Buccal fat Removal

Buccal Fat Removal | Bichectomia in Houston, Texas

Buccal fat removal 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 "baby face."

Buccal Fat Removal Before & After Photos (3 months after surgery) performed by Dr. Emmanuel De La Cruz.

Procedure:  Buccal Fat Removal performed in the procedure room/clinic

Incision: ~1.5 cm incision inside the mouth

Anesthesia: Local

Recovery time:  May go back to work the following day.

Results:  Individual results may vary.  May see improvement within 6 weeks.  Results continue to improve up to 6 months.

Emmanuel De La Cruz MD, PLLC

Plastic Surgeon 

Houston, TX

  

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Large Volume Liposuction Improves Cholesterol Level and Diabetes

October 06, 2017  /  emmanuel de la cruz

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.

Before & After Photos of VASER Liposuction performed by Dr. Emmanuel De La Cruz.

"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."

Thus, large volume liposuction may be beneficial in terms of improving cardiovascular risk factors as well as improving diabetes by increasing insulin sensitivity.

Emmanuel De La Cruz MD, PLLC

Plastic & Reconstructive Surgeon

Reference:

Sailon, et al.  Influence of Large-Volume Liposuction on Metabolic and Cardiovascular Health: A Systematic Review. Annals of Plastic Surgery. 2017 Jul 22. doi: 10.1097/SAP.0000000000001195. [Epub ahead of print]

Large Volume Liposuction may Improve Diabetes and Hypertension

Large Volume Liposuction may Improve Diabetes & Hypertension

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 liposuction, 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.

Before and After Photos of Large Volume Liposuction performed by Dr. Emmanuel De La Cruz.

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."

Although large volume liposuction 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.

Emmanuel De La Cruz MD, PLLC

Plastic Surgeon, Houston Texas

Reference:

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

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.

Perez RA.  Liposuction and diabetes type 2 development risk reduction in the obese patient. Med Hypotheses. 2007;68(2):393-6. Epub 2006 Oct 2.

Saleh et al. Safety and benefits of large-volume liposuction: a single center experience. Int Arch Med. 2009; 2: 4. 

Sharon YG, Erwin JB, George WC, Scott LS, Jack AY. Improvements in cardiovascular risk profile with large-volume liposuction: A pilot study. Plast. Reconstr. Surg. 2001;108:510–9. discussion 520–1