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- Excerpt from New Idea Magazine 11/1/97 Written by Dr Daniel Lanzer
INTRODUCING
DR DANIEL LANZER OUR NEW COSMETIC SURGEON COLUMNIST
It was once the domain of movie stars or the wealthy, but today many forms
of cosmetic surgery are within reach of a much larger cross-section of
the community.
And with the latest advances in surgical techniques, including the use
of special lasers, this type of surgery has become a lot safer and has
generated interest among women and men of all ages.
In response to the incredible growth and public interest in this field,
New Idea is launching this exciting new Body Works column with Doctor
Daniel Lanzer, a qualified specialist dermatologist with a long-standing
interest in cosmetic surgery.
He is one of the founding Fellows of the Australian Division of the International
Society of Cosmetic Laser Surgeons and keeps pace with the ever-changing
world of cosmetic laser surgery by attending various international seminars
and lectures throughout the year.
Each week he will be discussing the latest cosmetic laser surgery techniques
and providing plenty of advice to anyone who has any questions about cosmetic
surgery.
The cosmetic surgery techniques that particularly interest Dr Lanzer include:
tumescent liposuction, which is seen as one of the safest forms of fat
removal; laser resurfacing of the skin, particularly the face; and laser
eyelift surgery. The great benefit of these revolutionary forms of surgery
is that they are virtually pain-free.
Dr Lanzer writes in his capacity as spokesperson for the International
Society of Cosmetic Laser Surgeons.
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BODY
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- Excerpt from New Idea Magazine 11/1/97
Written by Dr Daniel Lanzer
SMOOTH
OUT THOSE WRINKLES!
At the time when laser surgery was just commencing in Australia Ray Martin
asked me on The Midday Show when was the right stage in the ageing process
for laser surgery, as opposed to facelift scalpel surgery. This is an
important question and one crucial to the understanding of what type of
surgery is needed by a person who is considering cosmetic rejuvenation.
With ageing and sun damage to the skin, there are two distinct phases.
Initially, the skin develops blotchy pigmentation, loss of elasticity,
fine wrinkling and, eventually, deeper furrows.
The second state occurs when the skin and muscle of the face actually
start to fall and hang from the bone structures. It is the first phase
that responds to laser ultrapulse skin resurfacing. And it is the second
phase that requires facelift scalpel surgery.
I have seen many patients over the years who are unhappy following their
facelift surgery because they had not fully considered whether they were
after a tighter, smoother skin for resurfacing, or a correction of sagging.
Laser resurfacing is particularly helpful for the wrinkles around the
mouth and around the eyes see the before and after pictures above
and right for an idea of what this technique can do. The procedure is
usually performed under a general anaesthetic and healing occurs in 7-10
days. At that point the skin is usually pink, but this can be covered
with makeup and the patient can carry on as normal.
Full face laser resurfacing costs $3000; regional laser resurfacing costs
$1500
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- Excerpt from New Idea Magazine 1/2/97 Written by Dr Daniel Lanzer
LASER SURGERY WITH EYE-OPENING RESULTS
One of the most satisfying operations in cosmetic surgery is the removal
of bags under the eyes.
Some patients develop fatty deposits which occur either as part of a genetic
tendency or simply with ageing.
The bags tend to give a tired appearance to the eyes and face, which is
caused mainly by the shadow they cast to the area below them.
The CO2 Laser has dramatically changed the way we can correct these puffy
bags of fat.
Rather than cut the layer of skin on the outside and suture the skin together,
our procedure sees the removal of all the fat from the inside of the lower
eyelid without any visible cuts or scars.
Using the laser in this procedure has the added advantage of sealing the
blood vessels while it cuts.
To the patient, this procedure means, less bruising, swelling and no bleeding.
Patients can often be back at work within a couple of days, and I have
performed this procedure on a number of patients who have actually kept
it a secret from their spouses!
This procedure is helpful for both men and women of all age groups.
Lower eyelid surgery costs $2300
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BODY
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- Excerpt from New Idea Magazine 18/1/97
Written by Dr Daniel Lanzer
LIPOSUCTION HELPS REGAIN YOUR WAISTLINE
Liposuction has been with us for quite a few years, and now there is a
new liposuction technique, tumescent liposuction, which has been tried
on more than 15,000 patients in the United States.
This new technique, developed by dermatologists, is safer and more effective
(see before and after shots). Basically, this procedure involves filling
up the fat with a very dilute local anaesthetic liquid, before sucking
up fat through a small nick in the skin.
The liquid numbs the fat, which means that there is less or no pain after
the operation.
The liquid also closes up the little blood vessels so that there is no
bleeding and never a requirement for a blood transfusion or intravenous
fluid.
Also, the liquid is anti-bacterial and this almost totally removes the
risk of infection.
After surgery, there is slight tenderness of the treated area but patients
can usually return to work a few days after the procedure.
The approximate cost of liposuction is $3000. An extra $700 will be charged
for other individual regions.
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- Excerpt from New Idea Magazine 25/1/97 Written by Dr Daniel Lanzer
MOVE THAT BUTT! DOWNSIZE YOUR SEAT WITH LIPOSUCTION
Probably the most common areas on which liposuction is performed are the
inner thighs and buttocks. It is in these areas that patients sometimes
find it hard to determine exactly where they need fat removed. One interesting
test I suggest to patients is to contract or tighten up their buttocks
and have a look at the fat on the outer thighs. If the fat disappears
into the bottom, then it is a sign the patient could have the fat removed
from the outer bottom as well as the outer thighs.
The tumescent liposuction technique includes infiltrating into the skin
an extremely dilute local anaesthetic solution. This liquid numbs and
softens the fact and allows it to be sucked out using very fine, long
needle-like tubes that are attached to a suction machine. Using this technique,
large amounts of fat can be removed in one operation. This procedure can
be performed while the patient is awake or under a general anaesthetic.
Some patients actually prefer just to have light sedation.
We recommend that patients wear a girdle for the following two weeks,
which helps the fat and skin retract inwards.
Liposuction for the bottom costs $3000 plus $700 for each additional area.
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- Excerpt from New Idea Magazine 8/3/97 Written by Dr Daniel Lanzer
MEN & COSMETIC SURGERY
Over the past 10 years, an increasing number of men are choosing to undergo
various cosmetic surgery procedures. In the U.S., about one-third of cosmetic
surgery is performed on males. Although in Australia cosmetic surgery
is still mostly performed on females, similar trends are being seen here.
Males are taking advantage of the newer, safer techniques of liposuction.
As opposed to women, where the most common areas of concern are the outer
thighs and buttocks, in males most liposuction is performed on the abdomen
or outer flanks. Another common area for liposuction is the breasts. The
occurrence of large breasts in males is called pseudo gynecomastia and
is a collection of fat under the breast tissue.
Liposuction is performed through a small nick in the skin and the fat
is initially filled up with an extremely diluted local anaesthetic solution.
The solution numbs and softens the fat, which is then sucked out through
a small tube attached to a vacuum pump. Usually, many areas can be treated
on one occasion and patients are back to work within the week.
With the tumescent technique, there is far less bruising and a girdle
or compression garment is generally worn for two weeks following surgery.
Hair transplants have been performed for many years and the newer techniques
involving small slit-like incisions as opposed to the rounder punch-grafts
have become popular. The result is a more natural appearance following
the transplant.
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