This content was created by Sarah Yovino. This content was uploaded by Sarah Yovino. This is a YouTube video titled "Awake LipoSculpting of the Abdomen with Dr. Justin Yovino" (created 2017-02-01). It is a surgical procedure/demo showing Dr. Justin Yovino performing a precision/awake liposculpting (liposuction) of the abdomen, flanks, love handles and lower back. The narration (by Dr. Yovino and an assisting speaker labeled SPEAKER B) describes incision sites (umbilical and low bikini-line), tumescent numbing, laser-assisted fat melting, use of microcannulas, multiple patient positions to sculpt the waist, volumes removed (cumulative amounts such as over 2 L from the front and nearly 1 L from the sides are mentioned), procedure length (~3+ hours), and postoperative instructions (compression garment schedule). Participants: Dr. Justin Yovino (surgeon), an unnamed assistant, and the patient. Context: clinical/educational cosmetic surgery demonstration video on YouTube.
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Good morning. Today we have a beautiful case. This is a precision liposculpting case where we're gonna be taking down all of this stuff and snatching in her waist. So she's a perfect candidate for this because she's not really interested in a tummy tuck, and she's got a lot of stuff to take from here. That's really about 2 to 3 inches thick. It's gonna come down nicely. We're gonna be sculpting from all the way up here to all the way down here, out to the flanks and around, and I'll show you the back in a minute, but this is gonna flatten out really nice. This procedure only requires a few, really 4 tiny openings. We hide one in the belly button and then 1, 2, 3 very low here hidden in the bikini line. You might be asking yourself, well, what's gonna happen to the skin? Well, yes, she does have some excess skin, but it's gonna contract back nicely. So she's gonna be a much smaller version of herself. The back area is not as full as the front, but we do have some thickness out here as well as down here. So we're gonna help bring in this waist quite a bit when we're all done here. With the side view here, you can really get a good appreciation of all the thickness here. I mean, she comes back, her muscles sit way back here. So we're gonna shrink this in, the waist is gonna be snatched in. The access points, you know, the skin openings for the side here, roughly about right here on her, and then I'll hide one up here. So it's really the bra line and down by the bikini line. Super small. When I'm doing my body sculpting, we use a lot of different positions on the stomach as well as on the back. And on the side, both sides, really important.
Skin open.
So I had a little tiny one by the belly button, and then we got 1, 2, 3 very low here, and then we're gonna get this area nice and numb.
Numbing here. She's awake, she's comfortable, she's relaxed, and we're just filling up this whole area through tiny little openings, small little cannulas.
She barely feels it.
We finished numbing here. Now we're going to be doing lasering. This melts the fat, heats the skin, just gets it ready for removal. We're sculpting the fat out now, layer by layer. We're gonna really take it down very nice. She's super comfortable. Last little bit here, we have a very micro cannula. We've taken a little over 2 liters from her so far from just this front. Very impressive, very satisfying.
Now we're working all around the side, the waist, the love handles. Right now I'm just numbing, so just getting it really all comfortable before we take it out.
Numbing this, now we're sculpting with the laser, we're melting the fat, we're just getting it all ready for removal. All the love handles and the waist, we're getting a nice curve going on here. We've taken out almost a liter now, really good amount. We're now numbing her right side and we're going to be sculpting this all in next.
Okay.
Side position here, most people use just the back and just the front. I use really 4 different positions to get it all the way around. This side, we're using the laser to prepare the fat for removal, so we're sculpting this zone right before we start taking out the fat. Last side now, we're really shaping up this whole waist and love handle area, getting a nice hourglass curve going. We got a nice curve going on. You can see all the fat we've got. She's gonna love it. The front, the 2 sides, and we're working the back all along the tailbone, getting a nice sweep through this lower back. So we're all done.
We've completed our abdominal liposculpting, our precision liposculpture. This is all the fat we took out. This total volume, you can see all the fat. So we're all done with our precision liposculpting of the upper and lower abdomen, the flanks, the love handles, the lower back. It took us about 3+ hours. She's in recovery now. So we completed our procedure. She's now placed in a compression garment. She'll wear that for 2 days straight, then she'll shower, and then she'll wear it for the next 2 weeks.
