32 March 2016 March 2016 33 Expert guide: Aesthetics & Cosmetology 2016 smoothing skin. Similar in safety profile to Ze-rona, both treatments can be applied to virtu-ally any skin type and patients with any medical conditions since they are safe and nonsurgical. Between 3-8 treatment sessions of 30-minutes each spaced 3-6 weeks apart are recommended for optimal results, at a cost of a few hundred dollars per session. Traditional liposuction is a surgical procedure using long skinny tubes (cannulas) that are in-serted through small incisions placed near the target area of fat reduction. Through this ap-proach, fat is removed by application of vacu-um. In traditional liposuction, there is target-ed fat reduction, however approximately 50% blood and 50% fat is removed which markedly limits how much fat can be removed (about 1 litre) in one session. It is a surgical procedure and carries downside risks associated with sur-gery, a discussion to be carefully weighed with your plastic surgeon.Wet, Superwet and Tumescent Liposuction are advances in the technique of liposuction where-in fluid containing lidocaine (to reduce pain and decrease the need for anaesthesia) and epineph-rine (to reduce bleeding) are injected into the target fat prior to application of vacuum for suc-tion. The refinement has dramatically increased the percentage of fat removed to 99% and blood removal to just 1%. Added risks associated with these medications need to be considered.ciety, there has been a rise in the demand for plastic surgery procedures, both invasive and non-invasive. Due to the extensive and rigor-ous training with lengthy medical education and expense to become a plastic surgeon, along with the expense of properly meeting regula-tion standards, the cost for these procedures is substantial. Unfortunately, the marketplace for plastic surgery procedures has been flooded by the entry of non-plastic surgeons practic-ing procedures outside of their scope of board certification for financial gain. Dentists, fam-ily practice doctors, obstetricians and other doctors and non-doctors have chosen to take a weekend course or watch a demonstration video, even purchase equipment and take train-ing from a device representative to then begin charging at reduced fees to offer these proce-dures. Having treated numerous patients with serious complications suffered at the hands of these unqualified individuals, caution is ad-vised to the reader to seek a plastic surgeon that is Board Certified by the American Board of Plastic Surgery or corresponding International Board. Often, flashy advertising or misleading credentials such as Board Certification by the American Board of Cosmetic Surgery (which is not a Medical Board), confuses patients into a false sense of security. Any agency legally can create a title beginning with the word Board but not be an official Medical Board. Examined the results of the actual surgeon since variation in surgical skill and quality of training exist. Safe-Power Suction Assisted Lipectomy (PSAL) has improved the technology in the cannulas used, allowed smaller cannulas to be inserted through smaller incisions but with a power oscillating function, the cannula is able to break up the fat prior to removal to ease the fat removal pro-cess. More precise and effective liposculpture is achieved. Ultrasound Assisted Lipectomy (UAL) utilises an advanced cannula tip that emits ultrasonic waves that cause the target fat cells to cavitate (implode on themselves). Not only does this ease the removal of fat but it is also particu-larly effective for cases of fibrous fat such as in breasts. Added risks include burns to the skin or other organs from the ultrasound waves.Laser Lipolysis is an adjunctive treatment ap-plied wherein laser light energy is administered in the targeted area with the goal of smoothing the skin in the treatment areas. Studies have in-dicated reduced pain with laser lipolysis. Fees for all types of liposuction vary and are on the order of a few thousand dollars for each area treated.Board Certification matters. Caution is advised to the reader in that these procedures carry risks and have the potential for complications or problems. With the improvements in tech-nology and an increasingly self-conscious so-ty, effective results and ethical plastic surgery is of utmost concern at my practice. Consulta-tions are taken from all over the world, whether in person, by Skype or FaceTime video-confer-ence.Repairs of complications and botched surgery of the face and body are a specialty of Dr. Raja Nal-luri. He has been rigorously trained and has 15 years of experience in plastic surgical procedures. Performing the full breadth of plastic surgery pro-cedures, he is ready willing and able to provide you with his individual attention to help guide you through your transformation. He is certified by the American Board of Plastic Surgery. Recog-nition is a Best Plastic Surgeon has been bestowed upon him by multiple independent agencies in-cluding U.S. News & World Report, Castle Con-nolly, Cosmopolitan Magazine, Sarasota Maga-zine, America’s Top Doctors, the International Association of Plastic Surgeons and other organ-isations. He is a Clinical Assistant Profession for the Florida State University School of Medicine. He is frequently called upon for challenging and otherwise unsolvable cases by multiple hospitals in need of his expertise. Patient from around the world seek Dr. Nalluri’s expertise for the utmost safe and effective result for their needs.USA Laser Lipolysis is an adjunctive treatment applied wherein laser light energy is administered in the targeted area with the goal of smoothing the skin in the treatment areas