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Cinchit

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BioSculpture Technology launches the Cinch It(TM) program to reduce the nation\'s obesity-related health costs.

BioSculpture Technology launches the Cinch It(TM) program to reduce the nation\'s obesity-related health costs.

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  • 1. Cinch It © 2008 BioSculpture Technology, Inc. All rights reserved. ™
  • 2. The Facts
    • The U.S. obesity prevalence increased from 13% to 32% between the 1960s and 2004.
    • 66% of U.S. adults were overweight or obese in 2003-2004
    • Abdominal obesity as measured by waist circumference and waist hip ratio (WHR) is an independent predictor of mortality.
    • Marginally increased waist circumference is strongly associated with prevalent hypertension in normal-weight and overweight adults.
    • Although maintaining a healthy weight should continue to be a cornerstone in the prevention of chronic diseases and premature death, maintaining a healthy waist size should also be an important goal .
  • 3. Metabolic Syndrome Any Three Risk Factors
    • RISK FACTOR
    • Abdominal obesity
    • Triglycerides
    • HDL cholesterol
    • Blood Pressure
    • FBS
      • DEFINING LEVEL
    • Female >88 cm (>35”)
    • Men: >102 cm.(>40”)
    • ≥ 150 ml/dl
    • Men < 40mg/dl
    • Women < 50 mg/dl
    • ≥ 130/ ≥85 mm Hg
    • ≥ 110 mg/dl
    Associated With Insulin Resistance and Increased risk of CHD
  • 4. The Goal
    • Achieve an improvement in the waist to hip ratios (WHR) of moderately obese patients with liposuction.
    • Document any improved metabolic status and BP of treated patients concurrent with improvement in the WHR.
    • Document the safety and reliability of twin cannula assisted liposuction (TCAL) for waistline reduction.
    • Measure patient satisfaction and evaluate the degree of skin contracture with TCAL.
  • 5. Method
    • Perform baseline BP, PE, waist and hip circumference measurements, total lipid profile, FBS, HbA1, and photos.
    • Perform TCAL liposuction on the abdomen and flanks sufficient to impact the waist hip ratios significantly (>10% waist reduction).
    • Repeat BP and WHR ratio measurements at 1, 3, 6 and 12 months after surgery.
    • Repeat photos at 6 months post-surgery
    • Repeat labs at 1, 3, 6, and 12 months after surgery.
    • Evaluate patient satisfaction, and skin contraction at 1,3,6, and 12 months postop.
    • Correlate data with change of WHR and evaluate metabolic significance.
  • 6. Twin Cannula Liposuction (TCAL)
    • Only the inner cannula moves, its aspirating hole aligned with a stationary outer cannula slot.
    • Eliminates the battering ram effect of reciprocating cannula on the patient
    • More precise, labor-free control of fat removal and pannus thinning.
    • Cannulas don’t get hot.
    • Removes fat cells as well as fat.
  • 7. Treatment Records
  • 8. Sponsors and Participants
    • Airbrush Liposculpture ® of N.Y.C.
    • Airbrush Liposculpture ® of Palm Beach.
    • Airbrush Liposculpture ® of Los Angeles
    • Airbrush Liposculpture ® Centers, International
    • Rocin Foundation for Plastic Surgical Research
    • BioSculpture Technology, Inc .
  • 9. References
    • Skin Retraction after liposuction in patients over the age of 40. Bank DE, Perez MI Dermatol Surg. 1999 Sept:25(9): 673-6
      • Patients with an average age of 55 years obtained an average weight loss of 5 lbs and a waistline decrease of 3 “ 6 months after the procedure.
      • Tumescent liposuction of the abdomen, neck and arms is a safe alternative for contour improvement with good cosmetic results in patients over 40 years of age.
  • 10. References
    • 2. Blood loss in major liposuction procecdures: a comparison study using suction-assisted versus ultrasonically assisted lipoplasty. Karmo FR, Milan MF, Silbergleit A. Plast Reconstr Surg. 2001 Jul: 108(1) 241-9
      • The volume of whole blood loss was slightly higher in the liposuction aspirate, though insignificant when using ultrasound-assisted lipoplasty vs. suction-assisted lipoplasty.
    • 3. Powered liposuction. Coleman WP 3RD Dermatol Surg. 2000 Apr: 26(4): 315-8
      • Powered liposuction may provide the advantages of ultrasonic liposuction with fewer complications.
  • 11. References
    • 4. The benefits of powered liposuction versus traditional liposuction: a paired comparison analysis. Katz BE, Bruck MC, Coleman WP 3rd. Dermatol Surg. 2001 Oct:27(10): 863-7
      • Power liposuction cannulas produce significantly faster recovery times for patients, allow faster procedures times, and reduce surgeon fatigue, resulting in safer and more precise surgery.
      • A lower incidence of touch-up procedures is likely due to these benefits.
  • 12. References
    • 5. Improvements in cardiovascular risk profile with large-volume liposuction: a pilot study. Giese SY, Bulan EJ, Commons GW, Spear SL, Yanovski JA. Plastic Reconstr Surg. 2001 Aug: 108(2) 510-21
      • 14 women with body mass indexes greater than 27 kg/m 2 underwent measurements of fasting plasma insulin, triglycerides, cholesterol, body composition by dual-energy X-ray absorptometry, resting energy expenditure, blood pressure before and after large-volume ultrasound-assisted liposuction.
      • Over a 4-month period, large-volume liposuction decreased weight, body fat mass, systolic blood pressure and fasting insulin levels without deterimental effects on lean body mass, bone mass, resting energy expenditure or lipid profiles.
      • Should these improvements be maintained over time, lipsouction may prove to be avaluable tool for reducing the comorbid conditions associated with obesity.
  • 13. References
    • 6. Large-volume liposuction and extensive abdominoplasty: a feasible alternative for improving body shape. Cardenas-Camarena L, Gonzalez LE Plast Reconstr Surg. 1998 Oct: 102(5): 1698-707.
      • 42 female patients underwent liposuction of large volumes and extensive abdominoplasty during an 18 month period with an average follow-up period of 9 months.
      • Their average age was 40 years and only 11% were at their ideal weight.
      • Tumescent liposuction was performed and followed by extensive abdomnoplasty. 52% of the patients underwent a 3rd cosmetic surgical procedure.
      • Volumes of 1600 ml up to 11,2000 ml were obtained through liposuction, with an average of 4230. Abdominoplasty removals averaged 1300 gm.
      • Only two of the heaviest patients required a unit of autologous blood because they underwent concurrent breast reduction.
      • Tumescent liposuction reduces bleeding enough to allow feasible combination of large volume liposuction with abdominoplasty.
  • 14. References
    • 7. Optimization of conscious sedation in plastic surgery. Marcus JR, Tyrone JW, Few JW, Fine NA, Mustoe TA. Plastic Reconstr Surg 1999 (Oct): 104(5) 1338-45.
      • Conscious sedation followed a standardized administration protocol using incremental doses of two agents: midazolam (0.25 to 1 mg) and fentanyl (12.5 to 50 mcg).
      • Conscious sedation is an effective anesthetic choice for routine plastic surgical procedures many of which would be commonly performed under general anaesthesia.
  • 15. Airbrush ®

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