Liposculpture: Hi Definition Body Contouring

A high definition body contouring procedure, or Liposculpture,  involves advanced techniques where the surgeon selectively removes fat to enhance the overall muscular appearance of the patient. The biggest challenge for this technique is proper selection of candidates for the procedure. liposcultpure

All liposuction procedures are intended to target problem areas of fat that just don’t go away with extra time in the gym.  Basic liposuction—whether with or without laser, or ultrasound based technologies, focuses on reducing inches  i.e. decreasing the circumference and changing the shape of the individual.

Liposculpture, better defined as a hi definition body contouring procedure, takes this process to a higher level by selectively removing more fat and strategically leaving fat to create an artistically facilitated appearance that is more muscular and toned. We use the VASER® method, sometimes combined with laser methods, to create a new image not possible without advanced training and technology.

An appropriate candidate for a high definition body contouring procedure is usually not more than 30-40 pounds over weight.  However, we do use ‘hi def’ methods sometimes to improve the outcome of people who are more overweight.  The results achieved with these methods are often only seen in lean individuals with as little as 3-4% total body fat.

A high definition body contouring procedure takes considerably more time and skill and is therefore generally more expensive. Check out some of our before and after pictures  to get an idea of how much of a difference the high definition liposculpture techniques can make.  Then, schedule a complimentary consultation to learn if hi definition body contouring, or Liposculpture, is right for you.  We have multiple procedure options available.  If you’re not local, ask for a Skype consultation and fly into Atlanta for our Gold Liposuction package.

Learn More at our page on Liposculpture, and call us today!  770-680-2197


Suboxone is not Methadone


Suboxone is not Methadone 

Due to experience with use of methadone in treatment of the same group of patients, confusion is common with the use of Suboxone as a tool in helping people with addiction to opiates. True, both drugs are opiates, i.e. morphine-like drugs and both drugs can be abused by those so inclined to do so, but that is where the similarity ends.  The success rate for use of methadone to escape addiction from drugs like heroin and oxycodone is dismal.  In proper settings under proper supervision methadone is effective in this regard, but the reputation for being a witch for the devil substitute is deserved. This is  not so for Suboxone. People can and do get off Suboxone. Two additional products are now available containing buprenorphine and naloxone-Zubsolv and Bunavail. Both have unique virtues and different dosing schedules. However, general comments about suboxone apply to these products as well.

Understanding Suboxone, Bunavail and Zubsolv

Suboxone, ( just like Bunavail and Zubsolv) is actually two drugs in one pill or film.  The first and only active ingredient, Buprenorphine, is a narcotic analgesic, which was originally released as a regular pain medication.  Buprenorphine in and of itself is a very effective pain medication.  The second component is naloxone, which does nothing if the medication is taken as directed.  If ground up, injected or snorted or when taken with other opiates, the naloxone component can precipitate withdrawal symptoms etc.  When the medication is taken as directed. The naloxone passes through the GI tract totally inactive.  Naloxone is there only as a deterrent to discourage abuse and as a safety factor.   Methadone does not come with a combined deterrent medication because of the risk of precipitated withdrawal.

Unlike other opiates and narcotics, buprenorphine does not cause as much tachyphylaxis and tolerance (loss of effectiveness of a given dose of the drug.)    So you don’t develop ever-increasing dose requirements etc.  Unfortunately people on methadone do have issues with ever increasing dose requirements and have much more difficulty tapering off the drug.

Another significant virtue of Suboxone is that patients are more alert and cognitive functions are not as compromised on Suboxone as compared to methadone.  This is related to the fact that, while very effective in treating and preventing withdrawal, Suboxone does not cause the patient to experience “the high” experienced with methadone and other opiates.  After induction with buprenorphine patients are able to return to work or school in just one day, and the drug allows some patients to be otherwise narcotic free in as little as one day. .

Because Suboxone is a long acting drug, there is less chance of abrupt onset of withdrawal symptoms when a dose is missed.  Therefore, when used as a tool to “detoxify” an individual, gradual reduction in dose to wean off of the drug is much easier than with the other opiates.  Thus, Suboxone can be used as an effective pain medication or as a tool to detoxify an addicted patient gradually on an out patient basis.  In our practice, we have another modification in management of patients that has allowed us to be successful in weaning them off Suboxone.  Empirically, envision the brain as being able to recognize changes in dose in percentages rather than milligrams. A decrease in dose from; say 16 mg to 8mg, is perceived by the brain the same as from 2mg to 1mg.  Both adjustments are a 50% decrease in the amount of medication the brain has become accustomed to.  Compounded buprenorphine in customized dosages and flavors allows us to reduce doses in smaller amounts (percentages) at variable intervals.  This has been a wonderful and refreshing change from experience with methadone or even propriety formulations of Suboxone.  Experience to date is early, but empirically, relapse rates appear to be better than with methadone as well.  For more information see  www.sickofpainmeds.com or go to www.wisemedicalcenter.com/medical-services/opiate-detox/ , or http://wisemedicalcenter.com/medical-services/probuphine-buprenorphine-implant-provider/. 

Maternal Opioid Dependency

Pregnant mothers who abuse heroin or certain narcotic painkillers during pregnancy cause their newborns great suffering during their first days and weeks of life. Heroin, oxycodone and similar drugs are known as opioids.  Opiate addiction is more prevalent in Georgia and the suburbs of Atlanta thanaddicted and pregnant most states. On March 31, 2015 U.S. Senator Bob Casey (D-PA) and Majority Leader Mitch McConnell (R-KY) introduced legislation to address the rise of prenatal opioid abuse and infants suffering from opioid withdrawal. The Protecting Our Infants Act would direct the Secretary of Health and Human Services (HHS) to develop recommendations for preventing and treating prenatal opioid abuse and for treating infants born addicted to opioids.  Also, the bill would encourage the Centers for Disease Control and Prevention (CDC) to work with states like Georgia to help them improve surveillance and data collection activities regarding this problem.


Nationwide, there has been a staggering 300-percent increase in the number of infants diagnosed with newborn withdrawal since 2000. Experts believe even more cases that go unreported.


Babies, the most innocent members of our society, can be spared the sufferings of opioid withdrawals.  Researchers estimate that more than one baby every hour is born in the United States dependent on drugs and suffering from withdrawals. This statistic is as anger provoking as it is heart-breaking. Children are the most innocent of our society, and we have to protect them,” Senator McConnell said.

The Protecting Our Infants Act is supported by the March of Dimes, American Academy of Pediatrics and the American Congress of Obstetricians and Gynecologists.

  Babies born to addicted mothers may have a condition known as neonatal abstinence syndrome.  These babies have serious withdrawal symptoms in the first few weeks of life when exposed to illicit or prescribed narcotics during pregnancy.   These infants have symptoms like irritability, high-pitched crying, tremors, seizures, poor feeding, diarrhea and vomiting.  Many cases go unreported and it may not be clear why these babies are suffering or they may be misdiagnosed to have other causes of irritability etc. The fluctuating drug levels can cause constriction of blood flow to the baby and result in spontaneous abortion (miscarriage), pre-term birth, or small for gestational-age babies.

Addiction to opioids such as prescription painkillers like oxycodone, hydrocodone, tramadol or heroin—is a challenging and complicated condition that can be treated effectively with medication-combined with counseling and support. If you are pregnant & if pain meds or heroin are ruining your life or affecting your family or threatening your job or business—get help getting off of them! CALL 770-680-2197 or visit: www.sickofpainmeds.com Do it for your baby!



Medical Marijuana in Georgia

Medical use of marijuana is now legal in almost half of the states including Georgia, The Georgia Legislature passed the Haleigh Hope Act, signed into law by Governor Deal on April 16, 2015, allowing citizens to possess small amounts of the active ingredient in Marijuana THC for medical use.  The law is very restrictive and does not allow for possession of marijuana in a form where it can be smoked.  Nor does it allow for THC oil to be manufactured in Georgia.  Only a short list of conditions can be treated. While Georgia’s law is specific to a small handful of conditions, medical marijuana laws in states such as California permit marijuana use for a larger number of ailments.

Georgia residents and caregivers to legally possess up to 20 fluid ounces of low THC (5 percent) cannabis oil for the treatment of only eight diseases:

    1. Cancer, when such diagnosis is end stage or the treatment produces related wasting illness, recalcitrant nausea and vomiting;
    2. seizure disorders related to diagnosis of epilepsy or trauma related head injuries;
    3. ALS,
    4. Multiple sclerosis,
    5. Parkinson’s disease
    6. Sickle cell disease, when such diagnosis of each disorder is severe or end stage;
    7. Crohn’s disease
    8. Mitochondrial diseases.

Only these conditions and this form of the active ingredient will be legal in Georgia.

On a philosophical note, for most medical uses of marijuana – good if not better alternatives exist.  This restricted list identifies some of the situations where medical marijuana is a reasonable choice.  Nonetheless when seeking to offer reasonable alternatives, THC should more available.

Although highly celebrated, the law is very restrictive. For the few who will benefit it is a major progressive step in the right direction. People who smoke marijuana for anxiety or relief of pain will not benefit from this new law.  The bill makes it legal for registered caregivers to possess THC oil.  It is still illegal to bring medical marijuana into Georgia.  So, even though registered caregivers can possess Cannabis oil, they must break federal law to bring it into the state.

From a social and scientific point of view it is totally unintelligent for marijuana to be illegal while alcohol and cigarettes are legal.  While the marijuana debate is newsworthy, entertaining and interesting; I’ll spend more energy urging people to stop smoking tobacco and leave alcohol alone.

Source: Press release-

Brenda Fitzgerald MD Commissioner Georgia Dept. of Public Health News accounts website https://col126.mail.live.com/?tid=cmNIJSpnnZ5BGaaQAiZMJIzg2&fid=flinbox

Brenda Fitzgerald MD Commissioner Georgia Dept. of Public Health News accounts

website http://campaign.r20.constantcontact.com/render?ca=a5edfcb5-4e97-493f-b0b5-4b69484f504c&c=44a353f0-b3f9-11e3-abc7-d4ae5292c4dd&ch=45ed6020-b3f9-11e3-abe6-d4ae5292c4dd


What is a Brazilian Butt Lift?

What is a Brazilian butt lift?

A Brazilian butt lift is the colloquial term for a buttocks augmentation. People choose to undergo a butt lift to enhance the size of their derrieres. A butt lift can also improve the shape of the backside. Brazilian butt lifts are different from other buttock enhancing procedures because they use your own fat. Other methods of butt augmentation make use of silicone implants.

You might want to enhance your butt for a number of reasons. Some people are born with a small or flat backside. You might consider the surgery if you find that your clothing doesn’t fit properly on your backside, for example. Getting a butt lift will give you a more curvy shape and will increase the difference between your waist and hip size, which some people prefer. In some cases, people choose to undergo a butt lift procedure after losing a lot of weight and having their buttocks shrink in size.

Autologous Fat Transfer

Autologous Fat Transfer, in which fat is delicately removed from your body using a gentle liposuction technique. At the WISE Cosmetic surgery center, we either use a VASER technique or the infrasonic technique, depending on the patient’s specific needs. The fat cells are then harvested, purified and then either transferred immediately or only the best tissue stored in special conditions for future use.

Modern technology gives us the ability to harvest fat from undesired areas and redistribute fat to the chest and derriere ( Brazilian butt lift ) to help women obtain shapely bodies. Similar techniques allow for transfer to the face to restore a youthful appearance by eliminating facial folds and wrinkles. With the technologies we use there is no need to be put to sleep.

Fat transfer is a tedious process that must be done correctly to keep the fat from being re-absorbed by the body. This is why most plastic surgeons prefer the quicker, more profitable method of breast implants. However, the look and feel of implants comparatively speaking is not as natural in appearance and may not be as long-lasting of the Autologous Fat Transfer.

Fat transfers have been performed in South American and European countries for decades, but they are relatively new to the U.S. Improvements in older technologies make it possible to do these procedures in an office setting. Another unique twist is the suture suspension lift which can be combined with the fat transfer when appropriate or desirable to create the ultimate in an attractive heinie or subtle enhancements of the breasts in appropriate candidates.

Liposuction Atlanta, Brazilian Butt lift Atlanta by WISE LIPO Alpharetta Ga, 11810 Northfall Ln #1201 Alpharetta Ga 30009