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Liposuction Surgery

DAY OF SURGERY

Dr. Delgado performs Liposuction procedures at Marin Cosmetic Surgery Center, a private surgery suite, located in his Marin County office on the Sutter Marin County Community Hospital campus. This allows Dr. Delgado to offer his patients private, concierge medical care, while providing the extra measure of safety and reassurance afforded by the surgery center’s contiguous location to the hospital.

Before anesthesia is given, a special felt-tip surgical marking pen is used to draw a detailed map on the areas to be treated. This architectural diagram enables Dr. Delgado to make accurate adjustments to accommodate the gravitational changes that occur as the body moves from a standing to a lying position.

After anesthesia is given, Dr. Delgado will inject the tumescent fluid consisting of normal saline (sterile water with body identical salt content), lidocaine (local anesthetic) and epinephrine (vaso-constricting agent that controls bleeding). This process distends the fat layer. Then, Dr. Delgado proceeds to make very small incisions in inconspicuous areas, such as the navel and the buttock crease. A thin cannula is inserted into the tiny incisions. The cannula is attached to tubing extending to a Liposuction machine that provides vacuum. The cannula is pushed back and forth through the fat layer that lies beneath the skin. This breaks up the fat cells so that they can be vacuumed out through the tubing to a canister on the Liposuction machine. Incisions are then closed with sutures and a compression garment is placed on the patient.

ANESTHESIA

Most Liposuction procedures are performed under general anesthesia and are usually performed in an outpatient surgery center or a hospital. At Marin Cosmetic Surgery Center, general anesthesia is administered by Randy Gaynor, MD, a board certified anesthesiologist with more than 25 years experience. For the past 15 years, Dr. Gaynor has worked exclusively in outpatient office surgery centers such as Marin Cosmetic Surgery Center.

Dr. Gaynor has developed LMA (Laryngeal Mask Airway) techniques that are specifically suited for the cosmetic surgery patient. Light levels of anesthesia are used so that patients need not be pharmaceutically paralyzed for procedures, as is often the method used in hospitals. The LMA technique allows patients to breathe on their own while anesthetized. Patients are completely comfortable and unaware of anything that is happening.

With Dr. Gaynor’s techniques, patients awaken quickly and are far less likely to experience nausea than with conventional anesthesia.

Dr. Delgado and Dr. Gaynor assist the patient in making the best choice for the anesthesia. Additionally, Dr. Gaynor calls each patient the evening before surgery to review his/her medical history, confirm last minute instructions and answer any questions they may have regarding the anesthesia.

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After Liposuction Surgery

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