Liposuction
Liposuction has many names such as liposculpture, lipoplasty and suction lipectomy Liposuction means removing fat at different places through cosmetic surgery.
For an example you can target areas such as the abdomen, thighs, buttocks, neck, and back of the arms.
A hollow tube called a cannula, and a suction device called an aspirator is used.
As we all know some fat deposits may not reduce because of dieting and exercising.
For such areas liposuction is the best option.
You may have negative aspects to removing fat in any area.
There are many factors which limit the fat removal from the body in one session.
Both the doctor and the patient should discuss this matter.
If too much is removed, you may see lumpiness and/or indentations on the skin.
The surgical risk becomes higher when more fat is being removed.
We can say that the more fat that is removed the more the risk rises.
Popularity: In USA 68 % of the population is over weight.
This makes it predictable that liposuction is very frequently performed there.
Normally it is used to remove only 10 to 15 pounds off the body.
Removing more fat than that can be life threatening and impossible too.
The American society of plastic surgeons defines large as 5 liters.
Frequent areas performed are: 1.
The abdomen and thighs in women.
2.
The abdomen and flanks in men.
Candidacy required for liposuction: Not every person is eligible for liposuction.
It's not a good alternative for dieting and exercising.
A person needs to be 1.
over 18 2.
healthy surgical candidate 3.
A person who has already tried the diet and exercise regime and still found the 10 or 15 pounds remaining on the body.
Different techniques of liposuction: These can be categorized by the amount of fluid injected and by the mechanism in which the cannula works The amount of fluid injection: 1.
dry liposuction This method is rarely used these days.
2.
wet liposuction A technique in which a medicated solution is injected into fatty areas before the fat is removed.
The liquid contains o Lidocaine: as a local anesthetic o Epinephrine: to contract the blood vessels and thus minimize bleeding o a salt solution.
3.
superwet liposuction This technique is preferred for high volume liposuction.
This technique is similar to the tumescent , except that lesser amounts of fluid are used.
Usually the amount of fluid injected is equal to the amount of fat to be removed.
4.
tumescent liposuction In the tumescent technique, the fluid is a mixture of intravenous salt solution, lidocaine and epinephrine helps the fat to be removed more easily, reduces blood loss and provides anesthesia during and after surgery.
Bruising and swelling are reduced with fluid injection.
Mechanism of liposuction 1.
Suction-assisted liposuction (SAL) 2.
Ultrasound-assisted liposuction (UAL) 3.
Power-assisted liposuction (PAL) 4.
External ultrasound-assisted liposuction (XUAL or EUAL) Things to do before the surgery [liposuction]: There are some important things to be noted like 1.
Antinflammatory & anticoagulants should not be taken for two weeks before the surgery.
2.
Fasting from midnight the night before is required if the surgery will be done in the morning, and if you are given general anesthesia.
3.
If local anesthesia is given then you need not go through the fasting.
4.
Smoking is to be avioded for 2 weeks pre-operatively.
Procedure of the liposuction surgery: 1.
Before the surgery starts the surgeon should discuss the areas where the fat will be removed and also discuss the realistic outcome.
The patient should be in agreement with the surgical plan.
2.
Then as per the procedure the consent form is to be signed i.
e.
on the pre-op appointment.
3.
There is a photo session at the pre-opertive appointment.
4.
The area where the fat is to be removed is marked in the standing position.
5.
IV will be started.
6.
A prep solution such as Betadine is applied on the area where the fat is to be removed.
7.
Local anesthetic is injected (and the person may also be given a sedative orally or through injection).
8.
As the person will be losing fat and fluid therefore there would be a fluid line.
9.
The rest would be like any other surgery.
Monitoring includes blood pressure check, heart rate check, and blood oxygen level.
10.
If general anesthesia is given then the patient can go home the same day as the operation.
Recovery 1.
Ace bandage or a compression garnment will be worn for 3 weeks.
2.
Bandages should be changed as directed.
3.
Sutures will be removed after five to ten days.
4.
Pain killers can be taken as per the prescription.
5.
Numbness may last for several weeks 6.
Swelling and bruising will subside after a few days.
7.
Normal work can be resumed according to the Doctors recommendation.
Side effects 1.
Bruising 2.
Swelling 3.
Scars 4.
Discomfort 5.
Numbness 6.
Limited mobility Things to do to recover quickly: 1.
Drinking plenty of water.
2.
Avoiding alcohol 3.
Avoiding the ice packs and heating packs 4.
Working less and following the instructions given by the doctor.
For an example you can target areas such as the abdomen, thighs, buttocks, neck, and back of the arms.
A hollow tube called a cannula, and a suction device called an aspirator is used.
As we all know some fat deposits may not reduce because of dieting and exercising.
For such areas liposuction is the best option.
You may have negative aspects to removing fat in any area.
There are many factors which limit the fat removal from the body in one session.
Both the doctor and the patient should discuss this matter.
If too much is removed, you may see lumpiness and/or indentations on the skin.
The surgical risk becomes higher when more fat is being removed.
We can say that the more fat that is removed the more the risk rises.
Popularity: In USA 68 % of the population is over weight.
This makes it predictable that liposuction is very frequently performed there.
Normally it is used to remove only 10 to 15 pounds off the body.
Removing more fat than that can be life threatening and impossible too.
The American society of plastic surgeons defines large as 5 liters.
Frequent areas performed are: 1.
The abdomen and thighs in women.
2.
The abdomen and flanks in men.
Candidacy required for liposuction: Not every person is eligible for liposuction.
It's not a good alternative for dieting and exercising.
A person needs to be 1.
over 18 2.
healthy surgical candidate 3.
A person who has already tried the diet and exercise regime and still found the 10 or 15 pounds remaining on the body.
Different techniques of liposuction: These can be categorized by the amount of fluid injected and by the mechanism in which the cannula works The amount of fluid injection: 1.
dry liposuction This method is rarely used these days.
2.
wet liposuction A technique in which a medicated solution is injected into fatty areas before the fat is removed.
The liquid contains o Lidocaine: as a local anesthetic o Epinephrine: to contract the blood vessels and thus minimize bleeding o a salt solution.
3.
superwet liposuction This technique is preferred for high volume liposuction.
This technique is similar to the tumescent , except that lesser amounts of fluid are used.
Usually the amount of fluid injected is equal to the amount of fat to be removed.
4.
tumescent liposuction In the tumescent technique, the fluid is a mixture of intravenous salt solution, lidocaine and epinephrine helps the fat to be removed more easily, reduces blood loss and provides anesthesia during and after surgery.
Bruising and swelling are reduced with fluid injection.
Mechanism of liposuction 1.
Suction-assisted liposuction (SAL) 2.
Ultrasound-assisted liposuction (UAL) 3.
Power-assisted liposuction (PAL) 4.
External ultrasound-assisted liposuction (XUAL or EUAL) Things to do before the surgery [liposuction]: There are some important things to be noted like 1.
Antinflammatory & anticoagulants should not be taken for two weeks before the surgery.
2.
Fasting from midnight the night before is required if the surgery will be done in the morning, and if you are given general anesthesia.
3.
If local anesthesia is given then you need not go through the fasting.
4.
Smoking is to be avioded for 2 weeks pre-operatively.
Procedure of the liposuction surgery: 1.
Before the surgery starts the surgeon should discuss the areas where the fat will be removed and also discuss the realistic outcome.
The patient should be in agreement with the surgical plan.
2.
Then as per the procedure the consent form is to be signed i.
e.
on the pre-op appointment.
3.
There is a photo session at the pre-opertive appointment.
4.
The area where the fat is to be removed is marked in the standing position.
5.
IV will be started.
6.
A prep solution such as Betadine is applied on the area where the fat is to be removed.
7.
Local anesthetic is injected (and the person may also be given a sedative orally or through injection).
8.
As the person will be losing fat and fluid therefore there would be a fluid line.
9.
The rest would be like any other surgery.
Monitoring includes blood pressure check, heart rate check, and blood oxygen level.
10.
If general anesthesia is given then the patient can go home the same day as the operation.
Recovery 1.
Ace bandage or a compression garnment will be worn for 3 weeks.
2.
Bandages should be changed as directed.
3.
Sutures will be removed after five to ten days.
4.
Pain killers can be taken as per the prescription.
5.
Numbness may last for several weeks 6.
Swelling and bruising will subside after a few days.
7.
Normal work can be resumed according to the Doctors recommendation.
Side effects 1.
Bruising 2.
Swelling 3.
Scars 4.
Discomfort 5.
Numbness 6.
Limited mobility Things to do to recover quickly: 1.
Drinking plenty of water.
2.
Avoiding alcohol 3.
Avoiding the ice packs and heating packs 4.
Working less and following the instructions given by the doctor.
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