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The consultation begins with a detailed physical examination. The surgeon assesses the patient’s body composition, focusing on the quality of the skin and the location of fat deposits. The patient is examined while standing, as gravity affects how the tissues hang and how the muscles present.
The surgeon palpates the muscles to understand the patient’s unique anatomy. They ask the patient to flex their abdominals, pectorals, and other muscle groups to map out the natural inscriptions. This mapping is crucial because the sculpting must follow the patient’s actual muscle insertions, not a generic template.
Skin elasticity is a “make or break” factor. The surgeon performs a snap test to see how quickly the skin recoils. If the skin is too loose, it will not drape into the etched grooves, resulting in an undefined or wrinkled appearance. Patients with poor skin tone may be refused or directed toward skin-tightening procedures instead.
Hi Def Liposuction is not for patients with a high Body Mass Index (BMI). Most surgeons set a limit, typically a BMI of 30 or less, though this can vary based on muscle mass. The procedure requires the patient to be close to their ideal weight to be effective and safe.
Weight stability is equally important. Patients should be at a stable weight for at least six months before surgery. Fluctuating weight can alter fat distribution and compromise long-term results. The surgeon will discuss the patient’s weight history and diet habits.
A comprehensive medical history review is conducted to identify any contraindications. Conditions that impair wound healing, such as diabetes or autoimmune disorders, may disqualify a patient. The history of hernias is particularly relevant for abdominal etching, as the abdominal wall must be intact.
The surgeon evaluates the patient’s history of keloids or hypertrophic scarring. Since the procedure involves creating controlled internal scarring to define muscles, patients prone to excessive scarring might develop hard, unnatural lines.
The consultation is the time to align the patient’s vision with surgical reality. The surgeon explains that Hi Def Lipo creates the appearance of muscles by removing fat; it does not create actual muscle mass. The result depends on what lies beneath the fat.
Surgeons often use reference photos to understand the degree of definition the patient wants. This ranges from “Soft Def” (smooth, feminine contour) to “Medium Def” (sporty, toned) to “Super Def” (shredded, bodybuilder look). Agreeing on the level of definition is critical for satisfaction.
In some clinics, a preliminary marking session is conducted during the consultation or a pre-op visit. The surgeon draws on the patient’s skin with markers of different colors. One color represents areas of maximal fat removal (shadows), another, fat preservation (highlights), and another, feathering (transition zones).
This topographical map allows the patient to see exactly where the sculpting will occur. It confirms that the surgeon and patient are on the same page regarding the placement of the “six pack” lines or the waistline curve.
To optimize healing, patients are advised to follow a high-protein, low-sodium diet in the weeks leading up to surgery. Protein provides the building blocks for tissue repair, while low sodium helps minimize postoperative swelling.
Alcohol consumption should be ceased or strictly limited for two weeks pre op, as it can dehydrate the body and impair blood clotting. Hydration is emphasized to ensure the body can handle the fluid shifts during surgery.
Smoking is a major contraindication. Nicotine constricts blood vessels and impairs microcirculation, which is vital for skin retraction and healing after VASER lipo. Smoking increases the risk of skin necrosis (tissue death) and infection.
Patients are strictly required to stop smoking and using all nicotine products (vapes, patches, gum) for at least 4 weeks before and after surgery. Urine tests may be administered to verify compliance.
Recovery from Hi Def Lipo is more demanding than standard lipo. Patients need to arrange for a responsible adult to drive them home and stay with them for the first 24 to 48 hours.
They must also plan for lymphatic drainage massages, which are mandatory for this procedure. Booking these appointments in advance ensures the patient stays on the correct recovery protocol. Work and social activities should be cleared for at least one to two weeks.
Standard preoperative testing includes blood work (CBC, metabolic panel, coagulation profile) to ensure the patient is fit for anesthesia.
For patients over a certain age or with a family history of heart issues, an EKG and cardiac clearance may be required. This is to ensure the heart can handle the fluid tumescence and the stress of surgery.
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You should be within 10 to 15 pounds of your goal weight. Hi Def Lipo is for sculpting, not weight loss. If you lose a lot of weight after the surgery, you might end up with loose skin that hides the definition you paid for.
When you lie down, your fat redistributes and flattens. Gravity changes the position of your tissues. To sculpt your body accurately, the surgeon needs to mark the muscles and fat pockets in their natural, standing position.
Most pre-workout supplements contain stimulants and ingredients that can increase blood pressure or bleeding. You should stop taking all non-essential supplements at least two weeks before surgery. Stick to plain protein and healthy food.
If you have an umbilical hernia (belly button), it can often be repaired during the liposuction surgery. It is essential to identify this beforehand so the surgeon doesn’t accidentally place a cannula into the hernia defect.
Yes, usually you will be asked to shave or trim the areas being treated. This keeps the surgical field clean and makes it easier to apply dressings and compression foams after the surgery without pulling on hair.
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