Anne L. White, M.D. Silver Level Physician BOTOX® Cosmetic & Juvederm Only PLATINUM LEVEL Restylane/Perlane physician in Winston-Salem 3000 Bethesda Place, Ste. 601-602 Winston Salem, NC 27103 (336) 659-2663 or 1-877-WE BOTOX (932-6869) www.CarolinaLaser.com

	Carolina Laser and Cosmetic Center in Winston-Salem, North Carolina specializes in dermatology and cosmetic procedures, including Botox, Restylane, Perlane, Juvederm, Evolence, Dysport, Sculptra, Latisse eyelash treatment, liposuction, laser hair removal, laser tattoo removal, laser skin rejuvenation and wrinkle resurfacing and vein treatment (laser and sclerotherapy). Liposuction | Comparison of Liposuction Techniques What is Liposuction? The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body's contour by removing excess fat from deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula (from the Latin word for reed, tube, cane). The cannula is connected to a powerful suction pump and inserted into the fat through small incisions in the skin. Fat removal is accomplished as the suction cannula creates tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse and thus result in an improved body contour. Liposuction can be accomplished either with the use of general anesthesia, or with heavy IV sedation, or totally by local anesthesia. This web site considers both the benefits and the potential dangers of local anesthesia and of systemic anesthesia. Tumescent Liposuction Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to be come tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Because local anesthesia persists for many hours there is no need for narcotic pain medications after surgery. Modified Tumescent Liposuction Modified tumescent liposuction refers to a combination of tumescent local anesthesia plus some form of systemic anesthesia (general anesthesia or heavy IV sedation). Because general anesthesia or heavy IV sedation can be dangerous, they must be administered by an anesthesiologist. The Different Liposuction Techniques There are many ways to do liposuction, for example liposuction can be accomplished painlessly either totally by local anesthesia or with general anesthesia. In the realm of liposuction, maximum speed and maximum volume of aspirate are not criteria for excellence. Ultimately, excellence is measured in terms of patient happiness which is a function of safety, patient comfort, finesse, and quality of results. The important distinction between liposuction surgeons who are board certified is the liposuction technique that they use. The surgeon's specialty is not as important as the surgeon's technique, experience and attitude toward safety. Dr Anne L. White, Carolina Laser and Cosmetic Center in Winston-Salem, North Carolina, has trained internationally in the latest techniques of cosmetic procedures, including Botox, Restylane, Perlane, Juvederm, Evolence, Dysport, Sculptra, Latisse, liposuction, laser hair removal, laser tattoo removal, laser skin rejuvenation and wrinkle resurfacing and vein treatment (laser and sclerotherapy).

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