Frequently Asked Questions

Rapid Recovery enables breast augmentation patients to get back to their normal activities within a few hours the day of surgery. Dr. Van Natta’s surgery technique, along with our unique post-operative program, allows women to be out shopping and going out to eat on the day of surgery. With Rapid Recovery, you honestly can have breast augmentation with no down time, taking only Motrin. And, you can return to work the next day.

 

Absolutely not. This statement has become an "urban legend" of sorts but is completely unfounded. Implants need to be replaced only if there is a problem such as deflation of saline implants or a leak outside of the capsule with silicone gel implants. The vast majority of implants i have placed in patients over the past two plus decades are still intact and in place. It is important to realize however, that implants are not "forever devices"  and the possibility exists that you will need to replace them sometime in your lifetime.

With our technique of breast reduction a significant portion of the breast gland with ducts intact are preserved allowing for normal breast feeding, which has been done successfully by many of our patients.

Done properly there should generally not be any palpable lumps from fat grafting. I strongly believe that the best results are achieved through placement of extremely thin “threads” of fat. Fat should never be placed in larger amounts, or the fat won’t get blood supply and won’t take. This could result in palpable lumps or “oil cysts” from decomposed clumps of fat. A tremendous amount of skill and experience is required to do successful fat grafting. This is why it is important to be sure the surgeon you are seeing has significant experience doing fat grafting. Be sure to ask to see before and after pictures and about the number of cases they do.

In some cases fat grafting to restore volume to the aging face can help put off the need for more invasive lifting procedures. Eventually however, most people develop enough skin laxity that some tightening of the skin will be needed. Facelifts are about tightening faces; fat grafting is about filling them. We very frequently do both together to get the best result.

 

There are situations where I might prefer an “off-the-shelf” filler such as for a small area of treatment like the lips or creases from the nose to the corner of the mouth. In general however, my preference is to use a patient’s own fat. It lasts indefinitely unlike the other fillers which have to be redone every few months or so. Fat also feels completely natural and can be used in multiple areas of the face and in much greater volume. Of course to do most facial fat grafting, an anesthetic is required with associated down time. Like everything, there are pros and cons and tradeoffs. There is also the potential beneficial “stem cell effect” from your own fat which can be a big bonus as well.

 

 

Yes, you generally can. It all depends on the amount of fat needed for the procedure. Much more fat is generally needed to do grafting of the breasts, for example, than the face. Even on thin patients I can usually find some fat to use.

 

Yes, it is actually possible to bank your fat just like cord blood. It cannot be stored in a regular freezer, however. There are additional costs associated with this storage. The fat can then be thawed at a future date to be used as grafting material.

 

We are awaiting long-term follow-up studies to determine the longevity of fat, however anecdotal reports from surgeons who have been using fat grafting for many years indicate long-term, perhaps lifetime, retention of the grafted fat. This makes sense when you think about it since this is your fat – it simply has been transferred from one part of the body to another.

 

 

Yes. We generally prefer to harvest and immediately use the fat so that the time away from oxygen is minimized. There is strong anecdotal evidence that this improves take of the grafts.

 

 

We can generally take the fat from anywhere a patient has some excess of fat or disproportion such as the abdomen, flanks or thighs.

 

 

No. Rejection implies some sort of immune reaction to a foreign substance and since the fat is your own, this is not a problem. In most cases of fat grafting we expect to only retain 50-65% of the volume we place as the final volume result. For example, if we put 450cc’s of fat into a breast we would expect to retain approximately 300cc of final volume, or about 1 ½ cup sizes of volume.

Yes it is. Fat grafting actually involves two procedures: one is the harvesting of the fat using standard liposuction techniques, and the second is the injection of the grafts. As with any surgical procedure there are potential risks. In addition to anesthetic risk, there is a risk of infection, bleeding/bruising, surface irregularity from the liposuction site, failure of the grafts to “take” and possible need for additional procedures and expense to achieve the desired result. All in all, these risks are relatively minimal, and the majority of patients have fat grafting without any problems.

Liposuction removes fat cells from one particular area (say saddle bags) permanently. The distribution of fat cells in our bodies was fixed at puberty. What we do with liposuction is alter this proportion. If you gain weight subsequently the fat is now distributed according to this new proportion. You don't develop new fat cells in different areas however.

It is a FDA-cleared medical device used for liposuction. It targets removal of fat tissue with minimizing the possible damage to connective tissue, nerves and blood vessels.

HydraSolve uses a non-cutting liposuction system with a patented technology called Tissue Liquefaction Technology (TLT) allowing the surgeon to specifically target the fat tissue to be removed.

TLT uses a combination of low temperature and low pressure applied in a titrated range to a natural saline solution. This saline stream is contained in the hollow metal surgical tube or cannula, to liquefy fat.

The openings on the cannula are rounder and smoother than those used in traditional liposuction. Combined with the low pressure of the saline stream, a slower, less traumatic back and forth motion is used which targets the fat tissues specifically. In traditional liposuction procedures, it is possible that the sharp edges of the cannulas can act like surgical blades when moved back and forth.

It is safe to use in all areas of the body where fat removal is targeted.

Yes, HydraSolve has been used to revise and correct any irregularities from previous liposuction procedures. 

Since liposuction is used for aesthetic body contouring, it is typically not recommended as a treatment for those patients with serious medical disorders. Your medical background and conditions will be discussed in your initial consultation.

It is not a treatment for obesity or weight-loss, it is FDA-cleared for aesthetic body contouring only, like all liposuction devices. It is an elective cosmetic surgery procedure.

Every body has a fixed number of fat cells. In the case of weight gain, it is not an increase in fat cells, rather the existing fat cells expand in size. In liposuction, where fat tissue is removed, most of the fat cells will be eliminated, but not all. These fat cells can increase in size if you gain weight due to excess food intake and limited physical activity. Typically, however the increase will still be less than in untreated body areas.

Autologous Fat Transfer (AFT) is where the patient’s own excess fat once removed is re-injected in areas such as the lips, breasts, face or buttocks where fat may be deficient. This can be discussed in your initial consultation.

Yes, most commonly general anesthesia is used, although in some instances a local anesthesia may be used. The type of anesthesia used will be determined based on your needs and medical history.

HydraSolve is a less traumatic procedure since damage to surrounding tissues and nerves is minimized. Most patients can return to work in a few days and return to normal physical activities within 2 weeks. The peak aesthetic benefit usually occurs within 1 – 3 months.

Since all forms of liposuction, including HydraSolve are an elective cosmetic procedure, it will not be reimbursed by commercial insurance carriers or by government payors. Call our office to determine if financing this procedure is a possibility for your budget and needs.

HydraSolve will be somewhat more expensive than traditional liposuction since it uses advanced technology. Our office will help in determining the pricing for the results you want to achieve and based on your initial consultation.