tag:blogger.com,1999:blog-377014859013620162024-02-18T05:49:43.732-08:00The Woodlands Plastic Surgeon® Houston Plastic Surgeons | Houston Cosmetic Surgeons | Woodlands | Katy | Conroe | Cypress | Kingwood | Spring | Houston |Texas:
Articles for the Community of Houston & the General Public on Breast Augmentation, Tummy Tuck, Facelift, Rhinoplasty, Botox, Blepharoplasty, Liposuction, Gynecomastia, Liposuction and other Plastic Surgery TopicsEmmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.comBlogger120125tag:blogger.com,1999:blog-37701485901362016.post-33217266764040922872018-04-09T08:35:00.000-07:002018-04-09T08:35:16.713-07:00Hand Rejuvenation using Fat Grafting<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2016/6/21/hand-rejuvenation-using-fat-grafting" style="color: #1c1c1c; text-decoration: none;">Hand Rejuvenation using Fat Grafting</a></h1>
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<span style="font-size: 13px; word-wrap: break-word;">Apart from the most obvious region (face & neck) where aging can be seen and where most aesthetic surgery for rejuvenation are performed, the dorsum of the hand</span><span style="font-size: 13px; word-wrap: break-word;"> is the next obvious area where aging can be seen and is continuously visible in daily life. What they used to say,"If you want to know a woman's age, look at her hands" still holds true.</span></div>
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<span style="font-size: 13px; word-wrap: break-word;">The region of the hand exhibits laxity of the skin with subcutaneous atrophy and age-related pigmentations in a comparable manner to the face. Fat transfer to the dorsum of the hand </span><span style="font-size: 13px; word-wrap: break-word;">enables subcutaneous regeneration by refilling the subcutaneous space and hence reducing some of the age-related degenerative process.</span></div>
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<strong style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;">Areas of Concern of the <a href="http://woodlandsplasticsurgery.blogspot.com/">Aging Hand</a></span></strong></div>
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<li style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;">Bony-looking hands due to loss of some of the fat beneath the skin that occurs with age</span></li>
<li style="word-wrap: break-word;">Prominent veins</li>
<li style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;">Brown aging spots (liver spots)</span></li>
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<strong style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;">Rejuvenation Treatment for the Aging Hand</span></strong></div>
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<li style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;"> Chemical peels to improve the overall appearance of the skin on the back of the hand </span></li>
<li style="word-wrap: break-word;">Fillers or Fat transfer onto the dorsum or back of the hand to make them appear less bony. Fat transfer is ideal since this may improve the texture of the skin.</li>
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Please consult your plastic surgeon regarding <strong style="word-wrap: break-word;">hand rejuvenation.</strong></div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon, and Hand Surgeon</div>
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<span style="font-size: 13px; word-wrap: break-word;">References: </span></div>
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<li style="word-wrap: break-word;"><span style="font-size: 13px; word-wrap: break-word;">Coleman SR. </span><a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Hand rejuvenation</a> with structural fat grafting. <span style="font-size: 11px; word-wrap: break-word;">Plast Reconstr Surg.</span><span style="font-size: 11px; word-wrap: break-word;"> 2002 Dec;110(7):1731-44; discussion 1745-7. </span></li>
<li style="word-wrap: break-word;"><span style="font-size: 11px; word-wrap: break-word;">Villanueva, et al. </span>Technical Refinements in Autologous <a href="http://ww.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Hand Rejuvenation</a>. <span style="font-size: 11px; word-wrap: break-word;">Plast Reconstr Surg.</span><span style="font-size: 11px; word-wrap: break-word;"> 2015 Dec;136(6):1175-9.</span></li>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-64622441717100688832018-04-02T08:33:00.000-07:002018-04-02T08:33:16.448-07:00Brazilian Butt Lift<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2016/10/26/harvesting-for-fat-transfer-in-brazilian-butt-lift" style="color: #1c1c1c; text-decoration: none;">Harvesting for Fat Transfer in Brazilian Butt Lift</a></h1>
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The success of an autologous fat graft depends in part on its total stromal vascular fraction (SVF) and adipose-derived stem cells (ASCs). This is important when it comes to harvesting of fat for fat transfer such as in <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Brazilian Butt Lift</a>. </div>
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<li style="word-wrap: break-word;">Subcutaneous fat tissues from the abdomen, flank, or axilla were harvested in the study conducted by Iyyanki from patients of various ages by mechanical liposuction, direct surgical excision, or<a href="http://woodlandsplasticsurgery.blogspot.com/"> Coleman's technique </a>with or without centrifugation.</li>
<li style="word-wrap: break-word;">Compared with Coleman's technique without centrifugation, direct excision yielded significantly more ASCs (P < .001) and total SVF cells (P = .007); liposuction yielded significantly fewer ASCs (P < .001) and total SVF cells (P < .05);</li>
<li style="word-wrap: break-word;">Coleman's technique with centrifugation yielded significantly more total SVF cells (P < .005), but not ASCs.</li>
<li style="word-wrap: break-word;">The total number of SVF cells in fat harvested from the abdomen was significantly larger than the number in fat harvested from the flank or axilla (P < .05).</li>
<li style="word-wrap: break-word;">Adipose tissue harvested from the abdomen through direct excision or Coleman's technique with centrifugation was found to yield the most SVF cells and ASCs.</li>
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Reference: </div>
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Iyyanki, et al. Harvesting technique affects adipose-derived stem cell yield. <em style="word-wrap: break-word;">Aesthetic Surgery J.</em> 2015 May;35(4):467-76. doi: 10.1093/asj/sju055. Epub 2015 Mar 18.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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<a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">Plastic Surgeon</strong></a>, Houston Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-85458987011667980922018-03-26T08:32:00.000-07:002018-03-26T08:32:11.539-07:00Fat Graft Harvested via VASER liposuction is Suitable for Brazilian Butt Lift<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2016/10/25/fat-graft-harvested-via-vaser-liposuction-is-viable-and-suitable-for-fat-transfer" style="color: #1c1c1c; text-decoration: none;">Fat Graft Harvested via VASER Liposuction is Viable and Suitable for Fat Transfer in Brazilian Butt Lift Patients</a></h1>
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Although there's clinical evidence of successful autologous fat transfer (AFT), such as in <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Brazilian Butt Lift</a>, using <a href="http://woodlandsplasticsurgery.blogspot.com/">VASER liposuction</a> is readily available, no study has quantified adipocyte viability using standardized methods until recently.</div>
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<li style="word-wrap: break-word;">The UAL system (VASER; Sound Surgical Technologies, Inc, Louisville, Colorado) was set at 60% amplitude in pulsed mode with vacuum aspiration of 15 in Hg or less.</li>
<li style="word-wrap: break-word;">Laboratory analysis included free lipid volume, viability via lipolysis and propidium iodide staining, and cytological analysis, including cell surface protein examination and hematoxylin and eosin staining.</li>
<li style="word-wrap: break-word;">The lipolysis assay revealed metabolically active adipocytes with a mean (SD) correlative viability of 85.1%</li>
<li style="word-wrap: break-word;">Direct measures of acute viability via propidium iodide staining resulted in a mean (SD) viability measure of 88.7%</li>
<li style="word-wrap: break-word;">Adipose tissue acquired via VASER liposuction is viable at harvest and isa suitable source for autologous fat grafts, especially for Brazilian Butt Lift.</li>
<li style="word-wrap: break-word;">Adiposed-derived stem cells (fat for fat transfer) obtained via VASER <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">liposuction</a> were of equal quality when directly compared with the current gold standard harvest method according to a study conducted by Duscher. "UAL- and SAL-derived samples demonstrated equivalent ASC yield and viability, and UAL ASCs were not impaired in their osteogenic, adipogenic, or chondrogenic differentiation capacity."</li>
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Reference:</div>
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Duscher, et al. <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Ultrasound-Assisted Liposuction</a> Does Not Compromise the Regenerative Potential of Adipose-Derived Stem Cells. Stem Cells Transl Med. 2016 Feb;5(2):248-57. doi: 10.5966/sctm.2015-0064. Epub 2015 Dec 23.</div>
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Schafer, et al. Acute adipocyte viability after third-generation <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">ultrasound-assisted liposuction</a>. Aesthet Surg J. 2013 Jul;33(5):698-704. doi: 10.1177/1090820X13485239. Epub 2013 May 29.</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-7910071517017466142018-03-19T08:30:00.000-07:002018-03-19T08:30:00.312-07:00Improvement of Diabetes after VASER Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/3/29/improvement-of-diabetes-after-a-vaser-liposuction" style="color: #1c1c1c; text-decoration: none;">Improvement of Diabetes after a VASER Liposuction</a></h1>
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Recently, there has been a study conducted to examine the liposuction-induced metabolic changes with regard to release of major adipokines and insulin sensitivity in <a href="http://woodlandsplasticsurgery.blogspot.com/">overweight</a> male patients.</div>
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<div class="image-block-wrapper has-aspect-ratio" data-description="<p>Figure 1:&nbsp; Before and After Photos (6 weeks after surgery) of 4 D <a target="_blank" href="http://www.delacruzplasticsurgery.com/liposuction-at-the-woodlands-houston">VASER Liposuction</a> performed by Dr. Emmanuel De La Cruz in Houston, Texas.</p>" id="yui_3_17_2_1_1514132489522_647" style="line-height: 0; overflow: hidden; padding-bottom: 225.03125px; position: relative; text-align: center;">
<img alt="Figure 1: Before and After Photos (6 weeks after surgery) of 4 D VASER Liposuction performed by Dr. Emmanuel De La Cruz in Houston, Texas." class="thumb-image loaded" data-image-dimensions="1892x924" data-image-focal-point="0.5,0.5" data-image-id="5916184e1e5b6c19710bd76a" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916184e1e5b6c19710bd76a/1494620275000/Best+VASER+Liposuction+Plastic+Surgeon+Houston+Beverly+Hills" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916184e1e5b6c19710bd76a/1494620275000/Best+VASER+Liposuction+Plastic+Surgeon+Houston+Beverly+Hills" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916184e1e5b6c19710bd76a/1494620275000/Best+VASER+Liposuction+Plastic+Surgeon+Houston+Beverly+Hills?format=1000w" style="border: 0px; display: block; height: 225.15625px; left: 0%; max-width: none; position: absolute; top: -0.03100775182247162%; width: 460.796875px;" /></div>
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Figure 1: Before and After Photos (6 weeks after surgery) of 4 D <a href="http://www.delacruzplasticsurgery.com/liposuction-at-the-woodlands-houston" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank">VASER Liposuction</a> performed by Dr. Emmanuel De La Cruz in Houston, Texas.</div>
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<li style="word-wrap: break-word;">"To eliminate the confounding effects of postsurgical inflammation and to evaluate delayed metabolic effects, fasting blood was collected on the day of liposuction, within 1 to 2 months and more than 6 months after surgery."</li>
<li style="word-wrap: break-word;">"Both treatment groups (diabetic and nondiabetic patients) experienced similar postsurgical weight reduction with concomitant lowering of body mass index value at 1 to 2 months follow-up, which was sustained after 6 months from surgery."</li>
<li style="word-wrap: break-word;">"Improvement in insulin sensitivity at 1 to 2 months follow-up was observed ( p = .017 and p = .002, for diabetics and nondiabetics, respectively) and this change persisted over the next 4 months."</li>
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This study shows that there may be beneficial effects of <a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">VASER Liposuction</a> in overweight diabetic and non-diabetic males by improving their insulin sensitivity.</div>
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Reference:</div>
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Gibas-Dorna, et al.. The Effect of <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">VASER Abdominal Liposuction</a> on Metabolic Profile in Overweight Males. Am J Mens Health. 2017 Mar;11(2):284-293. doi: 10.1177/1557988316674841. Epub 2016 Oct 22.</div>
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Emmanuel De La Cruz MD</div>
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Plastic & Reconstructive Surgeon</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-79349753470627652672018-03-12T08:29:00.000-07:002018-03-12T08:29:09.484-07:00Skin Retraction after VASER Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/3/29/skin-retraction-after-vaser-liposuction" style="color: #1c1c1c; text-decoration: none;">Skin Retraction After VASER Liposuction</a></h1>
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/3/29/skin-retraction-after-vaser-liposuction" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">April 06, 2017</a><span class="author"> / <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/?author=551b7a1fe4b0d2fede618641" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">emmanuel de la cruz</a></span></div>
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A recent randomized clinical trial had shown that the <a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">VASER liposuction</a> produced clinical significant skin retraction. </div>
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<li style="word-wrap: break-word;">"Regarding skin retraction, the <a href="http://woodlandsplasticsurgery.blogspot.com/">VASER-assisted lipoplasty</a>-treated side resulted in a statistically significant improvement in skin retraction of 53 percent relative to suction-assisted lipoplasty (17 percent per liter versus 11 percent per liter, p = 0.003) with 33 paired sites using a two-tailed t test. "</li>
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<div class="image-block-wrapper has-aspect-ratio" data-description="<p>Figure 1:&nbsp; Before and After Photos (3 months after surgery) after VASER <a target="_blank" href="http://www.HoustonVaserLiposuction.com">Hi-Definition Liposuction</a> performed by Dr. De La Cruz.&nbsp; Note that there was significant skin retraction after surgery.</p>" id="yui_3_17_2_1_1514132489522_627" style="line-height: 0; overflow: hidden; padding-bottom: 239.25px; position: relative; text-align: center;">
<img alt="Figure 1: Before and After Photos (3 months after surgery) after VASER Hi-Definition Liposuction performed by Dr. De La Cruz. Note that there was significant skin retraction after surgery." class="thumb-image loaded" data-image-dimensions="1899x986" data-image-focal-point="0.5,0.5" data-image-id="591613d5f5e2310908056aa9" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591613d5f5e2310908056aa9/1494619124935/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591613d5f5e2310908056aa9/1494619124935/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591613d5f5e2310908056aa9/1494619124935/?format=1000w" style="border: 0px; display: block; height: 239.609375px; left: 0%; max-width: none; position: absolute; top: -0.07546363025903702%; width: 460.796875px;" /></div>
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Figure 1: Before and After Photos (3 months after surgery) after VASER <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank">Hi-Definition Liposuction</a> performed by Dr. De La Cruz. Note that there was significant skin retraction after surgery.</div>
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Reference:</div>
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Nagy, et al.. A multicenter, prospective, randomized, single-blind, controlled clinical trial comparing VASER-assisted Lipoplasty and suction-assisted Lipoplasty. Plast Reconstr Surg. 2012 Apr;129(4):681e-9e. doi: 10.1097/PRS.0b013e3182442274.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-11990846023686891412018-02-26T08:26:00.000-08:002018-02-26T08:26:22.977-08:00Treatment of Contour Irregularities from Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/3/31/reducing-risk-of-contourskin-irregularities-after-liposuction" style="color: #1c1c1c; text-decoration: none;">Reducing Risk of Contour/Skin Irregularities after Liposuction</a></h1>
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Patients with poor skin elasticity should be forewarned about the risk for contour irregularities and suboptimal skin contraction. Similarly, pre-existing cellulite, <a href="http://woodlandsplasticsurgery.blogspot.com/">indentations</a> and scars may be present and will not be corrected with liposuction. </div>
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<strong style="word-wrap: break-word;">How to Prevent Skin Contour Irregularities after <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Liposuction</a></strong></div>
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<li style="word-wrap: break-word;">Intraoperatively, use of micro-cannulae and careful use of the criss-cross technique of liposuction are recommended to prevent waviness</li>
<li style="word-wrap: break-word;">Using the <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">VASER Liposuction</a> machine may reduce the risk for contour irregularities</li>
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<img alt="Using a smaller cannulae produces less skin contour irregularity as compared to a larger liposuction cannulae." class="thumb-image loaded" data-image-dimensions="417x295" data-image-focal-point="0.5,0.5" data-image-id="5916157bcd0f68482bac3e15" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916157bcd0f68482bac3e15/1494619521965/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916157bcd0f68482bac3e15/1494619521965/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916157bcd0f68482bac3e15/1494619521965/?format=1000w" style="border: 0px; display: block; height: 295px; left: 0%; max-width: none; position: absolute; top: 0%; width: 417px;" /></div>
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Using a smaller cannulae produces less skin contour irregularity as compared to a larger liposuction cannulae.</div>
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<strong style="word-wrap: break-word;">Before & After Correction of Skin Contour Irregularities.</strong> Patient previously had traditional liposuction from another plastic surgeon and she developed skin contour irregularity. Dr. De La Cruz performed the VASER liposuction of the thighs with fat transfer to correct the contour irregularity.</div>
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<img alt="Before & After Correction of Skin Contour Irregularities (Frontal View). Patient previously had traditional liposuction from another plastic surgeon and she developed skin contour irregularity. Dr. De La Cruz performed the VASER liposuction of the thighs with fat transfer to correct the contour irregularity." class="thumb-image loaded" data-image-dimensions="1888x986" data-image-focal-point="0.5,0.5" data-image-id="590a64e6579fb34e49c942ec" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a64e6579fb34e49c942ec/1493853433380/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a64e6579fb34e49c942ec/1493853433380/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a64e6579fb34e49c942ec/1493853433380/?format=1000w" style="border: 0px; display: block; height: 240.640625px; left: -0.050819940865039825%; max-width: none; position: absolute; top: 0%; width: 461.25px;" /></div>
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<strong>Before & After Correction of Skin Contour Irregularities (Frontal View).</strong> Patient previously had traditional liposuction from another plastic surgeon and she developed skin contour irregularity. Dr. De La Cruz performed the <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank">VASER liposuction</a> of the thighs with <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank">fat transfer</a> to correct the contour irregularity.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-79240760773038005522018-02-19T08:24:00.000-08:002018-02-19T08:24:15.828-08:00Smart Lipo versus Tumescent Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/5/3/smartlipo-versus-traditional-tumescent-liposuction-houston-texas" style="color: #1c1c1c; text-decoration: none;">SmartLipo versus Traditional Tumescent Liposuction - Houston, Texas</a></h1>
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A previous randomized clinical trial comparing traditional tumescent liposuction and <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Smart Lipo</a> was performed, and this showed the following findings:</div>
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<li style="word-wrap: break-word;">Less post-operative pain with <strong style="word-wrap: break-word;">SmartLipo</strong>.</li>
<li style="word-wrap: break-word;">Cytologic studies showed <strong style="word-wrap: break-word;">more damage of the adipocytes (fat cells)</strong> in <strong style="word-wrap: break-word;">SmartLipo</strong>. Thus, fat harvested from SmartLipo is <strong style="word-wrap: break-word;">not suitable for fat grafting</strong>, such as in Brazilian Butt Lift.</li>
<li style="word-wrap: break-word;">No major clinical differences found between SmartLipo versus Traditional <a href="http://woodlandsplasticsurgery.blogspot.com/">Tumescent liposuction</a>.</li>
<li style="word-wrap: break-word;"><strong style="word-wrap: break-word;">Surgical time was longer</strong> with the <strong style="word-wrap: break-word;">SmartLipo</strong> group.</li>
<li style="word-wrap: break-word;"><strong style="word-wrap: break-word;">Higher concentration of free fatty acids</strong> were found in the <strong style="word-wrap: break-word;">SmartLipo</strong> group.</li>
<li style="word-wrap: break-word;"><strong style="word-wrap: break-word;">Lipocrit is lower </strong>in the SmartLipo group.</li>
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<img alt="Lower Lipocrit Volume was obtained with the SmartLipo group as compared to the Traditional Tumescent Liposuction group." class="thumb-image loaded" data-image-dimensions="2262x1704" data-image-focal-point="0.5,0.5" data-image-id="590a908e5016e10ca7f502ef" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a908e5016e10ca7f502ef/1493864631291/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a908e5016e10ca7f502ef/1493864631291/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/590a908e5016e10ca7f502ef/1493864631291/?format=1000w" style="border: 0px; display: block; height: 347.390625px; left: 0%; max-width: none; position: absolute; top: -0.04013178497552872%; width: 460.796875px;" /></div>
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Lower Lipocrit Volume was obtained with the SmartLipo group as compared to the Traditional Tumescent Liposuction group.</div>
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In conclusion: "No major clinical differences for suction-assisted lipoplasty versus laser-assisted lipoplasty were found. Higher concentrations of free-fatty acids after laser-assisted lipoplasty must alert us to possible hepatic and renal toxicity."</div>
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Reference: Prado, et al. A prospective, randomized, double-blind, controlled clinical trial comparing laser-assisted lipoplasty with suction-assisted lipoplasty. Plast Reconstr Surg. 2006 Sep 15;118(4):1032-45.</div>
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Emmanuel De La Cruz MD, PLLC</div>
<div style="word-wrap: break-word;">
Plastic & Reconstructive Surgeon</div>
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<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Houston</a>, Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-14827461645788512202018-02-12T08:22:00.000-08:002018-02-12T08:22:09.052-08:00Long-term Success in Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/5/3/keys-to-a-long-term-success-in-liposuction" style="color: #1c1c1c; text-decoration: none;">Keys to a Long-term Success in Liposuction</a></h1>
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After liposuction, patient needs to have a realistic expectation to have a long-term succesful outcome. There are 4 key elements to have a succesful outcome after liposuction:</div>
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1)Exercise - Exercising after liposuction is very important, especially after the initial surgery. We encourage our patient to start exercising 2 to 4 weeks after their <a href="http://woodlandsplasticsurgery.blogspot.com/">surgery</a>.</div>
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2)Proper Diet - It is very important to eat a healthy diet consisting of fruits, vegetables and fish. We recommend avoiding fatty food, drinking sodas, and eating excessively. We recommend consulting with a nutritionist if one is having difficulty having a proper healthy diet.</div>
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3)Positive Lifestyle Changes</div>
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4)Succesful Body Contouring - It is important to choose the right surgeon who would perform your procedure. Unfortunately, cosmetic surgery is unregulated here in the United States, and we recommend choosing a plastic surgeon who is trained in liposculpture surgery to perform your procedure.</div>
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<img alt="Before & After Photos of VASER Liposuction (6 weeks after surgery) performed by Emmanuel De La Cruz MD, PLLC." class="thumb-image loaded" data-image-dimensions="1730x914" data-image-focal-point="0.5,0.5" data-image-id="5916122915d5dbbefa8ff15e" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916122915d5dbbefa8ff15e/1494618689614/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916122915d5dbbefa8ff15e/1494618689614/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5916122915d5dbbefa8ff15e/1494618689614/?format=1000w" style="border: 0px; display: block; height: 243.984375px; left: 0%; max-width: none; position: absolute; top: -0.11465544253587723%; width: 460.796875px;" /></div>
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Before & After Photos of<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank"> VASER Liposuction</a> (6 weeks after surgery) performed by Emmanuel De La Cruz MD, PLLC.</div>
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<strong style="word-wrap: break-word;">A clinical study conducted by Dr. Rohrich revealed that:</strong></div>
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<li style="word-wrap: break-word;">"Among the 57 percent of patients who did not gain weight, 35 percent report exercising more postoperatively (compared with only 10 percent in the weight gain group, p = 0.002) and 50 percent report eating a healthier diet (22 percent in the weight gain group report eating a healthier diet, p = 0.002). "</li>
<li style="word-wrap: break-word;">In the weight gain group, 67 percent report no change in their diet regimen and only 17 percent thought their productivity increased (compared with 25 percent among the no weight gain group, p = 0.002). Successful body contouring surgery requires a patient to embrace positive lifestyle habits. "</li>
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Thus, the long-term success of a <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">liposuction</a> procedure is dependent on having a healthy proper diet and exercise. One can still gain weight after your liposuction procedure if one does not exercise and eat a healthy diet.</div>
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Reference: Rohrich, et al. The key to long-term success in <a href="http://www.delacruzplasticsurgery.com/liposuction-at-the-woodlands-houston" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">liposuction</a>: a guide for plastic surgeons and patients. Plast Reconstr Surg. 2004 Dec;114(7):1945-52; discussion 1953.</div>
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Emmanuel De La Cruz MD, PLLC</div>
<div style="word-wrap: break-word;">
Plastic & Reconstructive Surgeon</div>
<div style="word-wrap: break-word;">
<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Houston</a>, Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-51539645452075568482018-02-05T08:20:00.000-08:002018-02-05T08:20:05.570-08:00Biopolymer Buttock Injection Removal<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/5/12/treatment-of-biopolymerhydrogel-buttock-injections" style="color: #1c1c1c; text-decoration: none;">Treatment of Biopolymer/Hydrogel Buttock Injections</a></h1>
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Recently, there had been numerous cases of the use of industrial grade products injected into the body, such as the buttocks and thighs, performed by unlicensed or unskilled practitioners. Some of these products range from injectable silicone or high-volume hyaluronic acid or hydrogel. Even though some of these products, such as silicone, may be biologically inert, these materials have been implicated in a variety of adverse reactions including granulomas, disfiguring nodules, and lymphedema, sometimes with latent periods of decades. Often, they may cause disfiguring chronic infections that may require intravenous antibiotics or extensive surgical debridement. </div>
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There had been a few cases that the chronic infections resulting from illegally injected industrial grade products into the lower extremities, such as the legs, resulted in amputations as a life-saving procedure. </div>
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<div class="image-block-wrapper has-aspect-ratio" data-description="<p>Figure 1: &nbsp;Chronic infection from an Biopolymer injections into the buttocks and thighs performed by an unlicensed and unskilled practitioner.&nbsp;</p>" id="yui_3_17_2_1_1514131713098_476" style="line-height: 0; overflow: hidden; padding-bottom: 386.546875px; position: relative; text-align: center;">
<img alt="Figure 1: Chronic infection from an Biopolymer injections into the buttocks and thighs performed by an unlicensed and unskilled practitioner. " class="thumb-image loaded" data-image-dimensions="689x578" data-image-focal-point="0.5,0.5" data-image-id="5915fff8a5790a876019fc52" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5915fff8a5790a876019fc52/1494614018129/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5915fff8a5790a876019fc52/1494614018129/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/5915fff8a5790a876019fc52/1494614018129/?format=1000w" style="border: 0px; display: block; height: 386.546875px; left: -0.03471466526389122%; max-width: none; position: absolute; top: 0%; width: 461.109375px;" /></div>
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Figure 1: Chronic infection from an <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/5/12/treatment-of-biopolymerhydrogel-buttock-injections">Biopolymer</a> injections into the buttocks and thighs performed by an unlicensed and unskilled practitioner. </div>
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<strong style="word-wrap: break-word;">Clinical Manifestations & Symptoms</strong></div>
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<li style="word-wrap: break-word;">Chronic infection, such as cellulitis, that are recurrent despite antibiotics</li>
<li style="word-wrap: break-word;">Firmess or hardening of the area of injections</li>
<li style="word-wrap: break-word;">Chronic pain, such as buttock pain</li>
<li style="word-wrap: break-word;">Numbness sensation of the area of injection</li>
<li style="word-wrap: break-word;">Discoloration of the skin of the area of injection</li>
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<strong style="word-wrap: break-word;">Clinical Management</strong></div>
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<li style="word-wrap: break-word;">We recommend obtaining an MRI of the area of injection to determine the extent of injection as well as the area where the material has potentially migrated. The MRI would act as a map to determine where your surgeon would remove the biopolymer.</li>
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<strong style="word-wrap: break-word;">Treatment</strong></div>
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<li style="word-wrap: break-word;">The treatment varies from patient to patient. This may range from surgical excision, to hyaluronidase injection followed by <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">VASER liposuction</a> and fat transfer into the area to correct the resultant deformity. Unfortunately, it is not possible to completely remove the biopolymer and not result in a significant deformity of the area involved. Complete removal, such as surgical excision, may result in a life-changing deformity. </li>
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<div class="image-block-wrapper has-aspect-ratio" data-description="<p>Figure 2: &nbsp;Hydrogel/Biopolymer removal from the buttocks using the <a target="_blank" href="http://www.delacruzplasticsurgery.com">VASER Liposuction</a> with fat transfer to the buttocks to correct the resulting deformity from removal of the biopolymer. &nbsp;Patient had resolution of a chronic buttock pain after surgery.</p>" id="yui_3_17_2_1_1514131713098_496" style="line-height: 0; overflow: hidden; padding-bottom: 254.703125px; position: relative; text-align: center;">
<img alt="Figure 2: Hydrogel/Biopolymer removal from the buttocks using the VASER Liposuction with fat transfer to the buttocks to correct the resulting deformity from removal of the biopolymer. Patient had resolution of a chronic buttock pain after surgery." class="thumb-image loaded" data-image-dimensions="1876x1037" data-image-focal-point="0.5,0.5" data-image-id="591602f21b631be2c1725d6f" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591602f21b631be2c1725d6f/1494614786495/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591602f21b631be2c1725d6f/1494614786495/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/591602f21b631be2c1725d6f/1494614786495/?format=1000w" style="border: 0px; display: block; height: 254.703125px; left: -0.033782582730054855%; max-width: none; position: absolute; top: 0%; width: 461.09375px;" /></div>
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Figure 2: Hydrogel/Biopolymer removal from the buttocks using the <a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; display: inline; text-decoration: none;" target="_blank">VASER Liposuction</a> with fat transfer to the buttocks to correct the resulting deformity from removal of the biopolymer. Patient had resolution of a chronic buttock pain after surgery.</div>
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I recommend seeing a plastic surgeon for evaluation and possible removal of the biopolymer injected into one's body. An MRI may be necessary to evaluate the location of the injected material. Every person is different, and each treatment may be different.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Houston</a>, Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-24682838702749349132018-01-29T08:18:00.000-08:002018-01-29T08:18:01.566-08:00History of Liposuction<div dir="ltr" style="text-align: left;" trbidi="on">
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<article class="hentry tag-hydrogel tag-biopolymer tag-biopolymer-removal tag-best-plastic-surgeon tag-plastic-surgeon tag-houston-plastic-surgeon tag-beverly-hills-plastic-surgeon tag-houston tag-beverly-hills tag-brazilian-butt-lift tag-vaser-liposuction tag-liposuction tag-thigh-liposuction tag-botched author-emmanuel-de-la-cruz post-type-text article-index-9" data-item-id="5915fcfd414fb54b06236e9c" id="post-5915fcfd414fb54b06236e9c" style="-webkit-text-stroke-width: 0px; color: rgba(28, 28, 28, 0.901961); display: block; font-family: Lato; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: 0.4000000059604645px; margin: 0px 0px 100px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;"></article><br />
<article class="hentry author-emmanuel-de-la-cruz post-type-text article-index-8" data-item-id="59720f506a4963ff674e421d" id="post-59720f506a4963ff674e421d" style="-webkit-text-stroke-width: 0px; color: rgba(28, 28, 28, 0.901961); display: block; font-family: Lato; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: 0.4000000059604645px; margin: 0px 0px 100px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;"><h1 class="title" data-content-field="title" style="color: #1c1c1c; font-family: adelle; font-size: 30px; font-style: normal; font-weight: 300; letter-spacing: 1px; line-height: 1.25em; margin: 0px auto 0.25em; text-align: center; text-decoration: none; text-transform: none; width: 460.796875px;">
<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/7/21/history-of-liposuction" style="color: #1c1c1c; text-decoration: none;">History of Liposuction</a></h1>
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Liposuction has been around since the 1920s when Dr. Dujarrier used a uterine curette to remove fat from the knee of a well-known ballerina. Unfortunately during that time, the gynecologic surgeon damaged the femoral artery which resulted to amputation of the leg.</div>
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L<strong style="font-weight: bold; word-wrap: break-word;">iposuction</strong> really began evolving in the late 1960s and became what we know it as in 1974. Dr. Yves-Gerard Illouz of Paris France created modern liposuction in 1982. The procedure he created was the "Illouz Method", which was actually <strong style="font-weight: bold; word-wrap: break-word;">Suction Assisted Liposuction (SAL)</strong>. </div>
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<strong style="font-weight: bold; word-wrap: break-word;">History of Liposuction: Timeline</strong></div>
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<strong style="font-weight: bold; word-wrap: break-word;">1921 - </strong> Dujarrier used a uterine curette to remove fat from the knee of a ballerina</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1960 - </strong> Schrudde rekindled the interest in liposuction with sharp removal of fat</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1978 - </strong>Kesselring and Meyer added suction to sharp curretage</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1970 - </strong>Illouz (Paris, France) used a blunt cannula attached to suction device</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1982 - </strong>"<a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Illouz Method</a>" of liposuction or Suction Assisted Liposuction</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1983 - </strong>Hetter used epinephrine and 0.25% lidocaine as a solution to reduce post-operative bleeding</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1984 - </strong>Hetter described the use of adequate pressure to induce lipolysis</div>
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<strong style="font-weight: bold; word-wrap: break-word;">1980 - </strong>Klein proposed the <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="font-weight: bold; word-wrap: break-word;">tumescent liposuction </strong></a>technique</div>
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Figure 1: Before & After Photos of 4D VASER Liposuction with <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Brazilian Buttlift</a> performed by Dr. Emmanuel De La Cruz (8 weeks after surgery)</div>
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<br style="word-wrap: break-word;" />In 1985, "<a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="font-weight: bold; word-wrap: break-word;">Tumescent Liposuction</strong></a>" was invented by Dr. Klein and Dr. Lillis. Liposuction could all of a sudden be performed in an office-setting with only local anesthesia via IV sedation rather than general anesthesia. The "Super Wet" technique was invented right after tumescent, because of the high volume of fluid and potential toxicity of the fluid used (lidocaine). So this lower volume 'wet' technique, Super Wet, was invented.<br style="word-wrap: break-word;" /><br style="word-wrap: break-word;" />With modern technology, plastic surgeons discovered<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"> </a><strong style="font-weight: bold; word-wrap: break-word;"><a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">Ultrasound Assisted Liposuction</a> (UAL)</strong> in the late 1990s. It was used to emulsify fat or liquefy fat using ultrasonic energy. Fat is subsequently removed with lower pressure liposuction. VASER liposuction, a third-generation ultrasonic-assisted liposuction, was subsequently invented. It's an improved liposuction machine with lower complication rates and improved skin retraction post-liposuction.</div>
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Emmanuel De La Cruz MD, PLLC<br style="word-wrap: break-word;" />Plastic & Reconstructive Surgery</div>
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Houston, Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-47362629418158713482018-01-22T08:15:00.000-08:002018-01-22T08:15:01.618-08:00Removal of Silicone from the Buttocks<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/9/14/removal-of-silicone-granuloma-from-the-buttocks-using-vaser-liposuction" style="color: #1c1c1c; text-decoration: none;">Removal of Silicone Granuloma from the Buttocks using VASER Liposuction</a></h1>
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/9/14/removal-of-silicone-granuloma-from-the-buttocks-using-vaser-liposuction" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">September 14, 2017</a><span class="author"> / <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/?author=551b7a1fe4b0d2fede618641" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">emmanuel de la cruz</a></span></div>
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Patients who present with a history of<strong style="word-wrap: break-word;"> </strong><a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">silicone injection</strong> </a>to the buttocks or gluteal region may present with debilitating complications, such as chronic pain, chronic infections such as cellulitis and abscesses; skin necrosis and <a href="http://woodlandsplasticsurgery.blogspot.com/">silicone granulomas</a> that may cause deformity of the buttocks. Unfortunately, <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">silicone toxicosis </a>of the gluteal region (buttock) can be difficult to manage.</div>
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<strong style="word-wrap: break-word;">Management of Silicone Toxicosis of the Buttock</strong></div>
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<li style="word-wrap: break-word;">An MRI of the gluteal region will need to be obtained to evaluate the location and extent of the silicone granulomas</li>
<li style="word-wrap: break-word;">Treatment may range from surgical excision versus suction-assisted lipectomy with VASER liposuction with concomitant fat transfer to the buttock to correct the resulting deformity from liposuction</li>
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<strong style="word-wrap: break-word;">Clinical Study using VASER Liposuction for Removal of Silicone Granulomas of the Buttocks</strong></div>
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"Average patient age was 36 years (range, 25-43 years). All patients initially presented with intense pain as assessed by a visual analog scale; by the 12th week postoperatively, the entire cohort experienced remission in pain. At 1 year postoperatively, no patients had infections (vs 75% preoperatively; P = .028), visited the ER (vs 50% preoperatively; P = .058), or were hospitalized (vs an average of 1.5 hospitalizations per patient preoperatively; P = .066)."</div>
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"Liposuction with immediate intramuscular fat transfer for buttock augmentation appears to be a safe surgical option that preserves aesthetic appearance for patients with gluteal silicone toxicosis."</div>
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References:</div>
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Salgado, et al. <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Liposuction</a> and lipofilling for treatment of symptomatic silicone toxicosis of the gluteal region. Aesthet Surg J. 2014 May 1;34(4):571-7. doi: 10.1177/1090820X14527107. Epub 2014 Mar 27.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon</div>
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Houston, Texas</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-71858982053292814622018-01-15T08:14:00.000-08:002018-01-15T08:14:09.557-08:00VASER Liposuction used for Fat Transfer<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="title" data-content-field="title" style="color: #1c1c1c; font-family: adelle; font-size: 30px; font-weight: 300; letter-spacing: 1px; line-height: 1.25em; margin: 0px auto 0.25em; text-align: center; width: 460.796875px;">
<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/9/24/vaser-liposuction-a-good-source-for-mesenchymal-stromal-cells" style="color: #1c1c1c; text-decoration: none;">VASER Liposuction: A Good Source for Mesenchymal Stromal Cells</a></h1>
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/9/24/vaser-liposuction-a-good-source-for-mesenchymal-stromal-cells" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">September 24, 2017</a><span class="author"> / <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/?author=551b7a1fe4b0d2fede618641" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">emmanuel de la cruz</a></span></div>
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<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">Mesenchymal stromal cells</strong></a> (MSCs) are the spindle shaped plastic-adherent cells isolated from bone marrow, adipose, and other tissue sources, with multipotent differentiation capacity in vitro. These <strong style="word-wrap: break-word;">mesenchymal stromal cells </strong>could differentiate to bone in vitro and a subset of the cells that has a high proliferative potential . The notion of a mesenchymal stem cell was popularized by Arnold Caplan proposing that MSCs gave rise to bone, cartilage, tendon, ligament, marrow stroma, adipocytes, dermis, muscle and connective tissue. Adipose-derived mesenchymal stromal cells (ASCs) are concentrated in fat tissue, and the ease of harvest via liposuction makes them a particularly interesting cell source. Thus, fat has been transferred to the face for facial rejuvenation, as well as to the buttock for <strong style="word-wrap: break-word;">buttock augmentation</strong>. It has shown that radiation-induced damage skin are dramatically improved by fat transfer. </div>
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Recently, ultrasound-assisted liposuction using VASER liposuction and Lysosonix were found to harvest viable mesenchymal stromal cells. "UAL samples demonstrated equivalent ASC yield and viability. <a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">VASER Liposuction</strong></a> adipose-derived mesenchymal stem cells showed higher osteogenic and adipogenic marker expression, but a comparable differentiation capacity was observed. Soft tissue healing and neovascularization were significantly enhanced via both UAL-derived ASCs in vivo, and there was no significant difference between the cell therapy groups."</div>
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<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">VASER Liposuction</strong></a> allows safe and efficient harvesting of the mesenchymal stromal cellular fraction of adipose tissue and that cells harvested via this approach are suitable for cell therapy and tissue engineering applications.</div>
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Recent studies have shown that adipose tissue derived using the VASER liposuction system were viable at harvest and suitable for autologous fat grafts, such as in <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="word-wrap: break-word;">Brazilian Butt Lifts</strong></a>. The study had shown that "the lipolysis assay revealed metabolically active adipocytes with a mean (SD) correlative viability of 85.1%. Direct measures of acute viability via propidium iodide staining resulted in a mean (SD) viability measure of 88.7%.</div>
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Reference:</div>
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Duscher, et al. Ultrasound-assisted liposuction provides a source for functional adipose-derived stromal cells. <a href="https://www.ncbi.nlm.nih.gov/pubmed/28917626#" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">Cytotherapy.</a> 2017 Sep 13. pii: S1465-3249(17)30658-8. doi: 10.1016/j.jcyt.2017.07.013. [Epub ahead of print]</div>
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Schafer et al. Acute adipocyte viability after third-generation ultrasound-assisted liposuction. Aesthetic Surgery Journal. 2013 Jul;33(5):698-704. doi: 10.1177/1090820X13485239. Epub 2013 May 29.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-77523822922375466672018-01-08T08:12:00.000-08:002018-01-08T08:12:29.503-08:00Buccal fat Removal<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/9/29/buccal-fat-removal-bichectomia-in-houston-texas" style="color: #1c1c1c; text-decoration: none;">Buccal Fat Removal | Bichectomia in Houston, Texas</a></h1>
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<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">Buccal fat removal</strong></a> is a facial plastic surgery procedure that involves removing fat from your face to create a slimmer appearance of one's face. This procedure is ideal for patients who typically present with "chubby cheeks" or "chipmunk cheeks" or "<a href="http://woodlandsplasticsurgery.blogspot.com/">baby face</a>."</div>
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<div class="image-block-wrapper has-aspect-ratio" data-description="<p>Buccal Fat Removal Before &amp; After Photos (3 months after surgery) performed by Dr. Emmanuel De La Cruz.</p>" id="yui_3_17_2_1_1514131713098_396" style="line-height: 0; overflow: hidden; padding-bottom: 224.890625px; position: relative; text-align: center;">
<img alt="Buccal Fat Removal Before & After Photos (3 months after surgery) performed by Dr. Emmanuel De La Cruz." class="thumb-image loaded" data-image-dimensions="1883x919" data-image-focal-point="0.5,0.5" data-image-id="59ce6a1bf7e0abe2071347d5" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59ce6a1bf7e0abe2071347d5/1506699826949/" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59ce6a1bf7e0abe2071347d5/1506699826949/" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59ce6a1bf7e0abe2071347d5/1506699826949/?format=1000w" style="border: 0px; display: block; height: 224.890625px; left: -0.0018883111188188195%; max-width: none; position: absolute; top: 0%; width: 460.8125px;" /></div>
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Buccal Fat Removal Before & After Photos (3 months after surgery) performed by Dr. Emmanuel De La Cruz.</div>
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Procedure: <a href="http://www.delacruzplasticsurgery.com/facial-plastic-surgery/buccal-fat-removal-or-bichectomia-in-houston-texas" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">Buccal Fat Removal</strong></a> performed in the procedure room/clinic</div>
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Incision: ~1.5 cm incision inside the mouth</div>
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Anesthesia: Local</div>
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Recovery time: May go back to work the following day.</div>
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Results: Individual results may vary. May see improvement within 6 weeks. Results continue to improve up to 6 months.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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<a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="word-wrap: break-word;">Plastic Surgeon </strong></a></div>
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Houston, TX</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-75198456580223818252018-01-04T08:11:00.000-08:002018-01-04T08:11:01.658-08:00Large Volume Liposuction Improves Cholesterol Level and Diabetes<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="title" data-content-field="title" style="color: #1c1c1c; font-family: adelle; font-size: 30px; font-weight: 300; letter-spacing: 1px; line-height: 1.25em; margin: 0px auto 0.25em; text-align: center; width: 460.796875px;">
<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/10/6/large-volume-liposuction-improves-cholesterol-level-and-diabetes" style="color: #1c1c1c; text-decoration: none;">Large Volume Liposuction Improves Cholesterol Level and Diabetes</a></h1>
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<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/10/6/large-volume-liposuction-improves-cholesterol-level-and-diabetes" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">October 06, 2017</a><span class="author"> / <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/?author=551b7a1fe4b0d2fede618641" style="color: #9c9c9c; cursor: pointer; text-decoration: none;">emmanuel de la cruz</a></span></div>
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A recent systematic review was recently published evaluating whether large volume liposuction improves diabetes and decrease cholesterol levels. Large volume liposuction (defined as liposuction of more than 3.5 L) was found to decrease the total Body Mass Index (BMI), as well as improved cardiovascular risk factors by decreasing the cholesterol levels as well as improved insulin sensitivity.</div>
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<img alt="Before & After Photos of VASER Liposuction performed by Dr. Emmanuel De La Cruz." class="thumb-image loaded" data-image-dimensions="2386x1160" data-image-focal-point="0.5,0.5" data-image-id="59d854f90abd04a436b1cf24" data-image-resolution="1000w" data-image="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59d854f90abd04a436b1cf24/1507349792026/best+brazilian+butt+lift+fat+transfer+buttock+augmentation+houston+beverly+hills+plastic+surgeon.png" data-load="false" data-position-mode="standard" data-src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59d854f90abd04a436b1cf24/1507349792026/best+brazilian+butt+lift+fat+transfer+buttock+augmentation+houston+beverly+hills+plastic+surgeon.png" data-type="image" src="https://static1.squarespace.com/static/551ca24be4b0ec87398ae250/t/59d854f90abd04a436b1cf24/1507349792026/best+brazilian+butt+lift+fat+transfer+buttock+augmentation+houston+beverly+hills+plastic+surgeon.png?format=1000w" style="border: 0px; display: block; height: 224.125px; left: 0%; max-width: none; position: absolute; top: -0.027691295370459557%; width: 460.796875px;" /></div>
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Before & After Photos of <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">VASER Liposuction</a> performed by Dr. Emmanuel De La Cruz.</div>
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"A total of 364 patients were pooled for analysis. The mean volume of lipoaspirate was 7440 ± 1934.9 mL. The mean body mass index at baseline and postliposuction was 30.7 and 28.4, respectively. Seven studies reported a trend toward decrease in total cholesterol levels with an overall mean reduction of 0.21 ± 0.05 mmol/L from 4.6 ± 0.79 mmol/L to 4.4 ± 0.74 mmol/L. After LVL, leptin was reported to significantly decrease in 4 studies, and TNF-α was reported to significantly decrease in 2. Adiponectin was reported to significantly increase in 2 studies. IL-6 decreased significantly in 2 studies. Two studies included participants with type II diabetes mellitus, whereas 10 studies evaluated insulin sensitivity. Of these, 6 studies reported improvement in insulin sensitivity. Six studies represented level IV and 6 represented level II evidence."</div>
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Thus, large volume <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">liposuction</a> may be beneficial in terms of improving cardiovascular risk factors as well as improving diabetes by increasing insulin sensitivity.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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Plastic & Reconstructive Surgeon</div>
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Reference:</div>
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Sailon, et al. Influence of Large-Volume Liposuction on Metabolic and Cardiovascular Health: A Systematic Review<strong style="word-wrap: break-word;">. <em style="word-wrap: break-word;">Annals of <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">Plastic Surgery</a></em></strong>. 2017 Jul 22. doi: 10.1097/SAP.0000000000001195. [Epub ahead of print]</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-42640478250760725812018-01-01T08:09:00.000-08:002018-01-01T08:09:32.406-08:00Large Volume Liposuction may Improve Diabetes and Hypertension<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="title" data-content-field="title" style="color: #1c1c1c; font-family: adelle; font-size: 30px; font-weight: 300; letter-spacing: 1px; line-height: 1.25em; margin: 0px auto 0.25em; text-align: center; width: 460.796875px;">
<a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/10/7/large-volume-liposuction-may-improve-diabetes" style="color: #1c1c1c; text-decoration: none;">Large Volume Liposuction may Improve Diabetes & Hypertension</a></h1>
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Numerous studies have been published recently regarding the benefits of large volume liposuction. it has been shown that large volume liposuction reduces the total BMI (body mass index) of the patient, as well as improvement of hypertension. In a recent study investigating the safety of large volume <a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="word-wrap: break-word;">liposuction</strong></a>, they had found that large volume liposuction also improved hypertension by reducing the baseline blood pressure 4 months post-operatively. The same finding was found by multiple authors who reported that there were significant decreases in pulse rate and systolic blood pressure over the 4-months post-operative period.</div>
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Before and After Photos of <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Large Volume Liposuction</a> performed by Dr. Emmanuel De La Cruz.</div>
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The study also has shown that over the 4 month post-operative period after large volume liposuction, the blood glucose level of patients with Diabetes also improved. The authors "explained this by the fact that subcutaneous abdominal fat, as a component of central adiposity, has as strong an association with insulin resistance as visceral fat, and is an important independent marker of insulin resistance in obesity."</div>
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Although <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank">large volume liposuction</a> may reduce the blood sugar in diabetic patients, it is not a treatment for diabetes. Liposuction is also not an alternative treatment for hypertension. Safety is a major concern for these kind of procedures. Large-volume liposuction should be done in a hospital-setting and a 23-hour observation post-operatively may be needed. I recommend consulting with your plastic surgeon.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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<a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">Plastic Surgeon</strong></a>, <strong style="word-wrap: break-word;">Houston Texas</strong></div>
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Reference:</div>
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Commons GW, Halperin B, Chang CC. Large-volume liposuction: A review of 631 consecutive cases over 12 years. Plast Reconstr Surg. 2001;108:1753. doi: 10.1097/00006534-200111000-00050. discussion 1764</div>
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Gonzalez-Ortiz M, Robles-Cervantes JA, Cardenas-Camarena L, Bustos-Saldana R, Martinez-Abundis E. The effects of surgically removing subcutaneous fat on metabolic profile and insulin sensitivity in obese women after large-volume liposuction treatment. Horm Metab Res. 2002;34:446–9. doi: 10.1055/s-2002-33603.</div>
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Perez RA. Liposuction and diabetes type 2 development risk reduction in the obese patient.<strong style="word-wrap: break-word;"> </strong><em style="word-wrap: break-word;">Med Hypotheses</em>. 2007;68(2):393-6. Epub 2006 Oct 2.</div>
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Saleh et al. <strong style="word-wrap: break-word;">Safety and benefits of large-volume liposuction: a single center experience. </strong>Int Arch Med. 2009; 2: 4. </div>
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Sharon YG, Erwin JB, George WC, Scott LS, Jack AY. Improvements in cardiovascular risk profile with <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;" target="_blank"><strong style="word-wrap: break-word;">large-volume liposuction</strong></a>: A pilot study. Plast. Reconstr. Surg. 2001;108:510–9. discussion 520–1</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-77009352880913615522017-12-28T08:07:00.000-08:002017-12-28T08:07:04.752-08:00VASER Lipo versus Smart Lipo<div dir="ltr" style="text-align: left;" trbidi="on">
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After more than a hundred VASER liposuctions I’ve performed in the Houston area, the fundamental questions asked by the patients about this surgery have remained the same. Therefore, I’ve decided to uncover their inquiries in a series of articles, starting by explaining in what this innovative procedure consists and how much it differs from other fat removing techniques such as Smart Liposuction.</div>
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<strong style="word-wrap: break-word;"><a href="http://www.delacruzplasticsurgery.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">VASER Liposuction</a></strong> is an advanced body contouring procedure that “selectively” remove unwanted body fat. This method uses minimally-invasive ultrasound technology to breaks up fat while leaving all other important tissues intact, resulting in significant desirable effects with minimal damage to surrounding tissues. Consequently, patients recover considerably quicker as they suffer reduced bleeding, bruising and swelling in the treated areas1. The shorter recovery time needed for <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;"><strong style="word-wrap: break-word;">VASER Liposuction</strong></a> makes it more convenient and appealing to my patients, who may return to their regular lives 1-2 weeks after the surgery and sometimes sooner. Meanwhile, the recovery time expected for Smart Lipo and other liposuction methods exceeds the 2 weeks. Moreover, the major advantage of <strong style="word-wrap: break-word;">VASER liposuction</strong> as compared to traditional or Smart liposuction would be the significant skin retraction that occurs after this liposculpture procedure. It’s the only liposuction method that has been proven (based on a randomized clinical trial) to cause skin retraction. The risk of bleeding and contour irregularities are also significantly lower with the use of the VASER liposuction machine when compared to other liposuction methods.</div>
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Another reason why I recommend <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">VASER liposuction</a> over other alternatives is the remarkable advantage of using the extracted excess of fat to transfer it to other specifics areas of the body such as buttocks and/or thighs. This process is called Fast Transfer Procedure or Fat Grafting. It’s important noticing that fat cells treated and removed during <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">VASER Lipo</a> procedures are typically of high quality –in contrast with the ones extracted via <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Smart Lipo</a>-, and are viable to re-introduce into the body. Unlike short lasting synthetic fillers, re-injecting your own fat may give you natural looking results that last longer, with no risk of rejection.2 This favorable possibility to accentuate and contour your body by using your own fat in a single procedure is definitely one big plus for <strong style="word-wrap: break-word;">VASER Lipo</strong> in comparison to other liposuction procedures.</div>
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Before & After Photos of <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">VASER Hi-Definition Liposuction</a> of the abdomen, back with <a href="http://www.houstonvaserliposuction.com/" style="color: #b5b5b5; text-decoration: none; word-wrap: break-word;">Biopolymer removal </a>from the buttock and fat transfer to the buttock performed by Dr. Emmanuel De La Cruz </div>
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References:</div>
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1Garcia, O., Jr., Nathan N. 2008. “Comparative Analysis of Blood Loss in Suction-Assisted Lipoplasty and Third-Generation Internal Ultrasound-Assisted Lipoplasty”. <em style="word-wrap: break-word;">Aesthetic Surgery Journal</em>, 28(4):</div>
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2Schafer, M.E. et al. “Acute Adipocyte Viability After Thrid-Generation <a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Ultrasound-Assisted Liposuction</a>”. <em style="word-wrap: break-word;">Aesthetic Surgery Journal</em>.</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-54759840778923653482017-12-24T08:00:00.000-08:002017-12-24T08:02:11.272-08:00Large Volume Liposuction: Is it safe?<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: large;">Numerous studies were published regarding the safety of <a href="http://www.houstonvaserliposuction.com/4dhighdefinitionliposuction/2017/10/7/large-volume-liposuction-is-it-safe">large volume liposuction</a>. However, this procedure is safe if performed in the right setting: performed by a <a href="http://www.woodlandsplasticsurgery.blogspot.com/">plastic surgeon</a>; anesthesia administered by an anesthesiologist; procedure performed in the hospital; and performed on a patient that is a good surgical candidate.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdExv7wDVPeWKvJRoyguvPic6QusW6IY8rbwNJV10l0PAChiJRxp9UtgJYMN92V8Dz9DDQ3hfrT1TdMTlv8xOBFBfS0B5uxBuga8qd2zMXNwMYn7n1FKdMj10WMumcwCIdYSnsR5m3SSU/s1600/Brazilian+Butt+Lift+Best+plastic+surgeon.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="840" data-original-width="1600" height="335" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdExv7wDVPeWKvJRoyguvPic6QusW6IY8rbwNJV10l0PAChiJRxp9UtgJYMN92V8Dz9DDQ3hfrT1TdMTlv8xOBFBfS0B5uxBuga8qd2zMXNwMYn7n1FKdMj10WMumcwCIdYSnsR5m3SSU/s640/Brazilian+Butt+Lift+Best+plastic+surgeon.png" width="640" /></a></div>
<span style="font-size: large;">A retrospective study conducted by Dr. Rohrich revealed "no episodes of pulmonary edema, congestive heart failure exacerbation, or other major complications."</span><br />
<span style="font-size: large;">Reference:</span><br />
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<span style="font-size: large;">Rohrich et al. Fluid resuscitation in<a href="http://www.houstonvaserlipocution.com/"> <b>liposuction</b></a>: a retrospective review of 89 consecutive patients.<strong> </strong>Plastic Reconstrive Surgery. 2006 Feb;117(2):431-5.</span></div>
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<span style="font-size: large;">Emmanuel De La Cruz MD</span></div>
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<a href="http://www.delacruzplasticsurgery.com/"><span style="font-size: large;">Plastic Surgeon in Houston</span></a></div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-76236509085295181572016-05-12T14:49:00.003-07:002016-05-12T14:49:37.859-07:00Operation Smile Gala 2016 in Houston<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: x-large;"><b>Operation Smile Gala in Houston 2016</b></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-qeta8M_YJyE67jj7Z0W80tqOAvNG2918UXMaWuNh7Mn30byJEuIoNdIsqzuBlkRYNy9qwL0B5AfSgMKTv0OL1HcSzrHBMtQpX6HH6TFZ2jryJ7uoUH2gbBCzxvnPZEPfgAk7Q7RCHAU/s1600/Operation+Smile+Gala+Houston+Plastic+Surgeon+Best+Emmanuel+De+La+Cruz.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-qeta8M_YJyE67jj7Z0W80tqOAvNG2918UXMaWuNh7Mn30byJEuIoNdIsqzuBlkRYNy9qwL0B5AfSgMKTv0OL1HcSzrHBMtQpX6HH6TFZ2jryJ7uoUH2gbBCzxvnPZEPfgAk7Q7RCHAU/s640/Operation+Smile+Gala+Houston+Plastic+Surgeon+Best+Emmanuel+De+La+Cruz.jpg" width="640" /></a></div>
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Operation Smile’s 3rd Annual Houston Smile Gala raised over $200,000 to provide life-changing surgery for children!<br />
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Emmanuel De La Cruz MD, PLLC<br />
<a href="http://www.delacruzplasticsurgery.com/">Plastic & Reconstructive Surgeon</a><br />
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-59126568348012158222016-03-22T18:45:00.001-07:002016-03-22T18:51:02.371-07:00Emmanuel De La Cruz - Love is an airplane (I'll Fly A Million Miles)<div dir="ltr" style="text-align: left;" trbidi="on">
"Love is An Airplane" was written, composed and performed by Houston Plastic Surgeon, Dr. Emmanuel De La Cruz. The music was produced by Grammy Award-winning music producer, Mickael Zibi.<br />
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<iframe allowfullscreen="" frameborder="0" height="270" src="https://www.youtube.com/embed/QzbElFy3RmA" width="480"></iframe><br />
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You can purchase the song in <a href="http://itunes.apple.com/album/id1081125651?ls=1&app=itunes">iTunes</a>: <a href="http://itunes.apple.com/album/id1081125651?ls=1&app=itunes"> http://itunes.apple.com/album/id1081125651?ls=1&app=itunes</a><br />
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Emmanuel De La Cruz MD, PLLC<br />
<a href="http://www.delacruzplasticsurgery.com/">Plastic Surgeon</a></div>
Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-15365891095510098522016-03-07T13:47:00.002-08:002017-12-21T21:32:43.773-08:004D VASER Hi-Definition Liposuction in Houston, Texas<div dir="ltr" style="text-align: left;" trbidi="on">
VASER Hi-Definition Liposuction performed by Dr. De La Cruz.<br />
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<tr><td class="tr-caption" style="text-align: center;">Before & After Surgery (One Year After Surgery)</td></tr>
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Emmanuel De La Cruz MD, PLLC<br />
Houston Plastic Surgeon<br />
<a href="http://www.houstonvaserliposuction.com/">VASER Liposuction</a><br />
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<a href="http://www.houstonvaserliposuction.com/">Liposuction cost</a> ?<br />
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<pre class="tw-data-text vk_txt tw-ta tw-text-medium" data-fulltext="" data-placeholder="Translation" dir="rtl" id="tw-target-text" style="border: none; color: rgb(33, 33, 33) !important; font-family: inherit; font-size: 25px !important; height: 36px; line-height: 36px !important; overflow: hidden; padding: 0px 0.14em 0px 0px; position: relative; resize: none; text-align: right; white-space: pre-wrap; width: 237.5px; word-wrap: break-word;"><span lang="ar" style="background-color: white;">أفضل شفط الدهون</span></pre>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-77535559540853055622016-02-21T22:06:00.004-08:002016-02-21T22:09:05.221-08:00Love is An Airplane - Music Single<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-size: x-large;">Love is An Airplane - Music single</span></div>
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<span style="font-size: x-large;"><span style="font-size: small;">The song was written and composed by Houston Plastic Surgeon Dr. Emmanuel De La Cruz. Music produced by multi-Platinum Grammy Award-winning music producer Mickael Zibi. 100% of the Record Sale Proceeds go to charity benefitting the kids that Dr. De La Cruz will be operating in the Philippines.</span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEZsgzLC-GDJCU5OS7w5vRXy-aw4HrsEHcrUvCCJ9pVqTO5hPJ87KDotGB-mFikHy-Unuk1apX6OjCFBo_vv9ovADOIY4mu0x3g-bWu5TF_Av93A7wiLJDDUQgjE3cMiaHJ95-JNWgmIY/s1600/FINAL-COVER.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEZsgzLC-GDJCU5OS7w5vRXy-aw4HrsEHcrUvCCJ9pVqTO5hPJ87KDotGB-mFikHy-Unuk1apX6OjCFBo_vv9ovADOIY4mu0x3g-bWu5TF_Av93A7wiLJDDUQgjE3cMiaHJ95-JNWgmIY/s320/FINAL-COVER.jpg" width="320" /></a></div>
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<span style="font-size: x-large;"><span style="font-size: small;"> </span> </span></div>
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DOWNLOAD the song in <a href="http://itunes.apple.com/album/id1081125651">iTunes</a>: <a href="http://itunes.apple.com/album/id1081125651">http://itunes.apple.com/album/id1081125651</a></div>
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Lyrics Snippet:</div>
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You wandered into my life</div>
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And you have touched my soul.</div>
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You're the last breath that brought me back,</div>
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My Angel from Heaven.</div>
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Emmanuel De La Cruz MD, PLLC</div>
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<a href="http://www.delacruzplasticsurgery.com/">Houston Plastic Surgeon</a></div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-67236231073588904022015-05-09T16:09:00.004-07:002015-05-09T16:16:09.219-07:00Operation Smile Gala 2015 in Houston<div dir="ltr" style="text-align: left;" trbidi="on">
<b><span style="font-size: x-large;">Operation Smile Gala 2015 in Houston</span></b><br />
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<iframe allowfullscreen="" class="YOUTUBE-iframe-video" data-thumbnail-src="https://i.ytimg.com/vi/01aTvJSsA68/0.jpg" frameborder="0" height="266" src="https://www.youtube.com/embed/01aTvJSsA68?feature=player_embedded" width="320"></iframe></div>
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Every 3 minutes, it is estimated that a child is born with a cleft lip or cleft palate/both. One in 10 children born with a cleft will die before their first birthday. Operation Smile provides free life-changing surgeries for children in need worldwide. Help us help these children. Donate at Operationsmile.org </div>
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<tr><td class="tr-caption" style="text-align: center;">Houston Plastic Surgeon Dr. Emmanuel De La Cruz attending the Operation Smile Gala 2015</td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><a href="http://www.delacruzplasticsurgery.com/">Houston Plastic Surgeon</a> Dr. Emmanuel De La Cruz attending the Operation Smile Gala 2015.</td></tr>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-42387655780326397662015-03-18T21:15:00.001-07:002017-12-21T21:35:57.732-08:004D VASER High Definition Liposuction with Dr. Alfredo Hoyos and Dr. De La Cruz<div dir="ltr" style="text-align: left;" trbidi="on">
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The 4D VASER High Definition Liposuction is a new and revolutionary method of liposuction utilizing the VASER Liposuction system. This technique was pioneered by Dr. Alfredo Hoyos, a world-renowned Colombian Plastic Surgeon. <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxciSEgdSfweKd4SXkzgLkh_fXdKZPhhlN4QffDE19dponoCsMtT8W_uy1UqZOtzotDbHaixOsdIO2LhjgP7gYm-VpdIjECsdt4VuNFtdGAuDczIr2eaCj7jU43_XCIHp9t2Rdfb4BIm4/s1600/DSC00745.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="353" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxciSEgdSfweKd4SXkzgLkh_fXdKZPhhlN4QffDE19dponoCsMtT8W_uy1UqZOtzotDbHaixOsdIO2LhjgP7gYm-VpdIjECsdt4VuNFtdGAuDczIr2eaCj7jU43_XCIHp9t2Rdfb4BIm4/s1600/DSC00745.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">4D High Definition Liposuction performed by Dr. Alfredo Hoyos in Bogota Colombia.</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi49353xHHKWhgBBIsIp4aNK2oDfb2no1JqzzigwNVvYBiw07jyUIMM5_XHd1_sxSFTImid2H5xcizly1BahGrMlol_prn88FQNeu_NvIdGi_QHG-VbwfQ35d_FEoNzT4kSqm3uOnX0eu4/s1600/Before+and+after+4+D+VASER+Liposculpture+De+La+Cruz+Plastic+Surgery+2015.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi49353xHHKWhgBBIsIp4aNK2oDfb2no1JqzzigwNVvYBiw07jyUIMM5_XHd1_sxSFTImid2H5xcizly1BahGrMlol_prn88FQNeu_NvIdGi_QHG-VbwfQ35d_FEoNzT4kSqm3uOnX0eu4/s400/Before+and+after+4+D+VASER+Liposculpture+De+La+Cruz+Plastic+Surgery+2015.png" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">Before and after liposuction</a> 4D VASER Hi-Defintion Liposculpture performed by Dr. Emmanuel De La Cruz of Houston, Texas.</td></tr>
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A recent randomized clinical trial comparing traditional liposuction versus VASER liposuction revealed less bleeding and more skin retraction with the VASER group. <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpFV5FlTMmLWMVe46PEfqvz_6pedxD05yCEPZyYIg7XJDiyo8WEbOkkTGCShg406nUwj6Wj-TXIKLagULYktBHe7ET-pouJZb_UShfxTa5m4Xp3qB48SQUUuJmejYmuTxQypHLsHXqwfE/s1600/Best+liposuction+plastic+surgeon+houston+texas+USA+4D+VASER+High+Definition+Liposuction+Alfredo+Hoyos+De+La+Cruz+Plastic+Surgery.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpFV5FlTMmLWMVe46PEfqvz_6pedxD05yCEPZyYIg7XJDiyo8WEbOkkTGCShg406nUwj6Wj-TXIKLagULYktBHe7ET-pouJZb_UShfxTa5m4Xp3qB48SQUUuJmejYmuTxQypHLsHXqwfE/s1600/Best+liposuction+plastic+surgeon+houston+texas+USA+4D+VASER+High+Definition+Liposuction+Alfredo+Hoyos+De+La+Cruz+Plastic+Surgery.jpg" width="265" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Alfredo Hoyos and Dr. De La Cruz in Bogota, Colombia</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwaLveGPrD3BZFHe1SHlIDNybJNFAhLbj2U4taoErQNacFXZ7TAx167IxQAiVDhosIVeBMPlBTP8DT1oA8ds0qv0ajCUAzz7YHePh40KehsOgkkTEEJah-tzFViux8eHFZMMapn5unkeE/s1600/4D+VASER+High+Definition+Liposuction+Alfredo+Hoyos+De+La+Cruz+Plastic+Surgery+Best+Houston+Texas+USA.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="268" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwaLveGPrD3BZFHe1SHlIDNybJNFAhLbj2U4taoErQNacFXZ7TAx167IxQAiVDhosIVeBMPlBTP8DT1oA8ds0qv0ajCUAzz7YHePh40KehsOgkkTEEJah-tzFViux8eHFZMMapn5unkeE/s1600/4D+VASER+High+Definition+Liposuction+Alfredo+Hoyos+De+La+Cruz+Plastic+Surgery+Best+Houston+Texas+USA.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Alfredo Hoyos and other plastic surgeons who perform the 4D VASER High Definition Liposuction from Slovenia, USA, Colombia, Egypt and Spain.</td></tr>
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For more information about the <a href="http://www.delacruzplasticsurgery.com/">4D VASER</a> <a href="http://www.delacruzplasticsurgery.com/">High Definition Liposuction</a>, please visit www.alfredohoyos.com (Colombia) and www.delacruzplasticsurgery.com (Houston, Texas, USA)<br />
<a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">what is the cost of liposuction</a>?<br />
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-67288723156712854132015-03-01T14:35:00.003-08:002015-03-01T14:35:41.179-08:00Operation Antique in the Philippines 2015<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: x-large;"><b>Operation Antique in the Philippines 2015</b></span><br />
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This February 2015, we embarked another medical mission trip in the Philippines to help children with cleft lip and cleft palate, and other indigent patients in Antique, Philippines. Our medical team had seen over 2,000 patients and we performed surgical procedures on over 300 patients. The mission trip was a success!</div>
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Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0tag:blogger.com,1999:blog-37701485901362016.post-86604875623180563622014-05-02T04:49:00.000-07:002017-12-21T21:37:19.921-08:00Coffee Effects on Breast Size<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-size: small;"><b><span style="font-size: x-large;">Coffee Intake Influences Breast Size</span> </b>by Stef De La Cruz </span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>More cups of coffee lead to smaller "cup size"</b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Women are having second thoughts about sipping their cup of joe after a study linked coffee intake to smaller breasts. A 2008 <i><a href="http://www.nature.com/bjc/journal/v99/n9/full/6604687a.html" rel="external nofollow" target="_blank">study published in the <i>British Journal of Cancer</i></a></i> went viral as it connected coffee intake with breast size.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">One enzyme is related to both coffee and estrogen metabolism in some
women, specifically those born with a specific variant of the CYP1A2*1F
gene. Armed with this fact, a group of Swedish doctors led by Helena
Jernstrom investigated the relationship between caffeine and breast size
in 269 women with a high risk for breast cancer.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Ironically,
even as coffee decreases breast size, it also decreases a woman's risk
for losing her breasts altogether. But what exactly is present in coffee
that influences breasts in the first place?</span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP1KIjC_g0ucT5MBxRaAu3PByV9-Uu1HayIJ5tVRmLHoMlyKRVWFFIcc89yQ7AYmL9BZGE_8yOJIqd2gVuSdabM8y6z3z_N8zu52XzfWKXYxN5EhDzcA2sFP_XCFXv928mcbFLNfdDFfY/s1600/p-iStock_000004751693Small.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP1KIjC_g0ucT5MBxRaAu3PByV9-Uu1HayIJ5tVRmLHoMlyKRVWFFIcc89yQ7AYmL9BZGE_8yOJIqd2gVuSdabM8y6z3z_N8zu52XzfWKXYxN5EhDzcA2sFP_XCFXv928mcbFLNfdDFfY/s1600/p-iStock_000004751693Small.jpg" width="263" /></a></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>Coffee compounds that shrink breasts</b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Although best known for its caffeine content, coffee actually contains
other compounds that can influence hormone activity. For instance, it is
rich in phytoestrogens that are capable of blocking estrogen receptors
in breasts.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Estrogen is a hormone that regulates breast tissue
growth and development. But with coffee phytoestrogens beating estrogen
to the punch line, estrogen cannot do its job.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Coffee metabolism is linked to an <a href="http://www.ncbi.nlm.nih.gov/pubmed/9110357" rel="external nofollow" target="_blank">enzyme regulated by the CYP1A2 gene</a>.
Coffee drinkers carrying a specific variant of this gene have a higher
enzyme expression, leading to higher levels of a “weak form” of
estrogen.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Simply put, when a weak estrogen binds with the
estrogen receptor, it leads to less significant breast changes. High
levels of this weak estrogen, therefore, have a significant relationship
with small breast size.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">The above effect is seen most
especially in women positive for the genotype who drink at least three
cups of coffee. The more coffee they drink, the smaller their breasts
are.</span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/AFDNJZrvF9A?feature=player_embedded' frameborder='0'></iframe></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>Bigger breasts, bigger problem</b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Although many women secretly dream of being one or two cup sizes bigger,
a generous chest comes with a price: It may increase one’s chances of
having breast cancer in the future.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Breast tissue density is a known breast cancer risk factor. In a <a href="http://www.ncbi.nlm.nih.gov/pubmed/8547541" rel="external nofollow" target="_blank">study involving over 600 women</a> published in <i>Cancer Causes and Control</i>, the incidence of breast cancer rose proportionately with a woman’s breast size.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><b>Coffee lowers <a href="http://www.delacruzplasticsurgery.com/">breast</a> cancer risk</b></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Even as coffee seems to shrink the breasts of women with the above genotype, it actually protects them from breast cancer.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">The same gene found in women that leads to smaller breasts actually <a href="http://www.ncbi.nlm.nih.gov/pubmed/1556774" rel="external nofollow" target="_blank">leads to lowers levels of 16<i>α</i>-OHE1</a>,
a hormone known to contribute to estrogen-negative breast cancer.
Estrogen-negative breast cancer is a type of cancer with fewer treatment
options, making this finding an important steppingstone in formulating a
holistic and prevention-centric regimen for high-risk females.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Word of advice to women: Don’t ditch coffee just yet. With moderate
coffee consumption, you will barely notice any change in the size of
your breasts – and you are less likely to lose them to cancer.</span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i>Dr. Stef dela Cruz is a <a href="http://www.stefdelacruz.com/p/media_1881.html" rel="external nofollow" target="_blank">health blogger</a> and columnist. She is nominee for the PKKP Media Recognition Awards to be presented by the Department of <a href="http://woodlandsplasticsurgery.blogspot.com/">Health</a>. </i></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i><br /></i></span>
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i><a href="http://www.houstonvaserliposuction.com/before-after-photos-liposuction/">How much does liposuction cost</a> ? That is the question</i></span></div>
Emmanuel De La Cruz, M.D., PLLChttp://www.blogger.com/profile/02128222108497648156noreply@blogger.com0