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Revision Liposuction (*) is one of the most challenging body sculpting procedures in body cosmetic surgery. Sometimes, only non-invasive or non-surgical technologies are necessary to resolve the skin contour irregularities. Some patients may benefit from a combination treatment of VASEREshape with Mechanical Massage (Endermologie) can and have improved the skin to a smooth appearance.
In most patients, to achieve a smooth skin contour, fat transfer to areas of indentations is necessary. Most patients can undergo the liposuction revision surgery with fat transfer using oral sedation and a superwet wetting local anesthetic solution, occasionally supplemented with mild intravenous sedation. A knowledge of the skin and muscle anatomy, biotechnology, an artistic eye and understanding the limitations are essential qualities of the surgeon to achieve the optimal outcome. Dr Troell has presented ten live surgical workshops teaching other surgeons techniques in face and body liposuction, fat and stem cell grafting, platelet rich plasma preparation and use, non-invasive and minimally invasive body contouring and cellulite treatments.
He has published fifteen book chapters, nearly forty peer-reviewed medical article publications, and has been a guest lecturer in over 140 presentations throughout the United States and abroad. Dr Robert Troell has taught ten live surgical workshops on liposuction, fat grafting and non-invasive body contouring techniques, the last in October 2012 with continuing medical education (CME) credits through Touro Medical School in Las Vegas, Nevada. Dr Troell is a certified national instructor for both Water-Jet assisted liposuction (Body-Jet) and the ultrasound assisted liposuction (VASER) technologies. He presented at the 2012 National Society of Cosmetic Physicians annual meeting and at the 2012 California Society of Facial Plastic Surgery on comprehensive fat and stem cell grafting techniques. Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.
Due to the graphic nature of the content in this photo gallery, please verify that you are at least 18 years of age by clicking the check box below. Derived from the Greek word "plastikos," meaning "to mold or give form," plastic surgery has the goal of restoring function and form to the body. Reconstructive surgery is performed on abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors or disease.
Aesthetic (cosmetic) surgery is performed to reshape normal structures of the body in order to improve the patient's appearance and self-esteem. When you need to find a doctor for yourself or your family, our FREE Direct Doctors Plus physician referral service can help.
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Lakewood Ranch Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc. Note:The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. The information, content and artwork provided by this website is intended for non-commercial use by the reader. Lakewood Ranch Medical Center offers a wide range of high quality services to residents of the Lakewood Ranch community and surrounding area. Whether you are getting ready for a procedure at Lakewood Ranch Medical Center or planning to visit a patient, get the information you'll need to make your trip more pleasant.
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Reoccuring jowls and neck laxity after a face  neck lift likely will need some type of revision.  Liposuction could handle some of these issues, if these issues are related to excessive fatty tissue. Previous liposuction procedures have either did not achieved the desired outcome, the surgeon was overly aggressive with areas of indentations or skin contour irregularities or a complication occurred, all of which have produced a less than optimal result. The chances of these non-invasive procedures being successful are best the closer they are performed to the time of the initial liposuction procedure. Some areas require volume replacement and other areas need additional removal of excess fat.
This procedure is followed by combining your own fat cells together with your stem and regenerative cells to improve fat grafting survival rates by an additional 10-15%.
A small amount of blood is taken from your arm (only about four teaspoons or 20 cc), directly harvested into special patented test tubes, which separate the platelets and growth factors manufactured by your body. A recent teaching surgical workshop was in October 2012 with continuing medical education (CME) credits through Touro University Nevada. Troell was a Clinical Professor at Stanford University Medical Center in Palo Alto, California from 1995 to 2001 and is currently Adjunct Professor of Otolaryngology of Touro University Nevada, College of Osteopathic Medicine. He continues to do research in the fields of both non-invasive and invasive body contouring, fat and stem cell transfer and facial plastic surgery topics. He produced the physician teaching video on the application of the Body-Jet liposuction and fat collection devices. Troell prepared two presentations comparing liposuction techniques and fat grafting techniques in terms of outcome, limitations and benefits as well as complications. Robert J Troell is considered an expert by his peers, the medical device manufacturers and his patients.
Troell and his staff are happy to discuss Reconstructive Plastic Surgery procedures with you and answer your questions.

It is generally performed to improve function, but may also be done to approximate a normal appearance.
Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice.
The best two techniques to undermine a scarred area are with either laser energy or ultrasound energy. This fluid can either be injected into the area of fat transfer in advance of the procedure (6-8 weeks) or combined together with the harvested fat cells to improve fat survival with rates varying from 10-20%.
His practice uses a multitude of liposuction, fat harvesting and non-invasive body contouring technologies.
Remember: There is no adequate substitution for a personal consultation with your physician.
Typically what I do is to assess the neck for how much fat the neck has, how much laxity there is in the neck muscle (platysma), how the skin is, etc.  The most important thing I ask patients to do is to show their lower teeth to assess the platysma. This often can resolve some extra swelling.  If this continues there are other measures that can be taken to help the situation, ie steroid injections, more liposuction, removal of the suture, etc. What this allows me to do is assess how lax the platysma is and if the laxity and double chin situations is due to the platysma being lax and is coming away from the deep neck structures. Troell will identify the exact anatomical changes that the patient is striving to achieve and determine with current technology if that is a reasonable expectation.
He will educate you on the possibility of reaching this aesthetic goaI and the techniques that will be required. He prefers ultrasound or VASER (Vibration Amplification of Sound Energy at Resonance) to undermine the scarred areas and may sometimes utilize a new method known as VASERsmooth. On the other hand if you your skin elasticity is good with not much excess, liposuction may be the answer. Lipoabdominoplasty is the combination of liposuction with a tummy tuck in the same operation. Acquiring your previous description of the surgery or “operative report”, may provide valuable information.
Usually the liposuction is performed towards the sides of the belly and not very aggressively if at all in the midline region.

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