Category Archives: Liposuction

Liposuction Types, Safety, Risks, Benefits –

Treatment Overview

Liposuction removes fat from your body using suction. During liposuction, small, thin, blunt-tipped tubes (cannula) are inserted through tiny cuts in the skin. Fat is suctioned out through these tubes as the doctor moves the tubes around under the skin to target specific fat deposits.

In recent years, improved techniques have made liposuction safer, easier, and less painful. These newer techniques include:

Liposuction is usually done as an outpatient procedure in a properly equipped doctor’s office, ambulatory surgery center, or hospital. In general, it does not require an overnight hospital stay unless a large volume of fat is being removed. Local anesthesia is used in some cases. And you may or may not be given a sedative to help you relax. If a large area or volume of fat is being treated, general anesthesia or deep sedation with a local anesthetic may be used.

After the procedure, the area of the body that was treated is firmly wrapped to help reduce swelling, bruising, and pain. Elastic bandages and tape, support hose (such as those used to treat varicose veins), a special girdle, or another type of firm-fitting garment may be used, depending on which part of the body was treated. You may have to wear the compression garment or wrap for 3 to 4 weeks. Expect a lot of bruising and swelling for at least the first 7 to 10 days.

Fluid may drain from the incision sites for several days. You may be given antibiotics to reduce the risk of infection.

Most people are able to get up and move around as soon as the treatment is finished and after the effects of the anesthesia and any sedation have worn off. You can return to your normal activities as soon as you feel comfortable, although this may take several days to a few weeks. Most people can return to work within a few days. Recovery may take longer if large areas were treated.

The main purpose of liposuction is to reshape one or more areas of your body, not to reduce body weight. Liposuction is typically used on “problem” areas that have not responded well to diet and exercise. These areas are often on the outer thighs and hips on women and the waist and back on men. The face, neck, abdomen, back, buttocks, legs, and upper arms are all commonly treated areas.

Liposuction is sometimes used in combination with other cosmetic surgery procedures, such as a “tummy tuck” (abdominoplasty), breast reduction, or face-lift.

Liposuction may also be used to treat certain medical conditions, including:

Liposuction is not used to treat obesity. It will not get rid of cellulite or stretch marks.

Liposuction is usually very effective at removing fat deposits in small areas. But if you regain weight after having liposuction, the fatty bulges that were removed are likely to return or may appear in a different place.

Some improvement in body contour is usually noticeable right after surgery. And improvement may continue for several weeks or even months as the swelling goes away. The full effects of having liposuction may not be visible for several months to a year.

Liposuction (except for laser liposuction) generally does not tighten the skin over the treated area. After fat has been removed, the skin around the area may be somewhat loose. It may take up to 6 months for the skin to tighten around the treated area. Some people’s skin is very elastic and retracts more quickly than other people’s skin. Younger skin tends to have greater elasticity than older skin.

People who expect liposuction to help them lose weight are usually disappointed.

Liposuction done by an experienced doctor in a properly equipped facility is usually safe. Having more than one area treated, or having a very large area treated, may increase the risk of complications during or after the procedure.

Common side effects of liposuction include:

Less common side effects include:

If you gain weight after having liposuction, your body may store the new fat in a different place than where you had fat cells removed. New fat can grow deep inside your body, around your organs, such as your heart or liver. This type of fat can be more harmful to your body than fat that is stored near the surface of your body, such as on your hips or thighs. So people who have liposuction need to be careful not to gain extra weight.

Although death is very rare with liposuction, it can happen. If you are having a large amount of fat removed, are obese, or have health problems, your risks go up. Possible complications include:

Liposuction should not be done in people who have severe heart problems, who have blood-clotting disorders (such as thrombophilia, a disorder in which the blood clots easily or excessively), or during pregnancy.

Liposuction should be done only by a doctor who has special training in liposuction and surgery of the skin and in how to respond to complications during surgery. You will also be at less risk for complications if liposuction is not done at the same time as other cosmetic procedures.

If you are trying to lose weight, liposuction is not a substitute for exercise and a balanced diet. In fact, most cosmetic surgeons agree that the best candidates for liposuction are healthy people who are at or close to a healthy weight but who have stubborn fat deposits that do not respond to exercise.

Complete the special treatment information form (PDF)(What is a PDF document?) to help you understand this treatment.

Stebbins WG, et al. (2012). Liposuction. In LA Goldsmith et al., eds., Fitzpatrick’s Dermatology in General Medicine, 8th ed., vol. 2, pp. 3041-3044. New York: McGraw-Hill Medical. Accessed April 15, 2015.

ByHealthwise StaffPrimary Medical ReviewerAnne C. Poinier, MD – Internal MedicineAdam Husney, MD – Family MedicineSpecialist Medical ReviewerKeith A. Denkler, MD – Plastic Surgery

Current as ofMay 21, 2015

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Liposuction Types, Safety, Risks, Benefits –

Abdomen – –

The abdomen is the most common area of the body to be treated by liposuction among both men and women. Important factors that affect the success of abdominal liposuction include: the amount and location of abdominal fat, history of weight gain and weight loss, history of pregnancy, and the age and the sex of the patient.

A previous pregnancy tends to stretch the abdominal muscles, and cause the lower abdomen to bulge to a certain degree. This curvature of the abdominal wall muscles determines the flatness or the shape of the abdominal silhouette after liposuction. Nevertheless, the vast majority of women who have been pregnant are ultimately very happy with results obtained by liposuction alone, and do not require an abdominoplasty (tummy tuck).

The Pfannenstiel incision is the name for the incision across the lower abdomen that is typically made for Cesarian sections, or a hysterectomy. A common but undesirable consequence of a Pfannenstiel incision is a persistent bulge of subcutaneous fat just above the incision. Liposuction can easily repair this annoying deformity.

Prior obesity and subsequent weight loss produce fat that is more fibrous. This makes liposuction more difficult.

Location of abdominal fat is an important factor in predicting the success of abdominal liposuction. Abdominal fat occurs in two different levels: superficial and deep. Superficial abdominal fat is located just below the skin and above the abdominal muscles. The deep abdominal fat is located inside the abdominal cavity on the intestines. Some people have more deep (intestinal) fat than subcutaneous fat. Subcutaneous fat can be removed by liposuction. Intestinal fat cannot be removed by liposuction because it would be too dangerous. Fat on the intestines can only be diminished by weight loss through diet and exercise. Thus liposuction cannot remove all of the abdominal fat. Most patients have more subcutaneous fat than intestinal fat. Thus, most patients will see a good cosmetic improvement with abdominal liposuction.

This is defined and determined by the degree of a patients happiness with the results. Ultimately the patients opinion of the cosmetic results depends on multiple factors, including 1) the patients expectations, 2) the patients preoperative cosmetic deficiencies, and 3) the surgeons technical skills and technique. The results are never completely predictable.

Age of the patient is not an important factor in the success of liposuction. Some of the happiest patients are women who are more than 60 of age. In a healthy older woman, liposuction can improve an obese abdomen with little risk or discomfort.

Female patients have softer and less fibrous fat than men, and therefore liposuction on a woman is easier to perform.

Upper abdomen skin may appear slightly wrinkled after liposuction. In older patients with decreased skin elasticity of the upper abdomen, there is a tendency for the skin to appear somewhat crp or slightly wrinkled. Interestingly, the lower abdominal skin does not seem to be susceptible to this type of post-liposuction crpiness. The elasticity of Scarpas fascia might prevent crpiness after liposuction of the lower abdomen.

This is usually less of a concern than the fat on the lower abdomen. However, if the upper abdominal fat is either not suctioned or inadequately suctioned, subsequent weight gain will enlarge the upper abdomen and give the appearance of a bulky midriff.

Tumescent liposuction of the abdomen is so effective that few patients require the more dangerous tummy-tuck, also known as an abdominoplasty. Patients who are obese and have a pendulous lower abdomen, often find that tumescent liposuction will give a better cosmetic result than a tummy-tuck.

The traditional tummy-tuck involves several surgical steps. First, the subcutaneous fat is removed by liposuction or excision with a scalpel; next, the surgeon excises a large piece of skin from the lower abdomen just above the pubic area; then, the abdominal muscles are tightened using sutures; and finally, the large wound where the skin was excised is closed with staples or sutures.

The two most important reasons to have a tummy tuck are 1) extensive laxity or spreading of the abdominal rectus muscles as a result of pregnancy, 2) excessive loose skin and excessive stretch marks. Just because a surgeon recommends a tummy-tuck does not mean that a tummy tuck is necessary. Some surgeons are unaware of the excellent results that can be produced by liposuction without resorting to the more dangerous and the more expensive tummy-tuck. Compared to liposuction, tummy tucks are associated with a much higher risk of serious complications, including fatal pulmonary embolism (blood clots in the lung).

If a patient decides that a tummy-tuck is needed, it is usually much safer to separate the traditional tummy-tuck into two separate surgical procedures. Abdominal liposuction should be the done initially. Then, one should wait a couple months and evaluate the cosmetic results of liposuction before deciding to proceed to the skin-excision part of the tummy-tuck. The surprising aspect of using this two-stage approach to abdominoplasty is the high degree of satisfaction that patients find from liposuction alone. In fact, the vast majority of patients are so pleased with the results of liposuction alone that they decide not to pursue the second stage skin resection.

Pain after tumescent liposuction of the abdomen typically does not require any pain medications stronger than acetaminophen (Tylenol). The quality of the pain is similar to the muscle soreness and burning experienced after having worked-out too much. The intensity of the pain is similar to that of a sunburn; it is most intense when the skin of the area is flexed or touched, such as getting in and out of a car, or rolling-over in bed, or when sitting still in a chair. There is minimal discomfort when walking or sitting.

With liposuction totally by local anesthesia, patients do not typically need any pain medication immediately after abdominal liposuction because the tumescent local anesthesia last for up to 18 hours. From 36 to 72 hours after surgery, patients experience the greatest degree of soreness and discomfort, but rarely need anything more than acetaminophen (Tylenol).

When general anesthesia has been used for liposuction, there is often somewhat more pain after liposuction. This is because surgeons who use general anesthesia usually use less tumescent local anesthesia, do liposuction of more body areas during on the same day, use larger cannulas, and usually close the incisions with sutures.

The use of smaller liposuction cannulas (microcannulas) requires a little more time to complete the surgery, but they are associated with less postoperative soreness, and allow smoother results. Because the incisions are smaller, they do not need to be closed by sutures; the open incisions allow more drainage of the blood-tinged tumescent fluid. When incisions are closed with sutures this fluid is trapped under the skin and causes prolonged swelling, and increased pain and soreness.

The day after surgery, as a result of open-drainage (incisions are not closed with sutures) of the blood-tinged anesthetic fluid and wearing a compression garment, the degree of cosmetic improvement is easily visible and quite dramatic. Over the next several days, after the drainage has ceased, and as the inflammatory healing process progresses, there is a gradual onset of swelling which decreases over the following four to 12 weeks. This subcutaneous abdominal swelling can reduce the ease with which the patient bends forward. For example, tying ones shoes becomes a minor challenge. The edema that occurs after liposuction of the abdomen typically takes longer to resolve than edema in other treated areas. A certain degree of swelling, firmness and lumpiness is normal for the first four to 12 weeks. This firmness of the abdominal skin and subcutaneous tissue gradually decrease over 3 to 4 months after surgery.

The open-drainage technique, which reduces swelling and soreness, requires the use of special super-absorbent pads to absorb the drainage and special garments to hold the pads in place. See Absorbent Pads and Compression Garments.

There is no restriction on postoperative physical activity. Patients are advised not to remain in bed, but rather to walk about inside their home or leave their home for a short walk on the evening of the surgery. The patient is expected to shower at least once or twice daily beginning the morning after the day of surgery.

Risk Factors Prior to deciding to do liposuction, the patient is evaluated by the surgeon to determine if there are any health problems that might increase the risk of surgical complications.

Abdominal Hernia An abdominal hernia (muscle separation) near the bellybutton increases the risk of accidental penetration into the abdominal cavity by the liposuction cannula. To eliminate this increased risk, an abdominal hernia can be repaired by a general surgeon several weeks before abdominal liposuction. Typically an abdominal hernia repair is a simple procedure which can often be accomplished under local anesthesia.

Prior Abdominal Liposuction Prior abdominal liposuction often causes a certain degree of scaring or fibrosis within the remaining subcutaneous fat. Doing liposuction a second time will be more difficult because of this excessive fibrosis.

Multiple procedures Doing abdominal liposuction together with other surgical procedures increases the risk of surgical complications. Multiple surgical procedures require a longer exposure to general anesthesia, and more pain medications. Multiple procedures require more postoperative bed rest which increases the risk of fatal blood clots in the lung. Such complications are extremely rare when liposuction is performed alone and totally by local anesthesia.

Peritoneoscopy Abdominal liposuction and another surgery inside the abdomen is unnecessarily dangerous. Peritoneoscopy, using a scope to see inside the abdomen, creates a pathway directly into the abdominal cavity and increases the risk of a liposuction cannula entering the abdomen and injuring the intestines or the liver.

General Anesthesia The risk of a liposuction cannula accidentally penetrating the abdominal cavity and causing an intestinal injury is very small. If a liposuction cannula causes a bowel perforation under general anesthesia, it might not be diagnosed immediately. When the patient awakes it is likely that any complaint of abdominal pain may be dismissed as the normal and expected discomfort of abdominal liposuction. If the delay goes beyond 18 to 24 hours, there is a grave risk of a life-threatening infection. In contrast, with liposuction totally by local anesthesia, any traumatic bowel perforation will be diagnosed immediately and a general surgeon can repair the wound before there is a serious infection.

Excessive Compression Excessive Compression after an abdominal liposuction can impair breathing by limiting the expansion of the lungs. Non-adjustable, high compression postoperative garments are especially dangerous after general anesthesia, when respiratory depressant drugs have been given. In contrast adjustable compression garments are safer.

Excessive Fat Removal Excessive fat removal from the abdomen can be a big mistake. The goal is not to remove as much fat as possible, but rather to produce a result that is a cosmetic improvement and appears natural. For example, following an aggressive liposuction by a surgeon who had removed virtually all of her patients subcutaneous abdominal fat, the patients husband found the firm hard feel of his wifes abdomen to be sexually repulsive. Needless to say, the patient did not regard her result as optimal. Excessive liposuction of pubic area fat (mons pubis) may result in the area being so deficient in fat that normal sexual intercourse becomes exceedingly painful.

Other risk factors that may affect the relative safety and ultimate cosmetic results of abdominal liposuction include: prior abdominal surgery, laparoscopic procedures, and radiation therapy in the abdominal area.

By: Dr. Norma Kassardjian

Abdomen – –

Mum turns to E!’s Botched after liposuction left dent – Gears Of Biz

A mother-of-four was left with a huge dent in her side after a plastic surgeon was too aggressive while performing liposuction.

US-based Kristina turned to Dr. Paul Nassif and Dr. Terry Dubrow of Es Botched after being left with a bulge on top of her stomach and a huge chunk scooped out of her right side.

Kristina decided to have a tummy tuck and liposuction when she gained 60lbs throughout her four pregnancies, and couldnt manage to lose more than 5lbs through dieting.

Her plastic surgeon told her there was no need to lose more weight and that lipo and a tummy tuck could give her the figure she wanted.

But after surgery, as she was recovering, she sneezed and felt an overwhelming amount of pain and a pop.

I brought it up immediately, she recalled: But they said Oh no, no, theres no way you could damage this surgery.

The doctor told her everything was totally normal despite her pain and having a huge lump and indent in her sides.

Kristina admitted: I felt stupid and embarrassed that I did this to myself.

In the midst of his exam, Dr. Terry Dubrow realised her previous surgeon had been carelessly aggressive with her liposuction, resulting in a noticeable dent in her right side.

In general, we dont lipo this far up because this is actually the blood supply, he explained, as he examined Kristinas side.

He got very lucky that this abdominal skin down here that it healed so well.

When you tighten up the abdominal wall it can squeeze down the pelvic venous system which is a returned blood from your leg.

It can give you a blood clot and if it breaks off and goes to your lungs, that is when people die from plastic surgery.

Another Botched patient Kelli Johnson revealed how a doctor operated on her nose while she was awake and left the room mid-surgery.

Kelli was a beautiful young model with dreams of making it big in New York City, but unfortunately she felt like her nose was holding her back.

I got advice from a photographer who told me that if you want to make it in this business, youre going to have to get a nose job,

Kelli said. She took his advice to heart, and it ended up being the worst decision of her life.

Immediately after the surgery I knew something was wrong, Kelli explained.

First of all, there was a piece of cartilage sticking out.

He told me: Oh its just swelling, dont worry. But I knew something was wrong because my nostrils were different sizes and shapes.

A year later, I decided Im not going to live with this nose anymore.

So I called the same doctor, and he said: Come on back and Ill do it for free.

After numbing her face and covering her eyes while she was awake, the doctor began to operate but received a call and had to leave her alone in the operating room while he took another patient.

He left me in the room alone and I had to use the bathroom, so I got up and went.

When I looked in the mirror, I could see bone and blood, I was just like: Oh my God, what am I doing?

But I had to go back in and let him finish. Afterwards, it looked straight.

But a week or two later it started leaning to the left. I just said forget it, and I gave up my modeling dreams.

Now, 17 years later, Dr Paul Nassif has fixed her nose leaving Kelli and her fiance Darnel ecstatic.

No longer feeling like Miss Piggy she loved posing for her new engagement photos.

Luckily, he was able to even out the discrepancies and restore Kristinas confidence.

He was assisted in the surgery by his mentor Dr Malcolm Lesavoy.

Before I had this bulge on the top of my stomach and it looked like a huge chunk had been scooped out of my right side, Nina said.

Now thanks to Dr. Dubrow, my stomach is flat and I have the curves in all the right places.

And she was thrilled to show off her new figure to husband Joe and two of her sons Nino and Ethan.

Mum turns to E!’s Botched after liposuction left dent – Gears Of Biz

Illegal liposuction doctor sentenced to 38 years – KGUN

TUCSONG (KGUN9-TV) – He did liposuction surgeries in an old warehouse. After he had been arrested, he did lipo on people in his home bathroom.

Attorneys for both sides agree Gustavo Nunez never said he was a doctor, but prosecutors said he did plenty of things to make people believe he was qualified to do liposuction.

One of those patients ended up brain damaged. Others had emergency trips to the hospital.

Now Nunez is going to prison for more than 38 years.

RELATED:Fake Lipo Doc pleads guilty to illegal surgeries

For several years Gustavo Nunez took money to do liposuctions in a warehouse. When police arrested him, he got out on bond and did more procedures in his house.

Some patients got terrible infections. After his arrest, a patient getting lipo at his house had a seizure.

Nunez called a friend for help but waited an hour before he took the woman to the hospital. Now she has serious brain damage.

Nunez said he was sorry.

“I’m not proud of the fact my actions hurt anyone at all. I have been told that I am overconfident personality and I have a big ego. I don’t believe I am a person that sees it that way. I see that God gave me some gifts I wanted the share with other people.”

Prosecutors asked for the maximum sentence of close to fifty years.

The judge imposed a sentence that works out to just over 38 years in state prison.

In imposing the sentence, Judge Danielle Liwski said she was especially concerned about the fact Nunez continued to do lipo even while out on bond for doing those procedures. She ordered stiffer sentences for those later offenses.

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Illegal liposuction doctor sentenced to 38 years – KGUN

Fifth victim comes forward in fake liposuction doctors case – WFLA

TAMPA, Fla. (WFLA) A fifth victim has come forward, claiming that Claudia Orozco and Marlon Barcelo performed liposuction on her in 2014.

The latest victim, who did not want to be identified, told news Channel 8 she regrets her decision.

Seeing myself in the mirror every day and seeing the money that I waste, it just gets me angry, said the woman.

Orozco and Barelo were arrested Tuesday for performing liposuction surgeries without a license.

The latest victim, who did not want to be identified, tells News Channel 8 she was referred to Orozco Medical Center by a friend.

The woman says she had fat transferred from her stomach and back to her buttocks. She said her surgery was unbearable.

I thought I was in a real clinic, she said. I felt everything, like burning sensation. I was constantly crying. She was holding my hand saying stop being chicken, stop being a cry baby.

She said several weeks after the surgery, she noticed something wrong with her body, and after a month, she felt constant pain in her butt area.

She reached out to Orozco to question the problem but was told the pain would go within a year.

I had constant pain and it felt numb and it felt like I had cramps all the time. Burning, aching sensation and she said, thats normal, thats going to go away, said the woman.

The victim said calls to the center went unanswered for weeks.

She ignored my phone calls, she ignored my emails, she ignored my text, she said.

The victim said three years later, the pain is still there and she cant sit down for no longer than an hour. Doctors tell her the damage is unrepairable.

She spent over $6,000. Now she hopes to get justice.

Every woman should step up and come forward because let your voice be heard because I know its painful every time you see yourself in the mirror, said the victim.

The woman said she never spoke up before because she didnt know her legal rights.

Hillsborough County Sheriffs Deputies and the Department of Health launched an investigation into the Orozco Medical Clinic on West Waters Avenue a year and a half ago after getting several complaints from patients who paid thousands of dollars to have a form of Tumescent Liposuction done.

The patients started to go to local hospitals for medical attention due to complications from the surgeries performed at Orozco Medical Clinic.

Orozco and Barcelo were charged with practicing medicine without a license and aggravated battery with great bodily harm. Orozco was also charged with organized fraud less than $20,000.

The fifth victim is the latest to file a complaint with the sheriffs office.



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Fifth victim comes forward in fake liposuction doctors case – WFLA

Not exactly beachbody ready: The negligent provision of VASER liposuction in Tracey Giles v Alexandra Chambers … – Lexology (registration)

The body image debate is one which women have been having for generations. What exactly is the perfect body? In renaissance Italy women were celebrated for their rounded bodies, full hips and large breasts; in Victorian England women were forcing their bodies into corsets, clinching in their waists to create an hourglass figure; in the 1960s women burnt their bras and fashion models like Twiggy changed the ideal body type from curvy to tall and thin; and now, we have the Brazilian butt lifts, the thigh gap, the bikini bridge and rib cage bragging. It is no wonder that when faced with a daily barrage of seemingly unattainable bodies that some women turn to a surgical solution.

In a rarely reported case involving cosmetic surgery, HHJ Graham Wood QC (sitting as a Deputy High Court Judge) was asked to consider what Tracey Giles desired body outcome was and whether her surgeon, Alexandra Chambers, had been negligent.


The claimant underwent VASER liposuction removal of fat from her thighs and buttocks. VASER liposuction is described as a minimally invasive treatment aimed at contouring and shaping the body; it uses pulsed ultrasound energy to emulsify the fat cells, which are then aspirated by the surgeon. By comparison, traditional liposuction just sucks out small areas of fat: it is not a two stage process.

By way of background, the claimant spent most of her life working in the beauty profession. She specialises in bespoke treatments involving permanent or tattooed makeup and has established a national reputation in the field. Due to her profile, physical attractiveness is of great importance, and over the years the claimant underwent a number of cosmetic treatments to the face and body.

The claimant first saw the defendant on 26 January 2012. There was a factual dispute regarding the nature and content of the discussions at that meeting. The defendant contended that claimant had asked for a high definition sculptured look, whereas the claimants evidence was that she had asked for a modest removal of cellulose to create a more feminine look with a thigh gap.

After the initial consultation, the claimant went away to consider the matter further, in the interim she underwent Botox treatment at the defendants clinic and eventually the VASER liposuction took place on 20 August 2012. Prior to the procedure, there was a further consultation which the defendant videoed. It was agreed that during that discussion the desired outcome was more toned up and slender looking thighs and low pole of buttock.

The actual procedure lasted several hours and it was recorded that 6170ml of fat had been extracted (although the accuracy of this record was disputed by the defendant). After the procedure, the claimant felt extremely unwell, was nauseous and in pain. She was advised to return home, put in a taxi although her legs were bleeding as a result of the procedure, and advised to wear pressure garments.

On 25 August the claimant was admitted to A&E suffering from dizziness and diarrhoea. She was given fluids and painkillers and discharged. On 4 September, whilst being treated at the defendants clinic, the claimant was found to have very low haemoglobin levels and was advised to attend hospital for a blood transfusion. She went to a hospital that evening, was given a blood transfusion and had her pressure garments cut off due to suspected compartment syndrome.

The claimant attended the defendants clinic for lymphatic massage and also saw another plastic surgeon, Mr Sorensen, for aspiration of the fluid from her legs. Her final appointment with the defendant was on 5 October 2012, at which the claimant expressed satisfaction with the procedure; however, the parties agreed that the true outcome of the surgery could not have been ascertained at this point.

Over the next few months, the claimant began to notice a far different appearance to her legs and buttocks. Her legs appeared to subside and as the swelling reduced, she saw that they had become uneven, bumpy and mottled. She could feel virtually no fat under the skin, just muscle and bone, and there was an obvious asymmetry in her hips. The claimant sought advice from alternative surgeons and embarked upon a program of fat grafting.

Whilst the defendant accepted that the cosmetic outcome was poor she did not accept that she had been negligent. In relation to liability, the court, therefore, had to decide three issues:

Breach of duty

Regarding the first issue, the judge had to weigh and consider the factual and contemporaneous evidence available. The judge did not find the defendant to be a convincing witness. He also noted that her assistant Victoria Virtuso had not been called to give evidence despite the defendant claiming that the errors in the notes were down to Ms Virtuso. Furthermore, the judge considered that it was extraordinary and inconceivable that the defendant had not recorded the claimants desired outcome in her notes when there was ample opportunity to do so, particularly if, as alleged, the defendant had counselled the claimant against her desired look. Finally, the defendant had also failed to produce the photographs which were purported to have shown to the claimant when she was choosing her desired appearance. Such photographs would have been easily available and the inference was that they supported the claimants position.

The judge concluded that on balance it was more likely that not that the claimant did not request the sculptured and muscled high definition appearance with the removal of substantial quantities of fat.

Although breach of duty was established, the judge went on to make some general comments.

Expert suitability

There was a dispute between the parties as to the admissibility of the defendants expert evidence. The order for directions granted permission for the parties to rely on the expert evidence of a plastic surgeon. The defendants expert witness, Dr Glancey, was a cosmetic surgeon and accordingly the defendant did not have permission to rely on her. Furthermore, Dr Glancey should have disclosed her relationship with the defendant as it transpired that she rented rooms from the defendant in Wimpole Street and they were also professionally connected through BABS (British Association of Body Sculpting). The judge, therefore, preferred the evidence of the claimants expert.


The court concluded that the starting point had to be that the claimant had been left with an extremely unsatisfactory outcome. Although the defendant argued that the claimant had not proven that the risk would not have materialised in any event, as there are inherent risks involved with a general debulking procedure, the judge considered there was no substance to this argument. The judge concluded that the risks were materially increased by the more extensive and aggressive procedure and he was satisfied on the balance of probabilities that if the claimant had had a measured degree of liposuction applied to selected areas she would not have had this highly unsatisfactory result.


In a post Montgomery world, it baffles me why clinicians, particularly in an area like plastic surgery which is so subjective, are not keeping accurate and comprehensive notes of their discussions with patients. The defendant, in this case, had the facility to video record consultations, which she did, in fact, do on one occasion, so why did she not do so for that all important discussion regarding outcomes? If the defendant had kept proper notes the outcome of the case may have been very different.

As a patient, particularly one electing to have cosmetic treatment, it is vital that your treating clinician understands your desired outcome. 2016 GMC guidance on Cosmetic Surgery states: It is essential to a shared understanding of expectations and limitations that consent to a cosmetic intervention is sought by the doctor who will perform it, or supervise its performance by another practitioner.I would, therefore, urge patients to confirm their expectations in writing as much as possible and to fully explore all possible risks and alternative treatments with their treating surgeon before undergoing any procedure.

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Not exactly beachbody ready: The negligent provision of VASER liposuction in Tracey Giles v Alexandra Chambers … – Lexology (registration)

Operators of Tampa liposuction clinic accused of performing unauthorized surgeries – Tampa Bay Business Journal

Tampa Bay Business Journal
Operators of Tampa liposuction clinic accused of performing unauthorized surgeries
Tampa Bay Business Journal
The operators of a Tampa liposuction clinic were arrested and charged with performing unauthorized surgeries even though they are not doctors. Marlon Barcelo, 40, and Claudia Orozco, 44, who ran the Orozco Medical Center, Beauty & Spa at 8210 West …
Deputies: Fake doctors arrested after performing liposuction without licenses in TampaABC Action News
Two arrested for unlicensed liposuction treatmentsFOX 13 News, Tampa Bay
2 accused of performing liposuction surgeries without a license in …WFLA
all 10 news articles »

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Operators of Tampa liposuction clinic accused of performing unauthorized surgeries – Tampa Bay Business Journal

Botched Liposuction, Forged Papers, Burning Bed: Weird Florida –

Patch operates 24 daily news sites in the Tampa Bay area and surrounding counties. The following are some of the more unusual, wacky, wonderful or just plain weird stories that have had people talking over the last few weeks:

Polk County EMT Forged Promotion Paperwork: Sheriff

A 28-year-old Polk County Fire Rescue emergency medical technician is in hot water with the law and her employer after authorities say she forged documents to gain a promotion. Polk County deputies say the documents Kayla Anne Rivas Zehtab turned in to be eligible for a firefighter promotion and a $11,123 a year raise were phony.

Botched Liposuction Lands 2 Behind Bars: Sheriff

The Hillsborough County Sheriffs Office has announced two arrests following a lengthy investigation into alleged illegal activity at the Orozco Medical Clinic in Tampa. Deputies say two people on staff performed and botched liposuction procedures. Complicating matters, authorities say neither are licensed medical doctors.

Shark-Dragging Video Sparks MTV Siesta Key Boycott

Nearly 6,000 people had joined the Boycott Siesta Key MTV movement on Facebook as of Monday morning while the cable network readied for the shows July 31 debut. Allegations that cast members have ties to those involved in the controversial video that apparently shows a shark being dragged to its death behind a powerboat prompted the effort. The video surfaced on social media last week, sparking outrage.

Floridas Burning Bed Case Takes New Turn

The Pasco County Sheriffs Office has announced new charges for the New Port Richey woman accused of lighting her estranged husbands bed on fire while he slept in it. Deputies say Eva Marie Brennan, 48, also threatened a deputys family while on the way to the Land O Lakes Jail following her arrest on attempted murder and arson charges last week.

What Florida Singles Hate The Most: Deal Breaker Map

Florida singles on the hunt for romantic partners may find that working out is a turn on, but doing it together is not. While that might seem surprising in a state known for its near year-round beach weather and the skimpy clothing that goes along with it workout couples are the biggest turnoff for singles in the Sunshine State, according to an analysis from the creators of a dating app called HaterDater.

Charges Mounting For Florida Beach Joyrider (Video)

The 27-year-old Pinellas Park man arrested Thursday afternoon after allegedly driving a black Jeep Cherokee across Clearwater Beach and onto Caladesi Island faces a growing list of criminal charges for the stunt that was live streamed on Facebook. Clearwater Police announced a lengthy list of charges late Thursday night and said other law enforcement agencies involved may add more for the jaunt onto Caladesi Island.

Florida Drug Dealer Reported Stolen Cocaine: Cops

A Florida mans Sunday plea for help from deputies in Okaloosa County didnt fall on deaf ears exactly, but its outcome probably wasn’t quite what he expected. Thats because officials say the Fort Walton Beach man described himself as a drug dealer and was asking for help in recovering cocaine that had been stolen from him.

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Originally published August 5, 2017.

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Botched Liposuction, Forged Papers, Burning Bed: Weird Florida –

Fake Doctors Arrested After Allegedly Performing Liposuction Without Licenses in Florida – KTLA

Two unlicensed doctors have been arrested in Hillsborough County after they allegedly performed liposuction on patients at their Florida clinic.

Claudia Orozco (L) and Marlon Barcelo are seen in images provided by the Hillsborough County Sheriffs Office.

Claudia Orozco, 44 and Marlon Barcelo, 40, both of Tampa, were arrested and charged with four counts of Practicing Medicine Without A License, 4 counts of Aggravated Battery With Great Bodily Harm and four counts of Organized Fraud Less Than 20,000 dollars, WFTS reports.

The Hillsborough County Sheriffs Office along with the Department of Health began an investigation into into Orozco Medical Clinic after deputies received complaints from patients suffering from complications after having surgery at the clinic.

Over one and a half years, the agencies reviewed records and interviewed victims who paid thousands of dollars to receive a form of Tumescent Liposuction.

The patients told deputies they had to seek medical attention at various hospitals around the Tampa Bay Area from complications after the surgeries performed at Orozco Medical Clinic.

During the investigation, deputies discovered that Orozco and Barcelo were not licensed doctors and they were not authorized to perform the procedures on patients.

Im in shock, said Jacqueline Herrada a patient at Orozco Beauty and Spa who went in for weight loss treatment and medication. I didnt know she didnt have a license.

Herrada is one of the lucky ones, according to the Hillsborough County Sheriffs Office.

We have true victims in this case that now are scarred for life, Major Frank Losat, Hillsborough County Sheriffs Office.

Deputies say four people are permanently disfigured and have severe pain after having liposuction procedures by Orozco.

When I talk about scarring I dont mean just a small two inch scar. Were talking scarring from your midline all the way to your waist in some cases extreme discomfort, a lot of pain these victims were in, said Major Losat.

WFTS found deals on Groupon for people, who want procedures like ultrasonic fat reduction treatments and facials, at the center.

We spoke with Dale Sisco who represents Orozco and the center over the phone Tuesday evening. He told us licensed physicians performed the surgeries and that Orozco and Barcelo are licensed surgical first assistants and were acting in the scope of their authorized areas of practice.

The attorney said deputies released inaccurate and misleading information about the two employees.

Dr. Joseph Castellano a Tampa surgeon, who is not affiliated with the case or the investigation, told us people need to make sure their surgeon is board certified in their specialty and the facility is accredited or licensed.

You want to find somebody thats well-trained (and) thats done a lot of this in their training, Dr.Castellano said.

If someone wants to verify a license, they can go to the Department of Healths

Orozco and Barcelo have been arrested and are currently booked in the Hillsborough County Jail.

The investigation is ongoing.

Investigators are asking reluctant victims to come forward. They believe there could be many because the clinic has moved around Tampa to different locations since 2003.


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Fake Doctors Arrested After Allegedly Performing Liposuction Without Licenses in Florida – KTLA

Illegal liposuction victim comes forward, says medical works … – ABC Action News

TAMPA, Fla. – “So I just listened to music and she started working on me,” said the 28-year-old victim who paid thousands of dollars for an hourglass figure. “I knew something was wrong because I was on the table for a long time.”

The Tampa Bay area woman says she left Orozco Beauty Clinic with a lifetime of scars and burns.

RELATED:Deputies: Fake doctors arrested after performing liposuction without licenses in Tampa

“After 8 hours, I ran out of all the anesthesia that I could get so I started feeling when she was pushing the cannula in and out and sucking out the fat. It was excruciating. It was an unbelievable pain. I cried.”

Her story makes you cringe—operated on by a doctor who did not have a medical license according to investigators.

She says the liposuction procedure caused terrible pain and an abscess on her right side.

“I had to go to the hospital just a few weeks afterwards because where my holes should have closed up, it didn’t.”

The victim thought Claudia Orozco was a doctor—a medical license hung on her wall. She says she was convincing and had great bedside manner.

RELATED:Liposuction patient reeling after two arrests at beauty clinic where she was treated

But when her stomach started swelling she was scared.

“I would press on my stomach and I would have a flood, a flood of fluid coming out of me.”

To make matters worse, the hospital sent her back to Orozco where she says the fake doctor mocked her infection.

“She said, your skin looks spoiled and started laughing. It seemed like it was a joke.”

The burns on her hips make her think twice about going to the beach. She doesn’t talk about them with friends.

“This is a couple thousand dollars that people are paying for a procedure like this to come out disfigured. It’s not fair.”

Tonight she’s thankful Orozco is in jail for practicing medicine without a license. But wonders how many others suffered on her operating table.

Illegal liposuction victim comes forward, says medical works … – ABC Action News