Member of Japan Society of Aesthetic Surgery Condensed Rich Fat (CRF) Therapy Certified Physician VASER Lipo Certified Physician VASER 4D Sculpt Certified Physician
Medical institution with Dr. Hiroshi Nagano
Dr. Hiroshi Nagano, the director of "Mods Clinic", a clinic specializing in liposuction and injection. Based on the belief that "only surgery to clean up" is performed, we handle more than 7,500 cases of liposuction (2012-2019) and more than 2,600 cases of liposuction. Qualified as a certified physician for CRF therapy, VASER Lipo, and VASER 4D Sculpt. There are various places of activity such as seminar lecturers for doctors, presentations at overseas conferences, and publication of the book "Liposuction Revolution".
Baiser liposuction is a procedure that uses a machine called Baiser Liposuction, which is dedicated to Baiser liposuction, to loosen the bonds between cells by vibrating the fat, and to suck out and remove the fat with a cannula (tube) without a blade. The way.
Conventional liposuction has risks and disadvantages such as "strong pain appears after surgery" and "skin sagging may occur". In that respect, Baiser Liposuction has less downtime and avoids the risk of sagging skin. So to speak, it is a method that eliminates the disadvantages of conventional liposuction .
However, having surgery at a medical institution that offers Baiser liposuction will not necessarily reduce downtime and give you a clean finish. In order to prevent failure, it is important to understand in advance the mechanism of reducing fat, the reason why it is said to be less burdensome to the body, the progress guideline after surgery, etc., and to know how to choose a medical institution .
Table of contents
"Baiser Liposuction" uses the energy generated by the vibration of ultrasonic waves called VASER waves to soften and remove only the fat without damaging the tissues around the fat . This has made it possible to reduce the burden on the body.
There are two main types of fat, "visceral fat" and "subcutaneous fat". The former is the fat that sticks mainly around the abdominal organs, and the latter is the fat that sticks between the skin and muscles. Visceral fat mainly has the role of supporting the internal organs in the correct position, and subcutaneous fat mainly has the role of softening the cold and external impact.
Baiser liposuction involves inserting a tube called a cannula under the skin to suck fat, but only subcutaneous fat can be sucked .
There are various types of Baiser liposuction methods such as "Baiser Lipo" and "Baiser 4D engraving". The mainstream (generally imagined liposuction) is "Baiser Lipo", and "Baiser 4D engraving" is positioned as a treatment method that applies technology.
Baiser lipo refers to a liposuction device that uses ultrasonic waves called VASER waves . It is a device installed in many medical institutions and has been approved by the FDA (Food and Drug Administration) [* 1].
Since fat that cells are tightly bound to each other cannot be easily sucked out and removed, in conventional general liposuction, the fat is sucked while being scraped off with a tube (cannula) with a blade. The method of removal was the mainstream. However, conventional methods also damage fibrous tissue other than fat, resulting in increased bleeding during surgery. As a result, it puts a strain on the body and tends to increase pain and internal bleeding after surgery .
Baiser lipo, on the other hand, loosens and softens the bonds between fat cells by the vibration energy of the device. Furthermore, since it acts only on the irradiated fat, it is less likely to damage tissues such as blood vessels and nerves around the fat. As a result, it has become possible to gently remove it with a bladeless cannula , which was not possible with conventional methods.
According to the announcement of clinical research conducted in the United States, a group of 27 people who receive conventional general liposuction (SAL) and a group of 30 people who receive liposuction (VAL) using Baiser wave, respectively. Comparing the average amount of hemoglobin (pigment contained in blood) contained in the liposuctioned material collected from the group, the former was 2.23 g / ㎗ and the latter was 0.3 g / ㎗ [* 2]. It was shown that liposuction by Baiser is also effective in controlling bleeding.
You can see that the burden on the body is less than that of conventional liposuction.
The basic surgical procedure is to inject an anesthetic solution to relieve pain and bleeding at the surgical site, then insert a dedicated tube that generates Baiser waves into the fat layer, and loosen the bonds between fat cells with Baiser waves. However, the procedure is to suck fat cells with a cannula.
An anesthetic solution called "Tumecent", which has the effect of preventing pain and bleeding, is injected into the fat layer of the desired surgical site. Tumecent is a mixture of saline, a hemostatic agent, and an anesthetic called lidocaine, which relieves pain, and acts as a local anesthetic to control bleeding .
It also has the effect of temporarily swelling fat, which has the advantage of making it easier to see the fat layer during surgery. However, it can cause swelling and swelling after surgery, so it is important to squeeze out the remaining tumescent in the affected area immediately after surgery.
A cannula is a tube used to suck and remove fat cells . The fat cells softened by the action of the baiser wave are sucked out with a cannula and removed.
The cannula used in Baiser Liposuction has a blunt tip and no blade. Therefore, it has the characteristic that it does not easily damage the fiber structure.
After surgery, the general procedure is taping to compress and fix the affected area and wearing a supporter.
Baiser liposuction can suck fat while maintaining its structure without damaging the surrounding fibrous tissue, so the force that causes the fibrous tissue to contract after removing the fat works. This action causes the skin to contract cleanly without tearing the fibrous tissue .
According to a clinical study in the United States, the skin of a patient who had conventional liposuction on one side of the body and liposuction using Baiser waves on the other side was analyzed, and the latter was compared to the former. It is said that the effect of skin contraction was 53% significant (high) [* 3].
"Baiser 4D Sculpture (Baiser 4D Sculpt)" is a higher-grade liposuction procedure that expresses physical beauty.
By designing the muscles to be shaded when sucking fat, it emphasizes the six packs of the abdominal muscles, the bulge of the pectoralis major muscles, and the lines of the upper arms. It is selected by men who are worried that their abdominal muscles do not come out even after doing muscle training, and men who aim for a strong upper body.
Baiser liposuction can be performed on areas where subcutaneous fat is present, such as the abdomen and thighs, in addition to the face such as the cheeks and chin.
The ideal face line and body line are different for each person, but at the time of surgery, we will consider the original body shape and texture such as skin elasticity and elasticity, and design so that the fat that should be left is left and the balance is not lost . I will.
Removing a large amount of fat puts a heavy burden on the body, so the maximum amount of fat that can be safely removed in a single operation should be about 10% of your body weight .
In addition, the way fat is attached to the face and body is different, and it is naturally the latter that the amount of fat is large in the chin and thighs. Therefore, the amount of fat that can be removed by one operation varies from 30cc to 90cc for cheeks and chin, and 1,000cc to 3,000cc for fat-rich areas such as thighs and abdomen .
If you want to remove a lot of fat or because there are multiple parts that you want to have surgery on, and the amount of fat that can be removed at one time exceeds the standard, wait 2 to 4 weeks before surgery. It is common to receive it in multiple times.
Symptoms such as swelling and internal bleeding appear after undergoing cosmetology. The time it takes for these symptoms to subside and return to their original state is called "downtime."
Although there are individual differences in the downtime of Baiser liposuction, it takes about one week for pain such as muscle pain, and one to two weeks for internal bleeding and swelling . From about 3 weeks after the operation, contractures that make the skin hard and bumpy appear and settle in about 3 to 6 months.
While conventional liposuction may cause pain that makes you unable to walk after surgery and may require hospitalization, Baiser liposuction does not require hospitalization. Since the surgery can be performed with less strain on the body, it is possible to return to work or housework the day after the surgery or 3 days after the surgery.
Scars after surgery will settle over time, but the location of the scar will vary depending on the medical institution . Also, the thicker the cannula used, the more noticeable the scars will be.
If you are worried about scars, it is a good idea to check the homepage of each medical institution or contact information in advance about the position to make a scar on the desired surgical site and the fineness of the cannula you are handling.
For example, even if it is a medical institution that considers making scratches in an inconspicuous position such as a part that overlaps with wrinkles on the skin or a part that is hidden by underwear, or uses a thinner type cannula than a general cannula of about 5 mm. For example, you can expect a beautiful finish with less noticeable scars .
After surgery, you will be instructed to visit the hospital regularly to check your progress. If the schedule does not match and it is difficult to go to the hospital or have a thread removed, please consult your doctor in charge of surgery.
In addition, the timing of hospital visits and thread removal varies depending on the medical institution. There are individual differences in the actual course depending on the scope of surgery and the number of surgical sites, but the guideline is as follows.
|On the day of surgery||In most cases, you will not feel any pain due to anesthesia on the day of surgery, but please refrain from work or housework and stay calm.|
|Next day to 3 days later||・ Peak of pain such as muscle pain ・ Swelling, swelling, and internal bleeding may be noticeable ・ If the pain is mild, it is possible to return to work or housework ・ Remove the compression fixation of the surgical site at a medical institution|
|5 days to 1 week later||・ Pull out the sutured part at a medical institution ・ A guideline for pain relief|
|1 to 2 weeks later||・ A guideline for swelling, swelling, and internal bleeding to begin to subside. ・ You can feel the effect of fat reduction by relieving swelling and swelling.|
|3-4 weeks later||Contracture that causes the skin to become temporarily stiff|
|3 to 6 months||・ The contracture has subsided and the scars are almost inconspicuous. ・ The surgical site is calm and finished.|
Temporary hardening or unevenness of the skin at the surgical site after a while after liposuction is called "contracture". Contracture is a normal reaction of the body caused by the entanglement of collagen fibers in the skin to repair the areas where fat is removed and become spaces.
Removing a large amount of fat in a single operation tends to cause contracture. Basically, it improves with the passage of time, but there are many people who feel uneasy because the appearance is bumpy. In such a case, you can expect alleviation of symptoms by massaging and loosening, or by stretching the skin by gently pulling it.
In addition, for contracture, the following high-frequency treatments such as "Indiva" and "Endermology" are said to be effective in alleviating symptoms, and many people receive them as aftercare.
By warming the treatment site with high frequency, it can be expected to have the effect of reducing internal bleeding, swelling, swelling, pain, skin stiffness and unevenness.
A treatment method that uses a roller to loosen fat, which can be expected to have the effect of softening hardened fat.
Cosmetological treatments that can be expected to reduce subcutaneous fat include "cutting" the skin, such as Baiser liposuction, and "non-cutting" using machines and drugs.
Basically, the uncut treatment does not remove fat directly, but aims to reduce it by damaging fat cells and promoting metabolism by the action of the components contained in the drug and the energy emitted from the machine. Downtime tends to be shorter than cutting, but it may require multiple treatments to achieve sufficient slimming effects .
On the other hand, Baiser Liposuction has a quick effect because the fat cells themselves can be sucked and removed directly by the cannula , and you can feel the slimming effect with one treatment . Therefore, if you do not feel a satisfactory effect with a non-cutting treatment, or if you want to feel the slimming effect with a single treatment, Baiser Liposuction is suitable.
Adipocytes have the property of storing excess triglyceride ingested in the diet and enlarging it, and when the body lacks the energy required for physiological functions, the adipocytes release the triglyceride and consume it as energy. .. Therefore, by dieting such as exercise and dietary restrictions, the stored triglyceride is released and fat cells can be expected to shrink.
However, exercise and dietary restrictions aim to reduce the size of fat by storing neutral fat and reducing the size of enlarged fat cells. Since the number of fat cells itself does not decrease, even if the fat cells become smaller once, the amount of exercise decreases, and if the amount of food eaten increases, neutral fat may be stored again and become larger . This is the so-called "rebound".
In that respect, Baiser Liposuction can remove the fat itself and reduce the number of cells, so it can be said that the liposuctioned part is less likely to rebound than a diet .
Also, in a general diet, fat cells throughout the body become smaller. It was difficult to reduce only the fat such as the chin and thighs while maintaining the fat you want to keep, such as the chest and hips, but with Baiser Liposuction, you can thin only the areas you care about while leaving the fat on the chest and hips. you can.
Traditional liposuction with a bladed cannula is prone to post-surgery pain and swelling and long downtime due to the risk of bleeding and the likelihood of fibrous tissue damage. ..
As shown in the previous clinical study announcement, Baiser liposuction can reduce the burden on the body, resulting in lighter and shorter downtime than conventional liposuction .
The fat collected from your abdomen and thighs by Liposuction can also be used for breast augmentation by CRF (fat injection) . CRF is an abbreviation of "condensed rich fat" and is a processed fat collected from itself.
Specifically, the collected fat is centrifuged without exposing it to the outside air, and strong pressure is applied. By doing so, impurities such as dead cells, senescent cells, and cell membranes contained in fat are removed, and the concentration of stem cells is increased. This good fat is CRF.
If you have subcutaneous fat that you want to reduce and you want to bust up at the same time , you can also have a treatment that combines Baiser liposuction and CRF .
As a guide , pain for about 1 week after surgery , swelling, swelling, and internal bleeding for about 2 weeks, and "contracture" that makes the skin hard after 3 weeks after surgery appear.
In addition, if surgery is performed under a doctor who does not have sufficient skills and knowledge regarding Baiser liposuction, burns (not accustomed to handling the cannula) and sagging / uneven skin at the surgical site will occur (excessive fat removal). There is a risk such as uneven removal) .
Meals on the day of surgery must be completed at least 6 hours before surgery. You do not need to be hospitalized, but it is recommended that you refrain from driving on the day of surgery, so please use walking or transportation such as trains, buses, and taxis when visiting medical institutions.
The timing of bathing differs depending on the medical institution, but if you wear fixed clothes firmly after bathing for a short time, you may be able to take a shower from the day of bathing.
Also, if you have surgery on your face such as your chin or cheeks, you can make up, wash your face and wash your hair from the next day, but be careful not to give any irritation such as rubbing the affected area strongly.
People with severe diabetes or those with kidney or heart problems may not be able to undergo surgery. Check with your doctor to see if it's okay to have Baiser liposuction.
In addition, the anesthesia used during surgery can affect the mother's body, so those who may become pregnant or are pregnant cannot undergo surgery. For other surgical indications, it is necessary to receive medical examination and counseling from a doctor at a medical institution to confirm.
We use anesthesia and perform surgical procedures to cut the skin, but even minors can receive it with the consent of their parents (parental guardians) .
There are several types of liposuction equipment other than Baiser liposuction.
Although different from the Baiser wave, there are "Lipomatic" and "Ultra-Z" liposuction machines that use ultrasonic waves that act on fat cells.
In addition, "Elcornia Laser" and "Smartlipo" that irradiate and suck a laser that softens fat, and separate and suck fat by the power of jet water flow. There are "Body jet" that sucks fat and "Aquicell" that sucks fat by using high periodic vibration which is a minute vibration.
If the number of cases of liposuction is small and surgery is performed under a doctor who does not have sufficient knowledge and skills, the waist may differ from side to side and the skin may become uneven. The following liposuction failures in the past can be expected to be improved by revision surgery.
For left-right differences, unnatural lines, and leftover fat, we will adjust the balance by performing liposuction again or injecting fat collected from another site.
(1) Medical examination and counseling
Make an appointment in advance, fill out the questionnaire at the medical institution, and then receive a diagnosis about the indications for surgery through medical examination and counseling by a doctor. In addition, you will receive explanations such as surgical methods, surgical scope suggestions, and precautions according to the desired finish and the concerns you want to improve.
(2) Reservation of surgery day / blood test
In most cases, the actual schedule for surgery will be the day after counseling. In addition, a blood test may be done to check your health.
(3) Design confirmation / anesthesia
On the day of surgery, after changing into a surgical gown, mark the finished design with a marker to check it. After confirming the design, anesthesia will be performed in the operating room.
(4) Surgery / squeezing out tumescent
I will suck in fat. When the surgery is complete, the nurse will squeeze out the tubecent. Suture will be done on the same day or the next day depending on the policy of each medical institution.
(5) Prescription of compression fixation / analgesic
Taping compression fixation and supporters are worn to stabilize the surgical site. After that, you can go home on the day after receiving explanations such as how to spend downtime and precautions after surgery and prescription of painkillers.
The fee for Baiser liposuction varies depending on the medical institution and the site, but the guideline is as follows.
|Cheeks, chin||250,000-500,000 yen|
|Upper arm||250,000 to 550,000 yen|
|Back, waist||350,000-700,000 yen|
|stomach||400,000 yen to 900,000 yen|
|Thighs (inside + outside)||600,000-1.1 million yen|
In addition, Baiser 4D engraving varies depending on the desired finish and the amount of fat you want to remove, but in most cases it costs more than 1 million yen, and in high cases it can cost as much as 2.5 million yen.
As shown in the clinical research announcement mentioned earlier, Baiser liposuction is a method that reduces the burden on the body compared to conventional liposuction. However, if you use Baiser Lipo, the downtime will always be short and it will not always be beautiful.
The result of the finish depends on the skill and experience of the doctor in charge of surgery . Since each person's body shape and how fat is attached to each part is different, it is important to select a doctor in order to aim for a finish that does not cause unnaturalness when fat is removed.
Be sure to choose a doctor who is familiar with the characteristics of Baiser Lipo and has a proven track record in liposuction surgery .
When selecting a doctor, look at the homepages of multiple medical institutions and check the number of case photos posted on the blogs and SNS of the doctors you are enrolled in, as well as various cases (type of surgical site, body shape, etc.). It is a good idea to check and compare whether you are in charge.
Professor Hiroshi Nagano, who supervised the article, taught me about Baiser Liposuction.
In Baiser liposuction surgery, a cannula with a diameter of about 5 mm is generally used, but at Mods Clinic, a 3 mm extra-fine cannula (custom order) is used . The purpose is to reduce tissue damage with an extra-fine cannula and reduce postoperative pain and internal bleeding .
Of course, the thinner the cannula, the more difficult it is to handle, so the surgeon needs a high level of skill. In addition, the thinner the cannula, the smaller the size of the scar.
In most clinics, nurses work to squeeze out the anesthetic fluid that collects in the affected area after surgery. The purpose is to release the anesthetic solution that causes swelling and pain after surgery as soon as possible.
At Mods Clinic, this procedure is performed twice, once immediately after surgery and once after the patient wakes up. Although it is an effective way to reduce downtime, most medical institutions do not provide it because they need to have human resources and rooms to handle the procedure.
Next day suture is a method of sewing the wound the next day without sewing it on the day of surgery. By leaving the wound open for one day, the accumulated anesthetic solution is released to the limit and swelling and swelling are reduced .
On the night of the surgery, the anesthetic solution comes out while you sleep, so the next day, there is little swelling or swelling, and many people feel refreshed.
Medical institution with Dr. Hiroshi Nagano
|Baiser Lipo is an unapproved device from the Ministry of Health, Labor and Welfare.|
| Medical device acquisition route: The acquisition route is personal import by the doctor of each medical institution.|
Drugs to be aware of when importing personally (Ministry of Health, Labor and Welfare page)
|Approval in Japan: No medical device has the same performance and function as Baiser Lipo and has been approved in Japan.|
|Information on safety in other countries: FDA-approved medical devices. The main risks and side effects that can occur with the procedure include transient pain, swelling, swelling, contractures, and scars.|