Fodor is more enthusiastic about the LipoSonix technology. "I am very optimistic," he says." I love the results," he says citing as much as a 7-centimeter reduction in waist circumference seen in clinical trials conducted in Mexico. This technology, which uses high-intensity ultrasound waves, beamed about an inch under the skin to break up fatty tissue, has been studied in both pig models and in 33 people in Mexico, he says. The company has applied for FDA status to begin preclinical studies in the U.S. and expects such trials to begin in 2007.
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The research reported that patients who underwent bariatric surgery (weight loss surgery on the stomach and/or intestines) who waited about a year before undergoing body-contouring surgery saw a reduction in the complication rate -- and ended up with shorter hospital stays. The researchers also reported that waiting allowed the death rate to drop dramatically, from 14% for those who had body-contouring surgery soon after losing the weight, to 0% for those who waited.
The treatment courses are as your doctor recommends. You will start seeing the changes in a few months; however, to maintain that perfect body shape and structure of muscles is more difficult that it seems. You must take proper care to follow a nutritional diet, and also have an exercise regimen that will help you maintain. Maintaining muscle tone of your body is absolutely pertinent for the overall shape of your body.
While some of these problems still occur (notably the need for transfusions), experts say it's on a much smaller scale in the last few years. In a study presented in 2003 at an American Society of Plastic Surgeons conference in San Diego, researchers found that many such complications could be avoided if patients allowed more time to elapse between weight loss surgery and plastic surgery.
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ASAPS formed an ad hoc committee to further investigate the pros and cons of mesotherapy, he says. "We don't know whether it works or not because it is used by a lot of people who inject all kinds of chemicals into the skin," Fodor explains. "Our committee looked at the literature and we found no uniformity to what is being used, how much is being injected, and where it is being injected, so we could not draw any conclusions," he says. That's why ASAPS is conducting a clinical trial at five centers to definitively answer questions about mesotherapy. "We will do some studies with an exact and rigid protocol so we can compare apples to apples, not apples to oranges," he says.
"Be aware that we live in a very competitive environment whereby youth is king and people are looking for less-invasive procedures, and these procedures are now for the first time being directly marketed by the manufacturer in consumer magazines," points out session moderator Franklin L. DiSpaltro, MD, a plastic surgeon in West Orange, N.J., and a past president of ASAPS.