Liposculpture and Liposuction
Liposuction is a procedure for women and men who are of relatively normal weight but have deposits of localized fat in certain areas of the body that do not respond to dieting or exercise. However liposuction is not a treatment for obesity. Liposuction is suitable for men and women of almost any age, who want to get rid of local fat collections, providing their skin is elastic enough to retract to the normal position. These types of fat deposits are usually difficult to get away by exercise or exercise and usually your fat deposits are a result of genetic and hormonal factors. Liposuction here can be helpful. Patients with loose flaccid skin might have to undergo a combined procedure, which involves skin resection. Patients who also have depressions in their bodies can benefit from liposculpture and fat can be injected to improve contour.
Incisions and technique
Liposuction is performed with local anesthesia and with sedation, together with relaxing agents. In liposuction, only fatty tissue and not overlying skin are removed. Patients who have excess skin (after pregnancy) should discuss whether a abdominoplasty can be a better option. Small skin cuts are placed in skin folds, these incisions are approximately 5 mm and leave completely insignificant scars. A thin needle is inserted through the section, the needle then sucks out suitable parts of the fat surplus. Then liposuction goes on. Different areas of the body are suitable for liposuction, to improve cheeks, jowls, neck, arms, breast, back, abdomen, waist, hips and buttocks, inner and outer thighs, knees, calves and ankles. It can also be used to treat the male breast enlargement, or gynecomastia and it can be performed on several areas of the body at the same time, or together with other aesthetic plastic surgery. Normal procedure time is between one to three hours and is usually performed as an outpatient basis with local anesthesia with sedation. However extensive procedures may require short inpatient stay.
Temporary mild pain is common, especially in the first 48 hours but can be treated with analgesics. Swelling, soreness, numbness, bruising usually last a few weeks. Dressings are applied on the small incisions. There will be a leak of the anesthetic fluid through the incisions in the first 24 hours. Dressings will be changed daily. Shower is allowed after 24 hours. You may have to wear a girdle for a few weeks. Stitches will be removed between the 5th and 7th day. It is possible to be back to work after two to three weeks. Exercise and sunbathing is recommended after four to six or more. Fading and flattening of the little scars will take from three months and up to two years.
Significant complications from liposuction are not frequent. Potential complications are asymmetry, rippling, and pigmentation of the skin, bleeding, infection and problems with anesthesia. Temporary numbness of the skin and hematomas (blood accumulations) are possible mild complications. Irregularities of the skin can happen in some patients, but can be treated if necessary. More serious complications involve loss of fluid or blood that can provoke shock, although this is now very rare with the tumescent anesthesia. Infection is very rare.
Liposuction improves body contour and increases self-confidence. The results may take a few months to show because there is the possibility of fluid retention following surgery with prolonged swelling. Occasionally, a secondary procedure, or “touchup” may be indicated to improve certain areas, most times under local anesthesia. A special massage, called manual lymphatic drainage helps with the swelling and bruising in the postoperative period, increasing comfort.
Duration of the results
If the weight remains the same results should be permanent, especially when combined with diet and exercise