What's the difference between invasive and non-invasive surgery?
That's a great and important question! Technically, "invasive" means an incision is large enough for a doctor to use their hands while "non-invasive" means a smaller or no incision is needed. In cosmetic surgery, this means the difference between the amount of time needed for recovery and potential for complications. While I am a board certified licensed surgeon, my practice has evolved to specialize in non or minimally invasive procedures.
I have a tattoo that must go! But the more research I do, the more confused and scared I have become. Does your practice perform tattoo removal?
Many people are becoming interested in tattoo removal. There are many options that make lots of promises. But most of them are painful, expensive and only partially successful. I have been researching this subject for 7 years and now, and finally the laser technology has evolved to give patients good to excellent results with minimal risk. I am one of five surgeons in the country that offers the latest in laser tattoo removal.

This new tattoo removal laser operates on 4 different wavelengths to get deep into the skin where the ink resides. Multiple laser wavelengths mean that we can remove even the most stubborn colors. The results are astonishing as your skin returns to its original pre-tattoo appearance in most cases. Some variability in results persists due to the unknown ink contents.

Be sure to do your research before you invest any money in this procedure. Some snake oil salesmen have done quite well in this area. The good news is that you no longer have to live with body art from the past if you don't want to.
What is the difference between Liposuction and other ways to lose stubborn fat?
Liposuction is the oldest and best known procedure, but recently new options have become more popular. Both SmartLipo and CoolSculpting™, are minimally invasive techniques which produce great results.

During CoolSculpting™, a non-invasive applicator delivers precisely controlled cooling to the treatment area. Treatment cycles last one hour. The procedure is very comfortable and often patients read or work on a laptop during treatment. Since no anesthetic is needed, patients can continue with their normal lifestyle the same day, with no downtime.

The best candidates for the CoolSculpting™ procedure are people near their ideal body weight who eat well and exercise regularly but still have pockets of fat that have not responded to a healthy lifestyle. They are seeking long-lasting spot reduction for specific areas of fat, but they are not considering a surgical procedure with its inherent expense, downtime, and risks.

SmartLipo® uses laser technology to melt and liquefy the fat within the fat cells. It smooths and tightens the skin to decrease any laxity. It can be utilized to treat smaller areas of fat, such as below the chin, or to treat larger areas of fat in the abdomen, flanks, thighs and arms.

SmartLipo® uses a carefully calibrated laser to liquefy fat deposits. The laser actually bursts fat cells, which are then removed through a tiny incision in the skin by the surgeon. The incision is so small you won't need a suture. The small laser can also seal blood vessels as it zaps fat, so there is less swelling, bleeding and bruising than with traditional liposuction. The minimal invasiveness of the procedure allows patients to recover quickly with good skin tightening.

In addition, SmartLipo®'s patients need only a local anesthetic for this procedure. Since the patient is only mildly sedated, SmartLipo® carries significantly fewer risks than traditional liposuction, and the recovery time is much shorter.

The Smartlipo® procedure lasts anywhere from forty-five minutes to a couple hours. Recovery time is minimal - you can go to work as early as the next day, but a few days recovery is recommended.

Have hope! Losing stubborn inches is not as difficult or painful as it has been in the past. Make sure you take the time you need with your surgeon to pick the right option.

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608 Northwest Boulevard, Suite 301
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New Downtown Spokane Office (opens January 2012)
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Spokane, WA 99201
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About Advanced Aesthetics
Dr. Kevin Johnson is founder and owner of Advanced Aesthetics, PLLC. He founded the company after developing a significant interest in the medical and cosmetic use of laser light applications. His practice focuses on incorporating and developing cutting edge cosmetic technologies and procedures that are safe, effective and require minimal downtime.

The mission of Advanced Aesthetics is to provide patients with the most comprehensive and effective laser and surgical cosmetic correction evaluation and treatments available, based on individual personal patient needs.
About Dr. Kevin Johnson
Dr. Kevin Johnson, MD, FACS, is a Board Certified General surgeon with a special interest in non-ablative aesthetic laser medicine, minimally invasive treatment of varicose veins, and laser assisted body sculpting and liposuction.

He is a Fellow of the American College of Surgeons, member of the American College of Phlebology and the American Society of Laser Medicine and Surgery, American Academy of Cosmetic Surgery, and National Society of Cosmetic Physicians. He is a guest editorial writer and has been interviewed on laser and minimally invasive aesthetic trends for several local publications and televeision stations. Additionally, he has been selected to be a Certified Physican Trainer, training others in the aesthetic application of lasers and laser safety. Dr. Johnson is a consultant and guest speaker for leading laser company Cynosure, educating others in laser aesthetic rejuvenation, laser-assisted liposuction as well as varicose vein treatments, injectable fillers and Botox.