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Liposuction Plastic Surgery
Liposuction is a plastic surgery procedure that helps to reshape your body by getting rid of unwanted fat by suction from specific fat pockets of your body. The areas of your body from where the fat can be removed include the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and the neck. Liposuction is especially useful for the fat removal which is not likely to be removed through exercise or diet control.
Besides the original technique of liposuction where the fat deposits are removed with a tube or cannula attached to a vacuum device or through a long syringe, lipoplasty can also be performed using the tumescent technique. In this approach, the targeted fat tissue is injected with saline solution along with a large amount of anesthetic liquid before liposuction is performed. The injected liquid causes the compartments of fat to become swollen and firm or "tumesced." The expanded fat compartments allow the liposuction cannula to travel smoothly beneath the skin as the fat is removed.
Good Candidates for Liposcution
A good candidate for lipoplasty is a person who is normal-weight and has firm, elastic skin with pockets of excess fat in certain areas of his or her body. Liposuction can also be considered a good option by a facial plastic surgeon to enhance facial balance, by reducing fatty deposits in the chin, cheeks, or neck.
In addition to good health, it is essential for the person preparing for a procedure to be psychologically stable and realistic about the results of the plastic surgery. An initial consultation with your plastic surgeon is essential to find out the best liposuction procedure and the most affordable plastic surgery option for you.for you. It is possible that you may be advised to undergo a tummy tuck instead of liposuction if you have too much loose skin around your abdomen as is seen often after pregnancy.
Discussing the Liposuction Procedure
Whereas the traditional liposuction can be used in any area of the body, the tumescent technique should be reserved for areas that require enhanced precision, such as the face, neck, arms, calves and ankles.
Individuals who have large areas of excess fat may also be good candidates for tumescent liposuction but here a variant of the liposuction, known as ultrasound-assisted lipoplasty can be a better option. Known as ultrasound-assisted lipoplasty (UAL), this is a new technique in which an ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned. This technique is also suitable for removal of fat from fibrous areas of the body such as upper back or the enlarged male breast.
Outline of Lipoplasty Procedures
A small liposuction surgery may be performed in a surgeon's office-based facility or an outpatient surgery for reasons of cost and convenience. However, if a large volume of fat will be removed, or if the liposuction is being performed in conjunction with other procedures, a stay in a hospital or overnight nursing facility is essentially required.
The other consideration for the surgery is the selection of anesthesia. With the tumescent technique an anesthetic is injected along with the fluid.
The traditional techniques require the use of local anesthesia, however, some patients may prefer general anesthesia, particularly if a large volume of fat is being removed. Another type of regional anesthesia used in liposuction is an epidural block which is the same type of anesthesia given to women during child birth. Intravenous fluids during and immediately after surgery are given in a traditional liposuction procedure to make up for the loss of fluids drained along with the fat.
Tumescent Lipoplasty Technique
As already discussed, the tumescent technique requires a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels. Generally, a large volume of the fluid is injected and therefore the procedure requires a longer time, sometimes as long as 4 to 5 hours. Though the technique reduces the risk of blood loss and bruise formation, there are risks which are specific to the procedure such as pulmonary edema (the collection of fluid in the lungs), which may occur if too much fluid is administered. In another variation of the technique, called the super wet technique, less fluid is injected, but both of the techniques have the risk of lidocaine toxicity, which occurs if the solution's lidocaine content is high.
But the long-acting effects of the anesthetic solution help to provide pain relief after the procedure and decrease the need for additional pain medication.
This is a new technique of liposuction which requires the use of a special cannula that produces ultrasonic energy to explode the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional liposuction technique.
Besides being suitable for fibrous areas of the body, it is also commonly used in secondary procedures, when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction. Though the technique is able to take care of some of the complications of the traditional surgery, the procedure has its own risks such as the heat from the ultrasound device used to liquefy the fat cells may cause injury to the skin or deeper tissues
Side Effects of the Liposuction Surgery
Numbness and pigmentation changes are some of the side effects one experiences after the surgery. For the first day or two after surgery, most patients experience swelling in the treated areas, as well as some fluid drainage from the incision sites. A small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. Antibiotics are given to prevent infection. Risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size.
Post Surgery Care
Some surgeons recommend their patients to wear a snug fitting elastic garment to control swelling and promote better setting of the skin. Walking also reduces the chance of swelling. The stitches are removed or dissolve on their own within the first week to 10 days. Some follow up visits are generally required; an additional surgery sometimes may be required. The new contour of the body will be visible only after the swelling has completely subsided. The new enhanced shape of your body is sure to help you forget all the pains and discomfort of your surgery. Best luck with the surgery.
Post operative care is very essential with this type of plastic surgery if you want to live healthy after the procedure.
Follow the instructions of the plastic surgeon to have the best outcomes of the surgery.