360 Liposculpture in Poway, CA

Information

Liposculpture is the most effective treatment available today to get rid of stubborn fat pockets in your abdomen, flanks, back, arms, and thighs. Please be aware that liposuction shapes and sculpts your body shape but is not meant to replace a healthy lifestyle which can cause weight loss and healthy body weight maintenance.

The following characterizes an ideal candidate for liposculpture:

Good health without medical conditions that could impede healing
Non-smoker
Within 25% of ideal weight, with good muscle tone and firm, elastic skin Realistic expectations
Very little loose or sagging skin
Not in need of excessive weight loss; has completed a weight loss program prior to seeking liposculpture.

Pre-Procedure

Your pre-procedure consultation allows Dr. Cutler to assess your medical health and your liposculpture goals. During your consultation Dr. Cutler and his nurse will take photographs of your problem areas, describe what you can expect from liposculpture, discuss other options to meet your goal, learn more details of the liposculpture procedure experience, and establish your procedure fee. Consider writing your questions down prior to your visit so you don’t forget them. Prior to completing your visit you may be ready to proceed with informed consent, lab and medication orders, and payment.

Preparation

First and foremost, you want to ensure you meticulously follow any instructions given to you by Cutler and his staff. This will reduce any potential risks for side effects. For example, you’ll be asked to stop taking certain medications, such as those that will prolong bleeding, about 10 days prior to the procedure. These will be discussed in detail at your pre-procedure visit.

Below are some further ways to prepare for liposculpture:

If you smoke, stop smoking two weeks before and for one month after. Nicotine dramatically decreases the vital oxygen-rich blood supply needed for healing. You will not be allowed to have fat transfer if you smoke.
Prepare your home with a comfortable sleeping area, a fridge stocked with foods that are easy to prepare and easy on your stomach, and pain medications within reach of your recovery area.
Wear loose-fitting clothes to your procedure
Prepare for transportation to and from your procedure, and for someone to stay with you for your first post-procedure night.

Procedure methods

Dr. Cutler will perform liposculpture using oral sedation and local tumescent anesthesia.The sedation will be mild, and you can expect to be resting comfortably while awake during the procedure. The tumescent technique for anesthesia is performed by infusing the mixture of lidocaine, epinephrine, and bicarbonate in saline solution through very few small (2 mm) skin openings to the treatment sites. The amount of fat that is removed widely varies from patient to patient and is based on your individual goals and body shape.

Post-Operative Care

You can expect to go home after your procedure wearing a compression garment and carrying all the supplies needed. Expect to have bruising, swelling, and soreness for at least a few weeks afterwards.

Be aware of the following post-procedure care items:

Expect to wear a compression garment on the treated area for 8-12 weeks. This will be vital for fluid drainage, proper healing, and pain control. Realize that your skin will need to adhere back to your body shape desired without fluid pockets forming where fat was removed. Please be faithful in wearing these garments.
Most patients can return to work within a week. However, allow Dr. Cutler to advise you on your recovery timeline. Full recovery and a return to exercise or strenuous activity may take additional time.
Plan for lymphatic massage of our treatment areas at least twice a week for the first four weeks. This can be done by an experienced massage therapist. Also, you should learn the simple technique of lymphatic massage to do on yourself daily in the treatment areas you can reach. Do this at least once daily using a dry brush. It is a light touch sweeping motion towards the deep body lymphatic return centers, as demonstrated here: https://youtu.be/1YnVb9Ie-r0.
This will heal you faster and help resolve swelling. It can also help you to regain sensation faster if you’ve temporarily lost sensation in treatment areas.
You must wait until you are off opioid pain reliever medication to drive; this is typically 3-5 days post-surgery.

What to Expect

Pre-op

Assess your treatment goal and set realistic expectations
Review any significant answers to your Questionnaire
View before & after photos of a corresponding liposculpture patient
Discuss weight loss strategies (if needed)
Dr. Cutler completes your Physician H&P, maps out your Body Chart, does Pre-op
photography, orders your compression garments, and sets price quote (according to
pricing sheet)
Review and sign the Consent; read the Pre- & post-op Info
Dr. Cutler orders your pre-op lab work to be done 2 weeks prior to procedure
Get your prescriptions for your pre-op medications (with instructions)
RN reviews what to expect on your procedure day, post-op healing (first 2 weeks),
compression suit mechanics, drainage + massage + pads + tape + chux, showering +
diet, pain meds, and questions re consent, post-op info, follow up appointments, etc.

1 week before

lipo markings w/photography, PROCEDURE, recovery, transport home

Wait until you arrive at the office to take your Procedure Day medications
Dress in spa underwear/socks/robe; RN to check your weight, BP, and pulse; collect your personal belongings go into your labeled bag; demonstrate post-op supplies (compression garment, chux pads, maxi pads, tape)
Dr. Cutler performs your lipo markings w/photography
Proceed to the Liposculpture PROCEDURE room
Recovery room, then call your driver

Day After

follow-up appointment to remove your compression garment for the first time, check drainage & pain level, take after photos

2 WEEK follow-up

follow-up appointment to assess healing and do photography

8-12 WEEK follow-up

to do photography and discuss next stage if needed

Before & After Gallery

PATIENT REVIEWS

patient reviews

See what our guest are saying

Katherine

The environment is very nice as soon you enter to the spa and Audra at the front desk will give you a warm welcoming. Dr. Cutler is very professional and he answered everything that I was asking about the procedure. Also I had the classic eyelash extensions with Julia and I received a lot of compliments at my sister's wedding. I will be returning for sure :)

Natalie

Hi. Everyone. Just I want to share my woundelful experience with SDIM specially my Dr Cutler his very nice and good listeners and also I had Xeomin without pain and bruising he did great job

Christine B.

Dr. Cutler was great. I had several fillers done and it was the best experience I have ever had. I have been getting fillers for over 10 years and no one ever took the time to really look at my face and address my issues. So pleased with my results. I plan on using him again in the future.

Charlene R.

A hidden gem Julia is phenomenal! I always love seeing Julia every 3 weeks for my ritual nap and awaken to beautiful luscious lashes! She's quick and precise and always pleasant. I've been here since she opened and always look forward to her services. I highly recommend the 4d Russian volume lash! Book early her schedule is always booked!

Dan W.

I had a wonderful experience at SDIM. Tried them because I had a groupon for some lashes. I felt they did a wonderful job with my lashes and decided to try them for some fillers and botox. I ended up even happier with the results of my botox and fillers. Dr. Culter uses Xiomen instead of the typical botox. He told me that Xiomen would last longer than the usual botox. So far, he has been correct.

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360 Liposculpture

360 Liposculpture

360 Liposculpture

360 Liposculpture