The lipoplasty with suction, commonly known as liposuction is a technique developed in Europe in the mid 70s. It was brought to America in or around 1982. Since then, the technique has evolved and developed variations of the same. Liposuction is indicated to treat and correct localized areas of fat deposits. These areas include the sides, hips, abdomen, neck, arms, legs and in some rare cases, the lower legs. Both men and women undergo this procedure. It should be noted that this technique is not a substitute for weight reduction. The original technique involved the insertion of cannulas (tubes and hollow metal surgical) quite large in the adipose tissue. This technique was a "dry technique" and differs significantly from the procedure that we describe below. This technique had many disadvantages and has been almost completely discontinued. The technique most commonly used today is "Tumescent Liposuction" or hydroliposuction. It incorporates the injection of a solution composed of saline (salt water), a local anesthetic and some adrenaline in adipose tissue to facilitate the aspiration of fat. It is carried out through very small cannulas, thus reducing the size of the incision, trauma, bleeding, bruising and post-operative pain. This technique speeds up the recovery and return to normal.
During recent years other techniques have been designed that are likely to have heard mention, ultrasonic liposuction, external ultrasonic liposuction and liposuction with the help of lasers. Ultrasonic liposuction is a technique that incorporates the use of ultrasonic waves to turn fat into liquid or emulsion. This technique requires fat to be hydrated and in the tumescent technique and is often accompanied by the use of tumescent liposuction. Carries a higher degree of complications than traditional methods. Laser liposuction also makes use of the tumescent technique, and its value has yet to be determined scientifically. For purposes of this advisory, liposuction and liposculpture terms are interchangeable.
A lipoplasty with suction can be performed under local anesthesia with intravenous sedation or general anesthesia. Unless the area is limited, experience tells us that our patients are more comfortable under a block and IV sedation Your doctor will mark the areas to be vacuumed before surgery and while you are upright. The procedure begins with incisions into several areas that allow access from different angles. The tumescent solution then seeps into the tissues. It is hoped a few minutes for the solution to take effect and begin the procedure. Cannula is introduced through the small incision and begins to suck. The cannula may be subject to a liposuction machine or large syringes. The differences in the techniques depend on the surgeon, and both are acceptable. Then the tubes are removed radially and causes the change in the contour. The incisions are closed and the patient is placed in a surgical corset garment.
Once allowed to return home after your surgery. You should use the corset garment over the next 4-6 weeks. Should be snug / tight but not so tight that it causes discomfort. Your Doctor will see you tomorrow.
You must feel comfortable at home, so feel free to wear loose clothing and flat shoes. Will experience significant swelling which will reach its peak during the first week post-op. Please do not prove tight clothes, because he does not remain. You must seize every 6-8 weeks for the swelling subsides. Remember, your body has just undergone a significant level of trauma as a result of this surgery. Needs time to recover completely. You can drive after 48 hours, and take a shower after 24 hours.
Recipes will be provided before surgery, be sure to buy the prescribed time. In order to avoid self-medication, must have a person who can manage their medications. You can walk and go to the bathroom the night of your surgery. The next morning, and to walk short distances indoors. If you have any questions, call us.
Must return to our office during the first week to remove the sutures. Most patients need 2-3 days of recovery before returning to work and / or drive your car unless your work requires strenuous activity, in which case you may need about 7-10 days. You can restart your exercise routine after four weeks. Household chores can be started a few days. Each patient is unique and therefore will recover differently. Even if you feel great, do not overdo it.
COMPLICATIONS OF LIPOSUCTION
While it is rare that there are complications, you need to be aware that the following complications can occur:
• HYPERTROPHIC SCARS / Keloide
• hyperpigmentation, TOTAL OR PARTIAL LOSS OF TISSUE
• Altered sensation (increased or decreased)
• FAT NECROSIS
• POSSIBLE INCREASE OF CELLULITE
• IRREGULARITIES IN THE SKIN
• IN THE CONTOUR DEFORMITIES
Some of these complications, are serious enough and can prolong the recovery period, may require corrective surgery at an additional cost, and could involve other specialists in the medical field. You should be aware that smokers, diabetics and overweight people have a higher incidence of complications compared with those who do not smoke, have diabetes and are overweight. You should also note that patients undergoing combined procedures (eg, abdominal Lipectomy and liposuction) would also have a higher degree of complication than those who undergo a single procedure.
WHAT YOU CAN, AND CAN NOT, WAIT?
It is considered that these procedures enhance the outline of the body. Should not be taken as a substitute for weight reduction or exercise routine.
We found that patient expectations are a key factor to make you feel satisfied. There seems to be an inverse relationship between expectations and satisfaction. In other words, the greater the expectations, the lower the degree of satisfaction. Body image is a unique concept, and what a patient sees is not necessarily what the surgeon sees. Therefore, it is extremely important that you know very well their expectations of the procedure you are having, know the limitations of it and fully discuss any questions or concerns you might have regarding the procedure with their physicians.
What if I become pregnant?
Must be able to carry pregnancies to term. However, please note that you will gain weight during pregnancy, and some of that weight is deposited in the adipose tissue. Therefore, the contour of your body will change.
Raise your weight again? Again have fat in those areas?
There is a theory which states that fat cells develop until the age of 2-3 years. After that age, fat cells do not reproduce. However, if you are not careful with what you eat and stop exercising, the remaining fat cells have the ability to expand and therefore you will be fat in that area again. It is also likely to gain weight in other areas of your body too.
My results, are they permanent?
The fat is taken from that area will not return. However, as explained in the previous paragraph, if you gain weight, the cells spread.
Will I be completely flat and in good shape?
Maybe yes and maybe no. Remember, if you are overweight, there is always a residual amount of fat under the skin after surgery that will allow you to be flat. Even those patients who are within your weight limit may not be "completely" flat because their expectations exceed the possible outcome of the operation. A better term we prefer is that we will use "flatter". Remember also that there are different sizes and shapes of bodies, and while this procedure is intended to improve their environment, bone and ligament structure largely determine its shape.
Do you have something to do with my skin in the results?
If your skin and tissues are flaccid before liposuction, are probably more flaccid later. Any area that has stretch marks has been irreversibly damaged and can not be expected to react in the same way that an intact skin.
What if I have "cellulite"?
Cellulite is a term used to describe a connective tissue condition in which fat "restricts" the skin and gives the appearance of "orange peel". It is seen more frequently in women, in the area of the buttocks and thighs. While it may appear in youth tends to worsen with the aging of tissues and lack of support. The presence of cellulite does not disqualify a patient for liposuction. The patient, however, keep in mind that liposuction will not remove the presence of cellulite, and in some cases could be worse.
My stretch marks will disappear?
There is no permanent cure for stretch marks. There are different creams and remedies that temporarily hydrate the skin, making stretch marks less visible, but not removed. Lasers have been used to treat stretch marks, but are effective only for reducing the intensity of red / blue of some of them.
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