(Known variably as suction LIPECTOMY, LIPOSCULPTURE, LIPOPLASTY)
It is a surgical procedure degreed to clear unwanted fatty folds creating a more pleasing contour. The technique in its modern form has evolved largely from the work of French surgeon Dr. LLOUZ.
As the procedure evolved, tumescent anesthetic technique was added. This increased safety of the procedure significantly.
Ideal Candidate for Liposuction
An ideal candidate is generally above eighteen years of age and is in good general health The candidate should be motivated towards a healthy life style be on a regular exercise and diet regimen. There should be fatty pocket which can be addressed by surgery
Areas of Body That Can Be Addressed:
Techniques have been adapted and instrumentation developed to address almost all areas of the body-
- Double chin and neck
- Breast both in mead and ferule
- Abdomen flints
- Blouse folder
- Upper arms
What to Expect From The Procedure:
The surgeon will explain the amount of fat that is target able, will judge the elasticity of skin and explain the likely result.
- Anesthesia option
- It can be performed under
- local anesthesia (tumescent technique) alone
- regional anesthesia
- general anesthesia
Surgical Technique Options:
There are numerous innovation to make the procedure easier to perform, reduce blood loss and improve fat extraction and skin shrinkage.
1. Suction assisted liposuction –
This has been the original technique and continues to be the most widely used. A small cannula is inserted through an opening in a hidden area. This is attached to a vacuum machine and fat is suctioned manually by the.
2. Power Assisted Liposuction-
In this technique the manual work of surgeon is carried out by a special machine. This improves the amount of fat extracted by reducing surgeon fatigue.
3. Laser Assisted Liposuction-
Laser energy is transmitted to fat through a specially designed fiber. Laser energy is used to melt the fat which is then extracted.
4. Ultrasound Assisted Liposuction-
Here energy from ultrasound probe is used to melt the fat. This is then suctioned manually. VASER is one of the machines delivering ultrasonic energy.
Whatever the technique used, the incisions are left open to allow fluid drainage. It also carries out all collected blood reducing the bruising.
Post Operative Care:
Patient will need to take plenty of fluids. These can be administered orally or intravenously depending on the type of anesthesia used.
- Patient is prescribed a course antibiotics and painkillers for about a week to ten days
- The swelling and bruising fade one next 2-3 weeks
- Pressure garments are worn over the treated areas for next three to four weeks.
- The result becoming obvious, with the resolution of swelling, over 3 weeks to one month.
- The final result may take anywhere between 3-6 months to appear with complete resolution of swelling and skin shrinkage ..
SIDE EFFECTS & COMPLICATIONS:
There are some trying and unpleasant effects which are part and pacel of recovery process. These would be borne by all patients to a varying extent depending on the amount of fat extacted. Bruising can be bothersome but tends to fade after a few weeks Swelling should subside gradually over a month or two Scars are minimal ,usually in concealed areas and are usually very small.
Pain, should be temporary and controlled by painkillers Numbness some time persists for a few weeks to a few months Post operative weight gain
As with any surgery there are certain risks beyond the temporary and minor side effects careful patient selection minimizes their.
- occurrence .their likelihood is increased when numerous areas are treated or huge amount of fat is removed
- Allergic reaction Infection;
- Damage to the skin and Sometimes even Skin necrosis
- Puncture of an internal
- Contour Irregularities;
- Thromboembolism and fat emobilization;
- Lidocaine toxicity;
- Fluid imbalance;