    www.mesoone.com

The FDA takes false advertising seriously, as it should, because misleading the public about their health is a serious and dangerous offense.  In these cases, spas and websites were reprimanded for making unsupported claims.  Take, for example, the letter that went to All About You Med Spa that included this statement: “The claims made for your lipodissolve products are false and misleading in that they are not supported by substantial evidence or substantial clinical experience.”  The FDA further instructed the above businesses to cease their unproven and misleading claims, and to notify the FDA within 15 work days of how they are correcting their violations.

What Are the Alternatives to Lipodissolve?

Lipodissolve has been touted as a safe and nonsurgical alternative to liposuction, but the truth is that liposuction is the safe, proven, and effective alternative to lipodissolve.  Liposuction has an established and respected reputation for a reason; as a body-sculpting technique, it improves the distribution of fat across your body, and it has been tested, studied, practiced, evaluated, and demonstrated to be a very valuable and effective treatment.

There has been much misinformation about liposuction safety, which has likely driven many to seek new fads like lipodissolve.  But when we look at the facts, we find that tumescent liposuction is a reliable and safe procedure associated with swift recovery time.  This type of liposuction is performed under local anesthesia, which is not only easier on the body, but also enables the doctor and patient to communicate with each other and ensure that the muscles beneath the fat are not damaged or are only slightly, and there is almost no blood loss.

The bottom line is that a few media reports that have spread like a child’s game of telephone have scared many people away from a safe procedure and toward one that is potentially dangerous.  In this case, it is essential that you seek reliable medical advice from a qualified doctor who respects medical safety practices and FDA advice.

Liposuction Can Achieve Your Desired Contour

If you have a stable weight with a few stubborn problem areas that dieting and exercise have not improved, you may be a good candidate for liposuction in Los Angeles.  Liposuction is not a weight-reduction method, but a proven way to shape and contour the body and correct those bulges that just won’t go away, making the fat distributed across the body in a more attractive way.

As a specialist in tumescent liposuction, Dr. Steinsapir does not perform liposuction under general anesthesia because tumescent liposuction has been proven even safer.  He is a highly trained oculofacial plastic surgeon and cosmetic surgeon with multiple fellowships, and he currently practices in both Beverly Hills and at UCLA where he works as an assistant clinical professor at one of the most respected medical hospitals in the world.  Dr. Steinsapir always approaches you as an individual, taking the time to listen to your concerns, needs, and goals, while medically evaluating your situation to find the least invasive solution and custom-plan your treatment.  Please contact us today to learn about how a no-risk, no-commitment personal consultation with Dr. Steinsapir can help you understand the best scientifically based solution for you.

February 21, 2010

I am thinking about getting neck liposuction.

Neck liposuction can be a great sculpting tool for those who hold excess fat in their necks that doesn’t go away with dieting and exercise.  Liposuction is a powerful sculpting procedure for those who seek firming of the lower face and neck.  Liposuction in these areas is an easy, powerful alternative to facelift, and it compliments the facelift for those who opt for both.  While excess weight does show up in the face, if you have already dieted and still cannot resolve this problem area then you may be a great candidate for neck liposuction.

Neck Liposuction Before and After Photo

Neck Liposuction Before and After Photo

In general, liposuction targets stubborn problem areas that persist in spite of a healthy lifestyle.  Any liposuction, including face and neck liposuction, will not change your weight.  Rather, the contour of your body will improve through sculpting.  Because we so often show even small fluctuations of weight in our faces, your friends will assume that you’ve lost weight after your neck and lower face liposuction procedure.  The benefits are double: neck liposuction will improve the aesthetic appeal of your face, and the improved contour will suggest a slimmer new you even though your weight hasn’t changed.  More important you will look younger because fullness of the lower half of the face is associated with aging.  Improving the contour can easily make one look 10 years younger.

Who needs neck liposuction?

The best candidates for lower face and neck liposuction are those who:

1.    Are looking for a younger, fresher look without undergoing a face lift..
2.    Have stable weight with sufficient fullness in the lower face and neck.
3.    Have minimal or no neck cords.

The lower face and neck responds very well to liposuction.  This includes the  area under the chin. Because our brains are programmed for facial recognition, even small changes in and around the face make a large difference in how people perceive you.  When you remove excess fat from the lower face and neck, your friends will probably think immediately think that you have lost weight.  In addition, you will look younger because this procedure creates better visual separation between the lower face and neck that is associated with youth.

Liposuction skin tightening
is a common benefit in this area as well. Skin with proper tension is a feature of a youthful face.  The liposuction procedure appears to stimulate contraction of skin effectively preventing skin sag after the liposuction procedure.

Is neck liposuction safe?


Neck liposuction complications
are unusual, especially when performed under local anesthesia.   Yes this procedure can be performed in an office procedure room with you awake and alert.  That is how comfortable the procedure is.  There is often no bruising associated with the procedure.  Many find that they can have the procedure on a Thursday and return to work on Monday and no one is aware that they had surgery.

The safest kind of liposuction, called tumescent liposuction, is performed under local anesthesia using very small cannulas to remove the fat.  In a review of 66,570 cases of tumescent liposuction, there were no serious health issues.  These impressive results indicate tumescent liposuction safety.  This procedure takes your cosmetic surgeon more time to perform, as it requires meticulous attention and the gentlest hand, resulting in detail-oriented contour improvement.  Recovery is swift;  recovery from, tumescent liposuction recovery time is only a few days.  It is worth repeating that you can receive the procedure Thursday morning and return to work Monday without anyone noticing a change.  At first neck liposuction swelling will replace the removed fat.  As this swelling decreases, your improved contour will become evident and people will assume you have lost weight.  The gradual yet definite change you see here makes tumescent neck liposuction a fantastic option for those who don’t want anyone to guess that they’ve had work done.

Choosing a Liposuction Doctor

The face is a dynamic and sensitive part of the body that requires the hand of an artistic doctor as much as a skilled one.  Research doctors and find one who makes sense to you and takes the time to determine the best individualized treatment program for your needs.  Be suspicious of doctors who prefer to perform liposuction under general anesthesia.  Unless you have unusual circumstances that require general anesthesia is better in your unique case, local anesthesia is the way to go.  Don’t just have general anesthesia because your surgeon likes to flirt with the nursing staff during surgery and he or she doesn’t want you to be aware of this banter. Avoiding general anesthesia means far fewer drugs for your system to deal with.  It just make sense that this is much safer than all the drugs and invasive procedures needed for general anesthesia and medical studies support this conclusion.

Dr. Steinsapir
only performs tumescent liposuction because of its superior results and fast, comfortable recovery time.  If you have questions about how lower face and neck liposuction can help you, or whether you are a good candidate please call us today for a no-risk consultation.