Cosmetic Surgery

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Mitchell G. Cohen, MD starts Blog

Experienced surgeon’s blog will focus on cosmetic surgery issues

We all want to look our best. Sometimes, we feel that what nature has given us is just not enough. That is where cosmetic surgery can help improve a person's appearance, self-esteem and self-confidence. Cosmetic surgery encompasses a broad range of facial and body treatments, including cheek lift, chin surgery, wrinkle treatments, liposuction, and tummy tucks.


Doctor Mitchell G. Cohen, a surgeon based in California, started a Blog to provide easy-to-understand information about the cosmetic surgery issues so that the public and patients can easily understand the underlying medical issues and procedures. The Blog is available at https://drmitchellcohen.com/

Americans spend billions of dollars every year on Cosmetic surgery. Many people try to enhance their appearance or correct what they perceive to be deformed. Common procedures include breast augmentation, and liposuction and tummy Tucks. There are, however, certain risks associated with such procedures. Thus, researching the specific surgery that you have in mind for yourself is a good idea. Also, make sure to be in good hands, meaning a qualified surgeon with experience in this particular procedure.


Explains Dr. Mitchell G. Cohen: “In our office, we are very safe and all procedures are done with local anesthesia, no general anesthesia. This makes the entire procedure not only much safer but much more affordable when comparing to traditional plastic surgery where almost all surgeries are done under general anesthesia.”


Some commonly occurring issues in any surgery, including cosmetic surgery, include:


Dissatisfaction with the result– surgery is not an exact science and the results may differ depending on many different factors such as age, gender, body type, body weight, and skin condition.

Nerve Damage – a common issue in all cosmetic surgeries. The negative effects include numbness and tingling.

Infection – is a uncommon issue in all cosmetic surgeries that use local anesthesia. The main reason being that the lidocaine that is used to numb the fat also kills bacteria therefore a much lower incidence of infection has been reported. While utmost care is taken to avoid infection, it occurs in a less than one percent of cosmetic surgeries done with tumescent or local anesthesia and may require additional medication, for example with antibiotics.

Scars – cosmetic surgeons are trained to keep the scars to a minimum, but they are usually unavoidable. In some cases, patients suffer hypertrophic scarring, meaning that the scar is unusually red and raised. We counsel our patients in using a silicone based scar cream to lessen any effects of scarring.

Hematoma – which is essentially a pocket of blood resembling a painful bruise. A hematoma occurs in a few percent of breast augmentation surgeries, and also with full tummy tuck procedures.  Hematoma a general risk in cosmetic surgery, and it may sometimes require additional surgery.

Organ Damage – some surgeries may adversely affect internal organs, such as liposuction. The surgical probe used for liposuction may accidentally cause punctures, which may require additional surgery. Again, this is much more common in patients who undergo liposuction with general anesthesia. With local anesthesia, the patient will feel some pain before and punctures can occur and therefore this makes the procedure much safer using tumescent or local anesthesia. 

Seroma – a condition when blood pools directly under the skin, with swelling and pain. These can become infected and may have to be drained. These usually occur with full tummy tucks and are very rare with mini tummy tucks.

Blood Loss – occurs minimally in our cosmetic surgeries, but is usually limited. The tumescent anesthesia we use also has epinephrine in it which constricts the vessels and leads to no more than a teaspoon or 2 of true blood loss. 

Deep vein thrombosis (DVT) – is a rare complication. Essentially, it means that a blood clots forms in a deep vein (often the leg), breaks off, and travels to other parts of the body (such as the lungs, causing pulmonary embolism).


Dr. Cohen notes that “even though medical personnel try to explain the procedures and the risks, patients search on the internet for information. They usually find hearsay opinions, reports from other patients, but rarely explanations from medical doctors. One should not act based solely on information found on the internet, but instead review the issues with a qualified medical doctor, preferably with the benefit of the patient’s medical history. Also, when patients research online and do find relevant medical articles, they find highly complex answers that are very difficult to understand for a layperson, or even contradictory. I hope to fill that information gap with my explanatory articles that anybody can understand.”


Dr. Cohen’s blog is available at https://drmitchellcohen.com/


About Dr. Mitchell G. Cohen


Dr. Mitchell G. Cohen is a surgeon in California who focuses on cosmetic surgery. He has over 23 years of experience as a Board-Certified Spine Surgeon, and now focuses on Cosmetic Surgery as well as Laser Liposculpture. 


References


Blog Website: https://drmitchellcohen.com/

Profile: http://oclipocenters.com/cohen-bio.php

LinkedIn Profile: https://www.linkedin.com/in/mitchell-cohen-md-6b081215/?trk=public-profile-join-page

News: https://hype.news/dr-mitchell-g-cohen-us/

Professional Profile: https://medicogazette.com/dr-mitchell-g-cohen

Professional Profile: https://hippocratesguild.com/dr-mitchell-g-cohen

Blog: https://mitchellcohenmd.fitness.blog/

Learn More about Dr. Mitchell G. Cohen

News about Dr. Mitchell G. Cohen

Is Liposuction an Answer to all those Body Slimming Prayers?

Here’s how to get rid of that stubborn fat that just won’t shed off no matter what you do.

If you have been trying to shed that stubborn, bulky fat off your body and it just will not go away, we might have something that can help you achieve the body of your dreams. For a perfectly toned and sculpted body, many people are flocking to cosmetic clinics to get their excess body fat “lipo-suctioned.” This new revolutionizing cosmetic procedure has garnered the attention and praises of both celebrities and the public alike. However, one should consider such surgery carefully.

To explain, medical doctor and cosmetic surgeon Mitchell G. Cohen, MD has published an informational article on this subject in an easy-to-understand way. The complete article will be published on the Blog of Dr. Cohen at https://drmitchellcohen.com/


For those unaware of this procedure, liposuction, more commonly referred to as lipo, is essentially a process that involves fat removal via surgery. However, it must be noted that if you are looking to lose excess weight to address obesity-related medical conditions, liposuction will not be able to help you, as it only removes the excess body fat but does not in any way reduce cholesterol or other body fats in the bloodstream. This is a body sculpting procedure that may motivate patients to implement a healthier lifestyle.


The liposuction procedure is either performed under general, regional, or local anesthesia. It involves the use of small cannulas which are passed through the fat layers and removed by negative pressure suction, which allows the excess fat to be sucked out of the body. It is performed using one of the three basic techniques which are Manual, power-assisted liposuction, ultrasound–assisted lipo, 

However, before the fat can even be sucked out, it needs to be prepared, with Tumescence (which means to swell). A solution is injected into the fat being removed that consists of saline mixed with lidocaine to numb the fat, and epinephrine to constrict the vessels and stop any bleeding. In our patients, where we do liposuction under local anesthesia only which means the patients are awake, we add sodium bicarb to the solution to decrease any pain while its injected as well as dexamethasone, a steroid to help decrease swelling and inflammation after the procedure.


Manual liposuction is just what it says. It’s done by hand, using cannulas attached to suction that removes the fat as the cannula is passed through it. This was the first method described and used for liposuction before more modern techniques were invented. Some physicians still prefer the manual method over the power techniques. 


Power-Assisted Liposuction (PAL) uses a vertical, vibration like motion of the cannula in order to suck in more fat and remove it. In comparison to simple manual suction-assisted lipo as described above.  PAL requires a reduced amount of energy for the procedure to be performed while removing more fat from the body. Pal is also performed in difficult cases such as in cases with areas that have secondary scarring or when harvesting great volumes of fat are required to be transferred to other areas of the body. This is the technique we use in our office which we feel gives our patients the best results.

Ultrasound-assisted liposuction (UAL) method was mostly performed from the early 1980s to late 1990s. Mostly, the cases where UAL was applied developed serious tissue damage, usually caused by extreme exposure to ultrasound radiations. However, the latest UAL devices have countered this issue by using pulse energy delivery with a specialized probe, which enables surgeons and medical practitioners to carry out safe fat removal. 


Liposuction may sound like a dream come true and an easy way out, but it does have certain complications, too. As with most surgical procedures, complications can occur after a liposuction procedure, such as deep vein thrombosis, organ perforation, bleeding, inflammation, and infection. These complications are primarily seen in liposuction patients who are put to sleep with general anesthesia.


However, the procedure is significantly safer, without the above complications, using our technique of local anesthesia where the patient is awake but very comfortable during the procedure. 


Liposuction, under local anesthesia, is a very safe way to get motivated and helps patients get back into a healthy lifestyle with eating better and exercising after they see their new sculpted body.

Now that you have insight on liposuction, please decide carefully before opting for such a procedure. 


About Dr. Mitchell G. Cohen


Dr. Mitchell G. Cohen is a surgeon in California who focuses on Cosmetic Surgery as well as Laser Liposculpture and SmartLipo. He has over 23 years of experience as a Board-Certified Spine Surgeon, and now focuses on Cosmetic Surgery as well as Laser Liposculpture. 


References


Blog Website: https://drmitchellcohen.com/

Profile: http://oclipocenters.com/cohen-bio.php

LinkedIn Profile: https://www.linkedin.com/in/mitchell-cohen-md-6b081215/?trk=public-profile-join-page

News: https://hype.news/dr-mitchell-g-cohen-us/

Professional Profile: https://medicogazette.com/dr-mitchell-g-cohen

Professional Profile: https://hippocratesguild.com/dr-mitchell-g-cohen

Blog: https://mitchellcohenmd.fitness.blog/

Dr. Mitchell G. Cohen is a surgeon in California who focuses on Cosmetic Surgery.

Dr. Mitchell G. Cohen is a surgeon in California who focuses on Cosmetic Surgery.