Fat & Cellulite Reduction Seminar

>> DR SALVADOR: This works really well for people with a modest amount of fat but the
primary problem is skin laxity which is usually a function of genetics and age.
What we are able to do is through a tiny incision under the elbow, go in, melt the fat, take
it out and then use the laser to tighten the skin.
When we come out and do the outer thigh and the posterior thigh and the inner thigh we
restore some of the roundness to them. So again, it's working with what you've got.
Women, particularly women in their third, fourth and fifth decade, start to develop
fat in a characteristic pattern. It's very different from men. One of the areas where
they develop fat, as we all know, is the outer and posterior thigh. So we start finding out,
when we put it together, the problem is really a circulatory issue. Okay? The combination
of having the fat and a diminished bloodflow because of pelvic organs led to a decrease
in circulation, both of nutrients in, and waste products out. What happened was, is
that we believe metabolites that are a part of normal cellular life start spilling over
in the space in between the cells. As that occurs, it creates scar tissue. We call them
septae.
>> ATTENDEE: I'm just gonna open it up to questions now. Does any one have any questions?
>> DR SALVADOR: Well if you melt fat, I'm thinking that you must lose weight if you
melt fat because fat weighs.
That's a very good question, and it turns out that even though fat is fairly fibrous,
it's not real dense. It's really kind of fluffy. The best analogy I can make... it's kind of
extreme analogy. If you've ever tried to take a cobweb down, it weighs nothing, but when
you start trying to take it down it's amazingly tough, okay. Fat is tough but doesn't weigh
much. Guess what -- most of the weight that you gain when you gain fat is in the skin.
When you diet, particularly when you diet through calorie restriction, most of the weight
you lose, is skin.
Let's just talk real quickly about traditional liposuction, because a lot of the things you
read are relevant to traditional liposuction. It still makes up about 85 to 90 percent of
the liposuction that is done in this country. As I said, the instruments have to remove
the fat the way it exists in your body, as a solid. So they way they remove that fat
is by cutting it out. So the instruments are wide so that they don't get clogged up and
they have blades. The blades cut the fat going in and they are set an angle. So when you
go in they cut when you pull back they grab what they've cut. But the instruments don't
know - and neither does the doctor on the other end of that instrument -- they don't
know what they are cutting through. It could be blood vessels. It could be nerves. So it
ends up being very, very, very traumatic.
Most of the patients I do... first of all, most of the patients have an average of 3+
areas. Okay? So right off the bat I can tell you are most common areas are: upper/lower
abs and hips, we frequently do abs, hips, thighs. It depends on the patient. I like
to be very conservative for your health and your safety. I'm a board certified anesthesiologist.
For 20 years we developed these procedures as a safe alternative and then I spent many
years training people how to do them. I don't have a lot of competition because they don't
want to invest the money in the equipment and the time it takes to do the procedure.
But one of the beauties is that I can do multiple areas safely.