Tickle Liposuction is an office-based procedure that has actually been around for about good 12 to 14 years in Europe, came to States about 4 years ago. What distinguishes Tickle from any other form of liposuction in the marketplace is really its gentleness.
It does not heat or burn tissues like lasers or what is called a Vaser which is ultrasound-based liposuction. It does not us cutting instruments that chop through and cut like traditional liposuction or something called power-assisted liposuction.
Tickle Lipo uses vibration and rotation with dull, non-sharpened instruments if you will. So on the numbing side, we’re taking a little small tube, 2 1/2mm in diameter and, actually, with a blunt end and just going gently weaving through the tissues and we’re spraying anesthetic fluid into the tissues. So not only is it gently weaving through the tissues, the vibration helps to further minimize any discomfort.
After we’ve numbed the tissues thoroughly that we need to numb, then we go through with a maybe a 3mm instrument, nothing bigger, install the blunt end, little side holes, but now we’ll just increase the vibration and rotation rate. And what that does is helps liquefy the fat and break it down so we can easily just suction out.
So the nice thing about this is we’re not heating and burning. We’re not cutting and chunking. We’re just simply liquefying and removing. What that also means is the support structures that hold skin tugged down to muscle, they’re left pretty much intact. They’re not burned. They’re not cut. So when you would evacuate that fat, you’re body actually wants to take away that are of loss because it doesn’t want any Swiss cheese open hole effect in our body. So it will actually just pull down on the skin and we have a secondary skin tightening because of Tickle Lipo.
One other thing is really — a few other things. Because of the fact that this instrument is vibrating and rotating, this vibration and rotation actually what’s called a Gating mechanism. By Gating mechanism , what I mean is it tells the brain that you’re really not feeling any discomfort or it minimizes the discomfort. So it is a further enhancement of the whole anesthesia process.
Also because of that, I can use still very much adequate amount of anesthesia but less than I would if I was doing another type of instrument where it is very traumatic or burny. And therefore, I can feel the tissues more easily during the procedure. I can feel the texture of the tissues, the thickness of the tissues, and the symmetry of the tissues. So I know my endpoints, I know my end result, and I know what kind of results I’m going to get because of all that. It truly distinguishes Tickle from anything else in the marketplace.
If you’ve ever been through a procedure and somebody is wheeling you on a gurney into a pre-upholding area which is already cold and sterile, now into the operating room where it is even more cold, more sterile. And it is cold temperature because they like to keep operating rooms cold. It is sterile because everything is just has to be sterile for the procedure. It is not a warm inviting environment.
Versus, imagine just walking into the office, walk in procedure room, putting your garment on, laying down on a nice heated padded table, having music playing and just having people talk to you as we properly prepare you for the local anesthesia only. It is much more soothing. We’re talking to them. We’re joking around with them, they’re playing their own music so they are relaxed. And that’s part of the deal of proper preparation before the procedure.
First of all, just to kind of lead in to the whole idea of price, obviously everybody wants a cheap price. Everybody is looking for the best deal possible. Unfortunately, the best deal possible is the most expensive deal in the long run for you as a patient. Doctors are charging based on their needs to get patients and sometimes they lower their fees enormously because they are not getting any patients. Buyer beware. Look for a reasonable price, first of all. And then based on that, most of us will charge by area.
Typically, I mean, just to get into the room, get everything set up, have everybody taken care of as far as personnel is concerned, there is a base price we have to incur on our side or base cost. So the first are, typically, is the most expensive. As we add other areas to the procedure, the cost of each succeeding area usually goes down in price. So we have to take that in account when looking at the full price that the doctor suggest to you.
Some of us, not all of us, will look at the size and depth of the tissue that has to be reduced. And because, obviously, the more tissue the more time, a lot of doctors will charge based on that thickness of tissue. I have yet to do it, okay, try to make it the same price per area. But you have to understand that some doctors may come out and say: “You know, your friend is getting charged this amount. You’re getting charged this amount for same number of area.” But your friend may be thicker than you are and therefore might last an hour or longer. Unfortunately, time is money. So there’s sometimes discrepancies when it comes to thickness of tissue and price charged.
So when you’re seeing advertisements for given prices either on the internet, in an ad, those prices are probably a minimum price to get you enticed to come in but those things may change sometimes dramatically once the doctor assesses you and tells you now it’s Y versus X as far as pricing.
But we are consistent with our pricing both in advertising and in the door. As far as pricing is concerned, again, you can look out in the internet and fin pricing for various physicians. In my mind, the better the expertise of the physician, you would have to expect for that quality, for that reassurance that you’re getting the best possible outcome, for that possibly even guarantee that they are going to say: “We’re going to make sure that you’re happy with the results.”
But with quality comes price. And therefore, expect to pay more if the doctor is more experienced, better at his craft, and has testimonials to back it up, and pictures to back it up versus a doctor who just has a 2 procedure for $9.95. Again, buyer beware.
So when it comes to pricing and experience for procedure, again, first you have to decide whether you want to go undergo a more traumatic procedure in a hospital-based setting and there are plenty of doctors that have plenty of experience doing that, offers thousands of procedures that they’ve done over period of years. If you choose not do it in a hospital-based setting and choose to do it using much more gentle instrumentation, much more gentle to you, and then you go through the whole process of which one of those instruments is the best the you want to do, obviously my advice is Tickle Lipo. And if you chose Tickle Lipo as your procedure of choice, then you have to look and say what doctors out there have the best experience in Tickle Lipo.
Tickle Lipo has been the US approximately 4 – 4 1/2 years. There is literally a handful of us, 65-70 doctors nationwide that have Tickle Lipo in their practices. Of that 65-70, there’s only 3 or 4 of us that have done anything near 750 or more procedures.
So take that into account when you’re looking at price, looking at procedure, and looking at quality or end-product.
So when it comes to comparing experience and occurring with pricing, make sure that once you’ve chosen procedure that you want to have done that you chose the doctor that has the most experience in that procedure. Because a doctor that has done 10,000 procedures in a hospital-based setting but have only done 5 in office-based setting, the experience is not going to equate. It’s not going to be equal to when it is done in a hospital. So keep in mind always comparing apples to apples when you want experience with procedure.
If you go to a hospital, not only you have a surgeon’s costs, you have an anesthesiologist costs, you have the operating room costs, you have the recovery room costs, you have medication costs. So they all add up and they could be relatively significant amount of money that you’re spending. But unfortunately, a lot of times you’ll go see a doctor who is going to do it as an operating room procedure, they’ll quote you their cost but leave off the fact that there are other hidden cost that you’re not going to know that you’re incurring until you have the procedure. As opposed to the office-based setting, typically most of us is just one cost – it is the cost of the procedure. Anesthesia is included. Obviously the procedure room is included. So you’re getting everything condensed into one cost and more often than not, it is a significant savings by having an office-based setting than a surgical setting. Let alone, theoretically, if you’re having it done in a general anesthesia, you’re going to have a more traumatic procedure done therefore potentially more downtime, more time off from work so loss of income on the back-end as well.