Non-Surgical Alternative to Facial Liposuction

Face Engineering Exercises

Face engineering program combines the facial exercises with the acupressure workouts which work as magical ingredients to help do away with facial wrinkles, affirmer's face, and neck skin. The creator of this program goes by the name of Wendy Wilken who is a physiotherapist by profession. This program mainly focuses on making sure that your face glows every time with or without makeup. One primary tool used in this program as part of your facial exercise is by using your fingertips. Through this program, you will manage to remove all your face wrinkles, shape your lips, tighten your hanging cheeks and so much more. Wendy has taken a step further to ensure that you achieve all this as fast as possible, so she is giving out free bonuses to everyone who joins this program. This program is user-friendly as all the techniques used have undergone through clinical testing and have proven to work efficiently and guarantee positive results. I highly recommend this program to everyone who is out there and wants to have a smooth face, healthy and young as the program is open to everyone regardless of gender or age. Continue reading...

Face Engineering Exercises Summary


4.7 stars out of 12 votes

Contents: Ebooks
Author: Wendy Wilken
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Price: $37.00

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My Face Engineering Exercises Review

Highly Recommended

I've really worked on the chapters in this ebook and can only say that if you put in the time you will never revert back to your old methods.

In addition to being effective and its great ease of use, this eBook makes worth every penny of its price.

Anesthesia for Liposuction and Abdominoplasty

Anesthesia may be divided into four broad categories local anesthesia, local anesthesia combined with sedation, regional anesthesia and general anesthesia. The ultimate decision to select the type of anesthesia depends on the type and extent of the surgery planned, the patient's underlying health condition and the psychological disposition of the patient. For example, a limited liposuction of less than 500 ml of fat from a small area in a healthy patient, with limited anxiety, could certainly be performed using strictly local anesthesia without sedation. As the scope of the surgery broadens, or the patient's anxiety level increases, the local anesthesia may be supplemented with oral or par-enteral analgesic or anxiolytic medication.

The Surgical Facility

Each of these choices has distinct advantages and disadvantages. While convenient and economical, office based surgery is associated with three times the mortality of surgeries performed at other types of facilities 11 . Ultimately, patient safety should be the paramount factor in the final decision. Patients with a risk of ASA III undergoing major liposuction or large abdominoplasty should preferentially be treated at hospital-based or hospital-associated surgical units rather than office-based operating rooms 12-14 .

Superior Gluteal Flap

Candidates include patients who fail qualification for implants due to prior chest-wall irradiation or implant anxiety or who have abdominal scars precluding TRAM reconstruction. Such scars may have resulted from laparotomies, enterotomies, previous abdominoplas-ties, liposuction, or TRAM harvests. This flap may represent the only autogenous option in thin patients who lack sufficient abdominal or lateral thigh tissue for unilateral or bilateral reconstruction.

Preoperative Risk Assessment

Studies correlating the amount of fat aspirate during liposuction or the amount of tissue removed during abdominoplasty with perioperative morbidity and mortality have not been performed, it would not be unreasonable to extrapolate conclusions from the previous studies and apply them to abdominoplasty and lipo-suction. Liposuction surgeries with less than 1,500 ml fat aspirate are generally considered less invasive procedures, while liposuctions aspirating more than 3,000 ml are considered major surgical procedures 19 . As blood loss exceeds 500 cc 59 , or the duration of surgery exceeds 2 h, morbidity and mortality increase 48, 60 .

Obstructive Sleep Apnea

According to the National Commission on Sleep Disorders Research, approximately 18 million Americans suffer with obstructive sleep apnea (OSA). Unfortunately, the majority of patients with OSA remain undiagnosed 123 . The incidence of sleep apnea increases among obese patients 124 . Since the target population for major liposuction and abdominoplasty includes patients with morbid obesity, concern about OSA becomes more germane.

Hiv Protease Inhibitors

Fat distribution abnormalities result in a wasting appearance ( slim disease ) and abnormal fat accumulation in localized areas ( protease pouch, buffalo hump, and crix belly ) (205-220). Some studies have shown that saquinavir, ritonavir, and nelfinavir all reduce the development of fat cells from stem cells in vitro. In addition, they increase the metabolic destruction of fat in existing fat cells. It is postulated that loss of deposited fat in the body could lead to high levels of LDL, cholesterol, and triglycerides. An alternative mechanism could involve retinoids (221). When retinoids are combined with PIs, complex reactions occur in certain genes. It is postulated that indinavir may cause some effects resembling lipodystrophy by changing retinoid signaling. Therefore, patients taking PIs may be advised to avoid vitamin A supplements. Still another hypothesis suggests that PIs, which show approximately 60 homology with lipoprotein receptor-related protein...

General Anesthesia

While some authors attribute the majority of complications occurring during and after liposuction to the administration of systemic anesthesia 148, 206 , others consider sedation and general anesthesia safe and appropriate alternatives in indicated cases 19, 158, 207, 208 . In fact, Klein correctly acknowledges that most of the complications attributed to midazolam and narcotic combinations occurred as a result of inadequate monitoring 148 . Although significant advances have been made in the administration of local anesthetics and supplemental medications, the use of general anesthesia may still be the anesthesia technique of choice for many patients. General anesthesia is especially appropriate when working with patients suffering extreme anxiety, high tolerance to narcotic or sedative medications, or if the surgery is particularly complex. The goals of a general anesthetic are a smooth induction, a prompt recovery, and minimal side effects, such as nausea, vomiting, or sore throat....


The current prevalence of obesity in the USA is estimated to be 55 of the population 76 . It is reasonable to assume that patients undergoing major liposuction or abdominoplasty have a greater incidence of obesity. The most widely accepted method of quantifying the level of obesity is the body mass index (BMI), which is determined by weight (kg) height (m)2. Patients with a

Fluid Replacement

The estimation of perioperative blood and fluid loss during liposuction and abdominoplasty surgeries is not a trivial task. Observers in the same room frequently have wide discrepancies in the estimated blood loss. In the case of the abdominoplasty, unrecognized blood loss occurs. Substantial amounts of blood typically seep around and under the patient, unnoticed by the surgeon, only to be discovered later as the nurses apply the dressing. Because of subcutaneous hematoma formation and the difficulty of measuring the blood content in the aspirate, estimating the EBL during liposuction may be a particularly daunting task. Fortunately, the development of tumescent technique has dramatically reduced perioperative blood loss during liposuc-tion surgeries 24, 293 . The blood content in the aspirate after tumescent li-posuction has varied between less than 1 288, 293 and 8 290 . To underscore the difficulty of estimating the EBL, the range of the determined blood loss in one study was...

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