Liposuction is a method of removing unwanted fatty deposits from problem areas genetically designed to be difficult to reduce (thighs, buttocks, hips, abdomen – for women, abdomen and hips – for men). We must emphasize that liposuction is not a fast way to lose weight but a way to achieve a more perfect body contour, a modern method to “sculpture” your body, an excellent procedure for stimulating your will to obtain the desired body shapes. This effective and sophisticated procedure is performed since the eighties being considered the most popular COSMETIC surgery procedure in the United States.
WHO CAN BENEFIT OF LIPOSUCTION?
Liposuction is suitable for individuals with normal body weight, elastic skin structure, physically and mentally healthy but with exceeding fatty deposits located in some specific areas. Although age is not a definitive criterion, nevertheless the elders do not have such an elastic skin structure thus the results of such an esthetic surgical intervention are not fully satisfactory.
LIPOSUCTION SURGICAL INTERVENTION RISKS
There is no surgical intervention which not implies a certain risk. The post-operational complications are very rare, especially if the surgery room is well equipped and the surgeon is fully specialized. There is a tendency to consider this intervention as a non-complicated one, suitable for any surgeon under any clinical standards. For this type of intervention, we strongly recommend to contact only cosmetic surgery specialists, able to provide you the best services in terms of medical appliances. Event though the cosmetic surgeon is a professional and the hospital is equipped with modern technology, there is no guarantee of avoiding postoperative complications. The risks are increasing if during the surgical intervention more than one area is treated and if the quantity of aspired fat is exceeding 2-3 liters. If the quantity of aspired fat cells exceeds 4 liters on a single intervention, a blood transfusion is sometimes required. Therefore, infections, hematoma and seroma might occur, the most severe complication being the formation of blood clots or fat clots that can migrate to the lungs and at the end might cause death. Some tegument roughness might also appear mostly for the persons with a less elastic skin structure and with sensitivity rabblement.
LIPOSUCTION PREOPERATIVE INDICATIONS
- Do not eat or drink after midnight before the liposuction surgical intervention;
- It is forbidden to take any medicines containing aspirin, with 2 weeks before the liposuction surgery;
- Usually, for women, the surgical intervention must be performed outside menses;
- The surgeon and anesthesiologist must be notified if any medical problems exist (blood pressure, vascular problems, heart attack, diabetes, lung problems, bleeding problems, epilepsy, neurological problems, allergies to different drugs);
- The doctor must be notified if you have a set of plates or eye lenses;
- If you smoke, plan to quit 1-2 weeks before the operation and do not start to smoke again for at least 2 weeks after the liposuction surgery;
- Avoid sunbathing in excess before liposuction surgery, particularly in the abdominal area;
- Do not follow a strict diet before surgery because it might delay the healing process;
- If you catch a cold or have any infection the liposuction surgery must be rescheduled.
LIPOSUCTION SURGICAL INTERVENTION
Liposuction is performed under general anesthetic combined with intravenous sedative along with local anesthetic or epidural anesthesia. The liposuction intervention takes approximately one hour for one area. The type of anesthetic is determined by the anesthesiologist within the pre-anesthetic discussion held with the patient. The liposuction procedure implies the insertion of a fine special cannula through a small 3 – 4 mm puncture incision into the adipose tissue and then by repeated moves the fat cells are braked down and drawn out. Generally, 2 or 3 incisions are necessary for each area. The scars are hardly noticeable and aesthetically they do not represent a problem. The modern techniques are using a special procedure, which implies the injection of a liquid containing diluted anesthetic in the area that follows to be drawn out in order to reduce the postoperative discomfort along with adrenaline that lessens the bleeding. These techniques are called “tumescent techniques”. Immediately after the procedure is finished, the aspirated areas are bandaged with a compression bandage in order to prevent forming seroma and hematoma.
LIPOSUCTION POSTOPERATIVE HOSPITALIZATION
The patients who benefit of small liposuctions that require the removal of less than 2 liters of fatty tissue, can be released from hospital in 24 hours. If the quantity of aspirated fatty tissue exceeds 2 liters or the patient must be kept under medical care, a longer hospitalization of 2 – 3 days is required. During the entire period of hospitalization antibiotics, anti-thrombosis medication, pain control and anti-inflammatory medication are given, if needed.
LIPOSUCTION POSTOPERATIVE RECOVERY
Following hospitalization, the surgical wires will be removed at 5-6 days after liposuction surgery, even by the family doctor. The patient will wear an elastic garment (pants or belt) that helps the tegumentary surplus to retract and heal in proper uniform shape. The postoperative massage is also another very important element that helps preventing the formation of uneven tissue at the level of aspirated areas. We begin this type of massage since the patient is still in hospital. The bruises and swellings will become undetectable in the first 3 weeks and in rare cases they might persist for one or two months. The patient may return to his regular activity in maximum 7 days. In order to occur and preserve the best results it is imperious to follow a hygienically and dietary regimen recommended by a nutritionist and do not hesitate to practice sports.
The number of fatty cells of the human body is not changing thus through the elimination of a certain amount the number of the remaining ones is decreasing. The removal of the fat deposits is permanent but if the volume of fatty cells is increasing due to a weight – gaining process, the volume of fatty cells will increase also in the aspirated areas, but this area will never be as big as it used to be before the surgery. You have to acknowledge that liposuction is an efficient technique for improving your body shape rather then loose weight. In order to loose weight the most indicated methods are dietary regime and sports. We pride ourselves in providing a high experience in liposuction procedures with more than 2000 solved cases in the last 6 years.
Liposuction, clinical cases in plastic surgery clinic Romania, performed by the best plastic surgeons in Romania.
This blog post is an educational resource only and does not replace a medical consultation with a doctor .
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