Liposuction For Thighs

liposuction for thighsWhile self-image has always been a problem for millions of women who struggle with body size and type, there has been a new trend in the beauty and cosmetics industry that may surprise most. The gap that is formed between the thighs when a model walks down the runway and stands still has become a prized symbol of health and beauty, with countless women striving for ultra-thin legs in order to achieve the “thigh gap” that is now a sexy icon. While thin legs are not necessarily a symbol of skinniness due to the amount of muscle mass in the thighs, they have become a topic of jealousy and plastic surgeons have begun capitalize upon its popularity. Continue reading

Non-Surgical Lipo – The Latest Fat Busting Technology

There are a wide variety of different cosmetics procedures that a person seeking fat reduction can undergo. Bariatric surgery, liposuction, laser fat reduction, ultrasound, and cryotherapy that freezes one’s fat away have been popular methods of reducing fat. Until now, however there was no way to effectively get quality fat reduction from a cosmetic operation without pain or extensive. A new treatment, however, may be the fat-buster that countless people are hoping for. The Vanquish device, manufactured by BTL Aesthetics in Massachusetts, seeks to eliminate excess quantities of body fat by using radio frequencies to eliminate the bulk carried around in the midsection and thighs without harming (or even touching) a patient’s body. Continue reading

Liposuction vs. Fat Transfer

It has long been a hallmark of the aesthetic medicine that people are always looking to lose weight. This makes it all the more surprising that new techniques in fat treatment are gaining in popularity which are focused on putting fat back in the body instead of taking it out. The BBC reported that this year marked the first time in the that more patients were undergoing operations in order to inject fat into different areas of their body rather than use an operation to suck it out. While liposuction and tummy tucks remain popular options, these injections is toppling the scales on fat and beauty. Continue reading

Epione Offers New Laser Liposuction Procedure

Epione Medical Corporation, located in Beverly Hills’ Golden Triangle, now offers laser liposuction treatment. Laser liposuction uses special equipment to eradicate localized fat deposits from various parts of the body. The equipment disrupts fat cells in the body, and tighten skin tissue through coagulation. Continue reading

Surgical Sculpting To Achieve Body Balance

Body sculpting through surgery includes different techniques to address different problems. Some techniques will enhance areas of the body while others are designed to reduce fatty deposits. Reduction surgery like liposuction is generally performed on fatty deposits that have been resistant to diet and exercise. It is not considered a method of weight loss, but rather a method for improving body contours where weight loss and exercise have failed to provide optimum results. Continue reading

Understanding Body Contouring

Undergoing body contouring can be an exciting process. It uses the various sculpting processes done by plastic surgeons in order to reshape the body in nearly any area. You will be able to get rid of body fat you don’t want and can your skin made smooth and taut. It works well for those stubborn areas that don’t go away even with your healthy living habits. Let’s take a look at the various techniques used in body contouring, including liposuction and tummy tuck procedures. Continue reading

Why More Women are Choosing OptiLipo over Liposuction

young womanLOS ANGELES, Calif. — For many years, liposuction has been a popular choice for women who want to target problem areas and achieve a slimmer, smoother and firmer appearance. However, the procedure is not without its drawbacks, posing health dangers to some and short-lived results for others. To combat many of the ‘cons’ of liposuction, Epione Medical Corporation, a state-of-the-art aesthetic surgery center, now offers OptiLipo, a revolutionary alternative to liposuction. The procedure may successfully flush fat, block the ability to store fat and achieve long-lasting results, among other benefits.

“At Epione, we offer the latest and most progressive technology and aesthetic procedures in order to help out clients achieve the results they want, and look and feel better than ever before, ” said Dr. Simon Ourian, medical director. “OptiLipo has quickly become the premier choice for women wanting to get rid of excess fat and cellulite without undergoing anesthesia or having to worry about future weight gain.”

Revolutionary OptiLipo Treatment Flushes Fat, Fights Cellulite and Post-Treatment Weight Gain and Achieves a Smoother, Firmer Skin Surface

During the OptiLipo procedure, problem areas are injected with microscopic quantities of natural plant extracts, homeopathic, pharmaceutical agents and vitamins. The procedure targets fat reduction in desired areas, flushes the fat out and over the course of several sessions, blocks the body’s ability to store fat in those areas, while simultaneously stimulating the body’s ability to burn fat.

OptiLipo offers a number of benefits that liposuction does not:

  1. OptiLipo is non-surgical procedure that does not require anesthesia, posing far less health dangers than liposuction.
  2. OptiLipo achieves a smoother skin surface, and does not enhance preexisting cellulite, which often occurs with liposuction.
  3. No extensive medical evaluations or elaborate laboratory data is required prior to undergoing the OptiLipo procedure.

On average, based on the patient’s condition, results can be seen in two to three sessions. Some patients will see immediate results. Treatments are minimally invasive and recovery is immediate.

In addition to electing for OptiLipo as an alternative to liposuction, the treatment may also effective for aging skin, redundant or sagging skin, hand rejuvenation and neck rejuvenation.

“OptiLipo is one of the most popular procedures for women who want to reverse the signs of aging, regain a more youthful appearance and look fantastic in their clothes and swimwear, ” said Dr. Ourian. “Schedule a consultation and let’s discuss how OptiLipo can help you get amazing results.”

For more information about OptiLipo, or other non-surgical aesthetic treatments offered by Epione Medical Corporation, please call 310.598.2345.

Epione Helps Women Get Ready for Bikini Season without Hitting the Gym

LOS ANGELES, Calif. — For many women, spring ushers in the season of renewed commitment to diet and exercise in order to get ready for a summer filled with beach visits, poolside lounging, tropical vacations and weddings. However, there are a number of concerns that diet and exercise won’t remedy, including varicose veins, excessive body hair, cellulite and stretch marks. Epione, a Los Angeles-based laser and aesthetic surgery center helps women treat these issues with advanced technology and revolutionary procedures that offer quick recovery, and leave them looking and feeling better than ever. Continue reading


Liposuction has been practiced in the US since 1974. Since that time many improvements and refinements have been made on the procedure. There are several different types of liposuction now available. You and your physician should discuss what type of liposuction is the best for your case.
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Laser Liposuction

Laser liposuction is a new procedure that is used to improve the effectiveness of the older liposuction technique. Traditional liposuction uses a cannula, or tube, inserted under the skin through an incision to suction away unwanted fat cells. Liquid is injected at the site to that is receiving the liposuction to help soften the fat. However, physical force is still required to remove the fat cells as the cannula is fairly vigorously moved around the surgical area. It is essentially this force that breaks up the fat and allows it to be removed. Unfortunately, not only fat is removed, but anything that is in the path of the cannula is removed as well.
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OptiLipo has been around for over 50 years. It was pioneered by a French physician, Dr. Pistor, in 1952. The procedure itself has been used extensively in other countries but is fairly new to America. OptiLipo is used to treat a variety of problems that include: cellulite, unwanted fat deposits, sagging skin and wrinkles.
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The New Liposuction Technique Means No Surgery or Suction

FEBRUARY 9, 2010, BEVERLY HILLS, CA – The team at Epione Medical Corporation in Beverly Hills, headed by Dr. Simon Ourian, has been investigating the latest non-invasive procedures for fat reduction. The latest technology OptiLipo is a procedure that uses a gentle yet effective method of selective cooling. Those who have tried diet and exercise to rid themselves of unattractive fat pads and bulges that persist in spite of their best efforts will find OptiLipo a wonderful alternative.
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Epione Weight Loss Testimonial

Taken from Patients’ Testimonials.

When I meet Yolanda at Epione. I had been looking for someone who could help me for a long time. I have food allergies, was told I had Hyperglycemia, and was so frustrated. I have been working with Yolanda for 7 weeks and have already lost 11 pounds.

I can’t say enough about her program.

When I started the program I knew it was different.
I did not want a DIET. I wanted to loose weight by being educated on how to eat right.
Her program looks at you as an individual. The best thing is Yolanda goes above and beyond what anyone else would do. She is always available and she helps you address the real reason why you put the weight on. It is hard to loose weight with no support. With Yolanda you have that support. It is worth every penny and more!

No frozen pre-fixed meals, no pills that have side effects. Real ways to watch how you eat, find out why, and learn how to make smarter choices! That way, “I” can control keeping it off! I have more energy, feel more confident and am happy:) I have ten more pounds to go!! Oh and by the way, I was very adamant when I started that I did not want to workout. Anyone can workout 5 days a week, 2 hours a day and lose weight.

I wanted to see how much I could lose without working out. I have so much energy I want to work out!!! That’s the next step. If you have food allergies, Diabetes, or just want to lose weight I highly recommend working with Yolanda at Epione. You will not regret it!

Thanks Yolanda!

— Angela M

Planning to get Liposuction? Learn more!

Liposuction Basics

liposuctionLiposuction is the removal of fat from certain areas of the body. This procedure can be done anywhere from the abdomen to the knees. For those who have attempted to diet and exercise, liposuction can help get rid of stubborn fat deposits that cannot otherwise be eliminated. It can be done alone or in combination with other procedures, such as breast reductions or tummy tucks. It can also be done in more than one area at once. Liposuction goes by many names. It is known as lipoplasty, laser assisted liposuction, or ultrasound assisted lipoplasty.

The Numbers

According to statistics compiled by the American Society for Aesthetic Plastic Surgery (ASAPS), liposuction was the number one cosmetic procedure performed on both genders in 2007. 456, 828 of these were performed during that year. This is an increase of 158.3% since 1997.

What Happens during a Liposuction

The surgeon’s first step is to mark the areas where fat will be removed. This is done using a magic marker or Sharpie. These markings will help the surgeon plan the procedure for best results.

Liposuction is often performed under general anesthesia though a local anesthesia can be used in some instances. Epidural blocks and intravenous sedation are also options. The anesthesiologist will work with the plastic surgeon in order to determine the best type of anesthesia for you. They will also consider the length of the surgery, and where on the body the surgery is being performed.

The area in which liposuction is being performed is filled with a fluid solution. The solution contains saline, a saltwater blend, and epinephrine, which helps prevent blood loss. The solution also contains a local anesthetic. There are a number of different types of solutions available. The biggest difference is the amount of fluid in each. The first solution, also known as the wet technique, uses 100-300 mL of fluid in each site. This lessens the amount of blood that is sectioned out to 20–25%. The second solution, also called the super wet technique, uses an amount of fluid that is equal to the amount of fat removed. Less than 1% of blood is lost using this solution. The last solution uses 3 to 6 times more fluid than the second solution. This is called the tumescent technique. This technique is not always popular, because some say that it interferes with the surgeon’s ability to sculpt the remaining skin. Critics also say that this technique can cause potential overload of fluids and may result in an overdose of anesthetic. Surgeons did not always use solutions during liposuction. When they did not, the surgery resulted in a great deal of blood loss and bruising.

Getting the Fat Out

At last, the fat is removed. There are many different ways to remove this. The first is traditional liposuction, via suction. A cannula is inserted through an incision in the skin to vacuum up the fat cells. The surgeon moves the cannula back-and-forth to break up the fat layer and remove it. In ultrasound liposuction, the surgeon inserts a cannula through specially placed incisions. Sound waves are played through the cannula, which helped break up the fat layer. A more updated version of this technique is called vaser assisted liposuction. This procedure uses gentler sound waves to break up the fat. The bonus to this procedure is that it does not damage blood vessels and nerves, or connective tissue. This means that the patient suffers less from bruising, swelling and pain. Power assisted liposuction uses a cannula with a motor in it to break up the fatty tissue. Laser assisted lipo uses lasers to liquefy the fat; proponents say that it leads to tighter skin, while critics say it does nothing new except add to the cost. They also feel that it can make the entire procedure harder to deal with for both the patient and the doctor. Body jet liposuction uses water to loosen the fat from the connective tissue and vacuum it out at the same time. Since it loosens the fat cells rather than destroys or breaks them apart, it is less traumatic to the body and may even have a shorter recovery time. Also, the fat and water are removed immediately, which means the doctor can tell if more lipo is needed in the area. The procedure can be used to harvest fat for transfer to other areas that may need it. Body jet liposuction falls under the same anesthesia requirements as the other methods, but more research is needed to determine all of the risks and benefits.

Cannulas—Size Does Matter

The cannula, the long, hollow tube used to remove fat, is usually about 3 millmeters in diameter. In the past, they have been as large as 12 millimeters. The smaller the cannula, the less damage is dome to surrounding tissues. This means a faster healing time, and less brusing and bleeding. Ask the doctor about his choice in cannulas during your initial visit.

To Sum It All Up…

Most surgeons prefer general anesthesia for liposuction, except for the smallest removals. The super wet technique is also used, unless the traditional technique is chosen. In the case of the latter, aspiration is preferred. The surgeon picks the cannula according to the area that is being treated. Vaser is the preferred method for ultrasound treatment. The amount of time for the surgery is dependent upon the size of the area being treated; a large area can take as long as five hours, but a small one can take as little as 30 minutes. Multiple areas can take more time as well.

Who Gets Lipo?

The first step is choosing a licensed plastic surgeon for your consultation. The surgeon should ask about your medical history (this includes all medicines), your weight, whether you have ever had any sudden weight gains or losses, and your plans for weight loss before the surgery. The surgeon will also discuss realistic expectations for your results.

The ideal candidates are of normal weight but have fat deposits that cannot be removed with regular diet and exercise. Firm and elastic skin tone are a must, since lipo will not remedy sagging skin. Older patients tend to lack this skin tone, so the results are less than ideal.

Getting Ready For Surgery

Your surgeon will give you instructions to prepare you for your surgery. There may be rules on eating and drinking, and you must not smoke 30 days beforehand. Doing so would increase the possibility of risks during surgery. Certain medications, such as aspirin and NSAIDs (non-steroidal anti-inflammatory drugs), may increase the chance of bleeding and should not be used before surgery. Go over a list of all your medications and determine which ones must be discontinued. Never stop taking any medicine without discussing it with your surgeon and the prescribing doctor.

After the Lipo

Your suctioned areas will be swollen and uncomfortable for several days afterward. To help drainage, small incisions may be left open for a short period of time and tubes may be inserted. Your surgeon may give you an antibiotic as well to help avoid infection. The treatment area will be covered with a bandage. To help compress tissue and lessen bruises and swelling, you may wear support hose or a girdle. This may continue for several days or weeks.

Movement after surgery is encouraged to lessen the chance of blood clots. This can happen after being sedentary for long periods of time. In a few days, you may return to your normal activities. Some can return sooner, if their lipo was not done across an extended area. Strenuous activity may not be done for at least three weeks. You may not be able to see complete results for up to six months, but providing your weight remains stable, they are permanent. Some patients have been known to see results as soon as one week afterward; it depends on how little swelling and bruising took place.

Risks for lipo include

  • Fluid imbalance. Fat tissue can hold a lot of liquid. When the fat is removed, the liquid is removed as well. Some of this is put back during tumescent liposuction, but there is often a great deal of excess. This fluid imbalance can create heart problems, lung problems, or kidney issues. In particular, the kidneys are responsible for excreting fluid, so they may become overtaxed by the effort.
  • Puncture wounds in tissue or organs
  • Shock or infection
  • Blood clots in the lung
  • Hematoma (pooling blood in the suctioned areas)
  • Temporary loss of feeling or discoloration in the treated area
  • Uneveness, dimpling, wrinkling and other irregularities over the area
  • Reaction to anesthesia
  • Swelling
  • Burns (most common in ultrasound and laser assisted lipo)
  • Death

Patients with medical conditions such as diabetes or poor circulation are most likely to suffer from these risks. Those who have had surgery in the same area as the liposuction may also experience these side effects. You and your surgeon should address these during the initial consultation.


Waiting for Weight Loss

Weight Loss,  Liposuction?The general consensus for weight loss is that losing it in the stomach area is easiest. Weight in the hips and thighs, however, is more difficult. Estrogen plays a major role in how much fat is stored in various spots on the female body, and women are naturally designed to do so on their hips and thighs. In addition, as we get older, metabolism starts to slow down. Around age 25, it begins to slow by 5 to 10% with each subsequent decade. Combined with the power of estrogen and the lack of physical exercise, losing weight becomes very difficult as we get older.

Menopause can also affect our bodies, in more than one way. Those of us who are naturally slim may discover that they are starting to lose their waistlines. And no matter how much exercise you do, nothing will redistribute that body fat.

Women in particular tend to gain weight in their backs, leading to things like bra bulges or love handles. Liposuction can be done in this area, but it tends to be difficult for two reasons. One, the fat is kept in place by fibrous connective tissue. The doctor must be careful not to destroy a great deal of tissue while getting rid of the fat, so more time must be invested in this area. In fact, many doctors have a special treatment specifically for the back. In general, due to the difficulties in treating back fat, anyone who undergoes the procedure should have realistic expectations.

Non-Surgical Tummy Tightening

Get in shape and look hot for the summer with no downtime and without having to go under the knife!


Now that summertime is upon us, we get asked regularly, “What am I going to do about my cellulite?” At Epione we have the solution. It’s called Lipotherapy and it uses Radio Shockwave therapy to produce a pressure wave that passes through the skin and fat to impact the fibrous septae. Continue reading