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The Liposuction Center

Salus Gradus (Safe Steps) Liposuction is an elective, cosmetic surgery wherein fat under the skin is safely sucked out. In general, there are only two major types of liposuction, traditional and tumescent. For traditional liposuction, the patient is “put out” or put under general anesthesia or is sedated with IV drugs. General anesthesia and IV sedation increases the risks of complications during and after liposuction. For total tumescent liposuction, the patient is never “put out” or sedated. The patient does not feel pain because the treatment area is completely numbed by the local infusion of numbing fluid into the fatty area.

Neither general anesthesia or IV sedation are necessary for liposuction. While these two interventions make liposuction more convenient for the surgeon, they increase patients’ risk for complications during and after the surgery. Because liposuction of any type is always an elective, cosmetic procedure, this surgery can always be thoughtfully planned out to achieve the best cosmetic result in the safest way possible.

Total Tumescent Liposuction (TTL) is the safest way to remove excess fat from under the skin. The reason TTL is safer than sedation Liposuction is that with TTL, the patients’ ability to breath on their own is never turned off or compromised with systemic medication.

The word “Tumescence” means to swell or engorge with fluid. During this procedure, the surgeon infiltrates the treatment area with tumescent fluid. This fluid contains salt water, very weak Lidocaine and even weaker epinephrine. The weak Lidocaine takes all the feeling away from the treatment area. The weak epinephrine prevents bleeding.

While the patient is awake, alert and breathing on their own, the surgeon uses a thin suction probe to suck fat from under the skin. The patient goes home 20 minutes after the procedure.

At The Liposuction Center, we never remove more than 3 liters of fat at one time. Even when our patients have more than 3 liters of fat to be removed, it is safer for us to remove a large volume of fat by removing smaller volumes over several low-cost sessions, 6-8 weeks apart. This safer, step-wise approach to liposuction is called the Salus Gradus approach.

*Individual Results May Vary
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Consultation
  • Patient and physician discuss cosmetic and surgical goals, emphasizing safety
  • Patient psychological assessment for body dysmorphic disorder and other related conditions
  • Physician review of patients’ current medication and allergies
  • Physician review of patients’ medical, surgical and social history
Pre-Op
  • Patient coordinator arranges friend/family ride pick-up
  • Physical exam and lab studies (HIV, Hep C, Complete Blood Count, Blood Clotting)
  • Before photos taken
  • Patient receive full Pre-Op and Post-Op written instructions
  • Patient avoids medications as recommenced by our team
Surgery
  • Patient arrives on time and is received by patient coordinator
  • Nurse Practitioner preps patient for surgery
  • An IV is started and patient is given prophylactic antibiotics to prevent infection
  • Physician infuses numbing fluid into the patient’s fatty treatment area
  • Physician uses a power-assisted cannula to gently remove fat from treatment area
  • After surgery photos
  • Tight compression garments applied in the operating room
  • Patient coordinator assists patient getting into car for return home
Post-Op
  • 24-hour physician telephonic follow up
  • Patient removes tight compression garment after 24-hour post op
  • 72- hour nurse practitioner telephonic follow up
  • Patient completes 7-day oral antibiotic course
  • 4-6 week in-person follow up visit with After photos taken

*Individual Results May Vary

Dingane Baruti, MD

Dingane Baruti MD is a retired Major in the US Army. He has a total of 21 years of military service, with 14 years as a physician. Dr. Baruti is a native of California and received his Bachelor of Science degree in Biochemistry from the University of California at Davis in 1998. Driven by his deep commitment to serve his country, Dr. Baruti accepted a commission into the US Army as a 2nd Lieutenant whose duty was to complete 4 years of medical school at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Specifically trained in battlefield trauma medicine, deep sea medicine, chemical and biological warfare medicine, Dr. Baruti was then promoted to Captain and then completed a 3-year residency in Family Medicine at Martin Army Community Hospital in 2005. During his residency, Dr. Baruti was most comfortable performing surgical procedures. He made design improvements on surgical instruments to improve the diagnosis of cervical cancer, which led to serval US utility patents.

Dr. Baruti became proficient in Tumescent Liposuction after being trained by the world famous, Dr. Jeffery Klein, MD, the inventor of the tumescent liposuction surgical technique in 1985. Dr. Klein’s tumescent liposuction technique is still considered the optimal technique in terms of patient safety and excellent cosmetic results. After sitting under the tutelage of Dr. Jeffery Klein and absorbing his safe approach to liposuction, Dr. Baruti coined the term “Salus Gradus” method for liposuction.

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