Advanced Dermatology Care    by board-certified dermatologists               

Tumescent Liposuction with Vaser Technology Body Sculpting
Liposuction remains the gold standard that offers immediate and gratifying reduction of adiposity so one can fit into clothing much more comfortably.

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to be come tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours there is no need for narcotic pain medications after surgery.



  • No general anesthesia
  • Less painful, more pleasant due to long lasting local tumescent anesthesia
  • Smoother liposuction results due to use of Microcannula
  • Minimal blood loss due to vasoconstriction from large volumes of very dilute local anesthesia
  • Quick recovery, back to work in 3-4 days

Dr. William Ting and Dr. Michael Tomcik are expertly trained by Dr. Jeffrey Klein (who invented tumescent liposuction) in the art and sciences of lipo-sculpturing of the neck, upper arms, chest (breast reduction for men), abdomen, flanks (love handles), back rolls, hips, thighs and knees. Drs. Ting and Tomcik's distinguished skill in tumescent liposuction is recognized by LIPOSUCTION.COM (the premiere online patient resource for liposuction) where he is one of the very few liposuction surgeons profiled in the Tri-Valley area.

Note no bruising because of Vaser and small 2mm scabs which dissappeared in 3 more days

10 days after liposuction with Vaser and Tumescent technique which combined minimizes bruising

                tumescent liposuction of waist & backrolls


tumescent liposuction of abdomen & waist


tumescent liposuction of neck and jowl lines


tumescent liposuction of abdomen & waist


tumescent liposuction of backrolls and waist


tumescent liposuction of left arm triceps


tumescent liposuction of abdomen & waist


tumescent liposuction of hips and thighs (saddlebags)


tumescent liposuction of neck and jowl lines


tumescent liposuction of abdomen & waist





 

VASER® Technology Body Sculpting

Finally, there is a gentle techology, the VASER® Technology System, that dissolves fat cells using sound energy. The information below will answer many of the questions you always wanted to ask about liposuction and will help you decide if VASER® Technology Body Scultping is for you.

  • No general anesthestic

  • 98% of people who have the procedure on Friday are able to return to work on Monday.

LIPOSUCTION AND BODY SCULPTURE
Body sculpture by liposuction is literally a dream come true. Localized accumulations of fat, which are often inherited and frequently prove impossible to eliminate by exercise or dieting, can be removed permanently with liposuction surgery, never to plague you again.

LIPOSUCTION TOTALLY BY LOCAL ANESTHESIA
The word tumescent means swollen and firm. The Tumescent Technique uses large volumes of a dilute solution of Lidocaine, a local anesthetic, in combination with the vasoconstrictive drug epinephrine, which temporarily shrinks capillaries. Local anesthesia used in the Tumescent Technique for liposuction is so effective that patients no longer need intravenous sedatives, narcotic analgesics, or general anesthesia. Over the years, numerous patients have been treated who have previously had liposuction with general anesthesia. Virtually every one of these patients has found the Tumescent Technique to be less painful, to provide better results and to result in more rapid healing and recovery.

VIRTUALLY NO BLOOD LOSS
As a result of the widespread capillary constriction caused by the epinephrine in the anesthetic solution, there is minimal bleeding during and after surgery. This is a major improvement in the liposuction technique compared to other methods that simply use general anesthesia. 

A study of large volume liposuction of 112 patients, each of whom had between 1,500 ml to 3,400 ml (1.5 quarts to nearly 1 gallon) of fat removed using the Tumescent Technique. None of these patients required a blood transfusion. In fact, the average patient lost approximately three teaspoons (15 ml) of blood. The Tumescent Technique is so effective at minimizing blood loss that the majority of patients with large volume liposuction loose less blood during surgery than they do at the time of their routine pre-operative laboratory studies.

SAFETY FIRST
Surgical complications in liposuction are quite rare. With the Tumescent Technique, our patients generally do not require hospitalization, blood transfusions, nor are there generally any infections or other serious complications.

It is our philosophy that the safest approach is to avoid the most dangerous drugs, while at the same time being well prepared and trained to take care of any potential emergency.

TUMESCENT TECHNIQUE IS LESS PAINFUL THAN GENERAL ANESTHESIA
Some patients have had liposuction by another surgeon using general anesthesia prior to having liposuction by Dr. Tomcik or Dr. Ting using the Tumescent Technique. Virtually every one of these patients has said that liposuction by the Tumescent Technique is a dramatically less painful experience than with general anesthesia. With the Tumescent Technique infiltrating the local anesthesia is associated with minimal discomfort. Once the area has been completely numbed, surgery in the area is essentially painless. In addition, because the local anesthesia persists in the treated area for more than 12 hours, there is not pain immediately after the surgery.

DECREASED RISK OF INFECTION WITH TUMESCENT TECHNIQUE
Infections are extremely rare, irrespective of whether or not the anesthetic technique is that of general anesthesia or local anesthesia. Although there have been reports in the medical literature of patients who have had serious infections following liposuction surgery, to the best of our knowledge, there has never been any patients who have had an infection following liposuction totally by local anesthesia using the Tumescent Technique. Lidocaine, the local anesthetic that is used for the Tumescent Technique kills bacteria. With the Tumescent Technique the areas that are being treated surgically are exactly the areas that will received the local anesthetic that kills bacteria.

BETTER AND SMOOTHER RESULTS
The large volumes of dilute anesthetics infiltrated into the fatty tissue causes the tissue to become swollen and firm, or tumescent. The Tumescent Technique magnifies the fatty area that is to be treated by liposuction. If there is an area that has not been completely treated, this is more easily detected because the area is swollen and enlarged. Thus the risk of post-surgical irregularities and unevenness is minimized.

With the Tumescent Technique very small cannulas are used. This permits a more delicate and gentle approach to liposuction. The liposuction cannulas which have been specifically designed for the Tumescent Technique are 2.5 and 3.1 mm in diameter. These micro cannulas require a minimal amount of force in order to advance them into the fatty tissue. As a result, this surgery is much more gentle and the surgeon can control the direction and position of the cannula with much more accuracy. The ultimate result is a greatly reduced risk of inadvertently approaching too close to the under surface of the skin and unintentionally causing irregularities.

QUICK RETURN TO NORMAL ACTIVITIES
By not using stitches to close incision sites, there is an acceleration in the rate of healing. Open incision sites permit drainage of the slightly blood tinged anesthesia solution. This has a dramatic effect in minimizing bruising. Most patients now notice that bruising is almost entirely absent one week after surgery. Because the Tumescent Technique eliminates bleeding and because the residual anesthetic solution drains out so quickly, there is less inflammation and the healing process is significantly accelerated. Because of the significant decrease in swelling and decrease in inflammation and pain after the surgery, patients are able to return to normal physical activities very soon after surgery. There is no limitation to physical activity other than what common sense would dictate. Some patients are able to return to jogging, golf, light aerobic exercise within a day or two after surgery. Some patients do find the soreness after surgery more significant than others, but on the average most patients are quite surprised at how quickly they are able to return to normal activity.

THE FINISHING TOUCH
In order to accelerate the healing process, we include 3 external ultrasonic treatments during the first 2 weeks after surgery.