Friday, February 10, 2012

Profiles Winter 2012

The new Profiles is out! Pick up your free copy at any participating business or in one of these newspapers: 

2/11: Eau Claire Leader Telegram
         LaCrosse Tribune
2/12: Chippewa Herald
2/15: New Richmond News
         River Falls Journal
         Hudson Star Observer

Click to view Profiles Winter 2012!

Tuesday, February 7, 2012

Q & A with Dr. Rucker: i-Lipo and Non-Invasive Fat Removal

Q: Do you or will you be offering the i-Lipo procedures? Also, please explain the technology behind non-invasive fat removal. - RP

A: Fat removal without surgery 

Treatments that work through the skin to reduce the fatty layers are considered non-invasive. Over the next 2 to 3 years we should expect to see several technological breakthroughs for this type of fat removal.. These treatments utilize energies to reduce the fatty layer without damaging the skin layer. These devices currently utilize ultrasound, radiofrequency energy or a combination of them. All of these devices are designed to deliver energy to fat and collagen cells within the skin to reduce the fatty layer and secondarily reduce body circumference.

Multiple treatments needed
Approximately 4 to 6 treatments may be required, depending on the patient. Each treatment may take anywhere from 20 to 60 minutes. In those individuals maintaining a healthy lifestyle including regular exercise and proper diet, the results may last for up to 6-12 months. Maintenance treatments are generally required for most patients to retain their results.

Various treatments available 
Here is a brief review of some of the devices non-invasive fat removal. This is just a brief list and may not include every device out there. It is merely meant to give you an overview of what’s available and how some of these technologies work

Thermage is a non-invasive treatment that uses radiofrequency energy to tighten and contract collagen fibers that lie deep in the skin, reducing the appearance of fat in the process.. The draw back with this technique is that many patients feel it is too painful.

Cryolipolysis is a developing, non-invasive fat removal technology.   It claims to use cold to kill fat.  The claims are that, this fat-freezing process not only destroys unwanted fat cells, but also leaves surrounding tissue and skin unharmed. While Cryolipolysis has not yet received FDA approval for fat reduction, results from animal studies have been positive to date. Further clinical trials are currently underway. Sit tight.

LipoSonix is a technology which uses high-intensity ultrasound to warm, "melt," and remove pockets of unwanted fat. As with several other non-invasive techniques, dissolved or melted fat is naturally filtered out of the body via the lymphatic system and eventually excreted through urination. LipoSonix is still in development and has not received FDA-approval for use in the United States. 

VelaShape is a procedure that uses radiofrequency and light energy to re-contour the body and "shrink" fatty tissue.

i-Lipo is a non-invasive fat reduction device that utilizes low energy lasers to reduce the fatty deposits.  It is FDA approved. However, I have concerns about the safety of laser technology for this purpose.  

UltraShape is a new, non-surgical technique that uses ultrasound pulses claiming to "blast away" targeted fat cells, meanwhile keeping surrounding tissue safe and whole. The manufacturer claims it may remove unwanted fat and provide effective body contouring, claiming to reduce the circumference of treatment areas by 1 ½ inches (4 centimeters). Some patients have seen reductions as great as 4 inches (10 centimeters). UltraShape has not yet received approval from the Food and Drug Administration for use in the U.S. This is the technology that I am awaiting FDA approval of.  I have researched the device and I feel that better results with less discomfort can be attained. 

I will continue to post on my blog and keep you informed of any new developments in this field.  

Friday, February 3, 2012

Q & A with Dr. Rucker: Rhinoplasty Imaging

Q: I have been in for a rhinoplasty consultation and you do not do imaging to show what the nose may look like after surgery. Would you consider doing this? If not, why not? I am going to have it done but would like see something like this.

A: In regard to your question regarding computer imaging in an attempt to better visualize the result of a rhinoplasty.  I have researched this technology extensively and have used the software required for computer imaging.  I have come to the conclusion that this is not a viable option for my practice for the following reasons. 

1. I feel the imaging process does not give an accurate picture of the result in many cases. This has been a concern with this technology throughout the plastic surgery community.  This discrepancy in anticipated results has lead to a significant amount of displeasure with patients seeing one result and in reality not receiving that result.  

2. I feel that those users of the technology tend to over estimate the anticipated result on the computer image, which can also lead to a strain on the patient to physician relationship. This technology I feel is better suited for showing possible results following body contouring but is significantly lacking with trying to show the anticipated results on the face.  I try to present a mental pictures to the patient of the anticipated result.  I emphasize shape, tip reduction, nostril changes and alterations of the bridge of the nose.  In this way I feel that each patient can better understand the anatomy and how we anticipate the changes that we propose for it.  The most common concern that my patients tell me is that I don’t want my nose to be overdone.  We strive to give a result that looks natural and compliments the overall appearance of the face.    


Welcome to the Rucker MD Plastic Surgery Clinic blog. Through this blog, we hope to provide and educate you with information on the ever-evolving field of plastic surgery as well as post announcements and specials for our Medispa on here. Feel free to leave any questions, ideas or comments and we will be sure to read them. We hope you enjoy your visit.