Liposuction surgery treatment in delhi
What is Liposuction?
Liposuction is
a corrective methodology that eliminates fat that you can’t dispose of through
diet and exercise.
A plastic or
dermatologic specialist typically does the method on your hips, paunch, thighs,
bottom, back, arms, and under the jaw or face to work on their shape. However,
liposuction should likewise be possible with other plastic medical procedures,
including facelifts, bosom decreases, and stomach tucks.
What Should One Know
Beforehand?
The initial step is to
talk with your specialist. Talk about your objectives, the choices, the dangers
and benefits, and the expenses. Pose every one of your inquiries.
In the event that you
choose to proceed with liposuction, your specialist will give you directions on
the most proficient method to get ready for it. These might incorporate eating
routine and liquor limitations.
Inform your specialist concerning
any hypersensitivities you have and any prescriptions you take, including
over-the-counter and natural enhancements. They will probably suggest you quit
taking certain drugs, for example, blood thinners and certain painkillers a
little while before medical procedure.
What Should I Expect?
Your liposuction might
happen at your primary care physician’s office or a medical procedure place.
Ensure that where you’re making it happen is licensed, and is known for its
expert guidelines, security and great outcomes.
·
You’ll return home the
day of the strategy. Make a point to have somebody drive you home thereafter.
(In case you’re having a ton of fat eliminated, you ought to finish the medical
procedure in an emergency clinic, where you may remain for the time being).
·
Before your
liposuction begins, your PCP may check the spaces of your body that will be
dealt with. They may likewise take photographs to utilize later for prior and
then afterward correlations.
·
Next you’ll get
general sedation – which implies you won’t be alert during the methodology – or
a “nearby,” which implies you will be conscious however not feel any
aggravation.
Dangers of liposuction
Like all medical
procedures, this strategy likewise conveys a danger of intricacies. Your
specialist will illuminate you about the dangers and advantages so you can
settle on an educated choice.
·
The chances
incorporate
·
Risks related with
sedation
·
Deep vein apoplexy,
cardiovascular and pneumonic complexities
·
Irregular forms
·
The need for amendment
medical procedure
·
Persistent enlarging
·
Poor wound
recuperating
·
Bruising
·
Infection
·
Excessive dying
Extra systems may once
in a while be needed to decrease abundance skin.
How would you get
ready for a medical procedure ?
You should have an
exhaustive clinical assessment and blood tests. On the off chance that you
smoke you should stop a little while before the technique.
You will be prompted
with respect to preoperative directions identified with not eating or drinking
anything for 8-10 hours preceding a medical procedure and some other explicit
guidelines. Your anesthetist will meet you and survey your clinical notes and
test reports.
Steps of the strategy
·
You will be given
sedation – the decision of sedation will rely on your condition.
·
Small entry points are
made and a nearby sedation arrangement is mixed to decrease draining and
injury. With a dainty empty cannula embedded through the entry points, and a
controlled to and fro movement, the overabundance fat is relaxed. The unstuck
fat is then suctioned out of the body utilizing a careful vacuum or needle
joined to the cannula.
·
Any overabundance
liquid and blood is depleted and the treated region is sewed up and bound.
·
Fluid substitution
might be required in case there is a critical loss of liquid or blood.
The method normally
takes one to three hours. A great many people need to remain in the clinic
short-term.
How does recuperation
happen ?
·
You will be kept in
the recuperation room till you have recuperated from the sedation and all your
clinical boundaries are steady.
·
If a little region was
dealt with, you might have the option to get back to work inside a couple of
days. In case it was an enormous region, you might require as long as 10 days
off work to recuperate.
·
You’d need to keep
away from arduous action for as long as about a month (yet strolling and
general development ought to be fine).
·
It for the most part
requires around fourteen days to make a full recuperation.
·
The consequences of
the strategy will be seen once the enlarging has gone down. It can require as
long as a half year for the space to settle totally.
·
Stitches would be
taken out following seven days (except if you had dissolvable join).
·
You ought to have the
option to continue your standard exercises at four to about a month and a half.
·
If the aggravation and
expanding continue alongside fever, it very well may be an indication of
contamination and you should contact your PCP.
Introduction
A suction lipectomy or
liposuction is one of the most popular ways to involve the body in cosmetic surgery.
This method removes packets of fat that a person can remove after strenuous
exercise or dieting. Therefore, liposuction helps to achieve the desired body
shape by removing the fat deposits that exist between the muscles and the skin.
This metabolic procedure permanently removes fatty tissue and the effects are
permanent if the patient maintains his or her weight.
Who
can undergo the liposuction
surgery ?
Note: It is not a
treatment for obesity and it does not help to remove stretch marks and cellulite.
One should also keep in mind that if a person puts on weight after the
procedure, the results do not last long.
The
Techniques used for Liposuction
For Delhi liposuction
surgery at any Clinic there are many important adjustments to the standard liposuction
available as UAL (ultrasound-assisted liposuction), PAL (power-assisted
liposuction), VASER, and -laser-assisted liposuction.
1. UAL (Ultrasound-Assisted Liposuction)
In this process, fat
is added to the liquid before removal by targeting the fat cells with
ultrasound waves. Therefore, this method utilizes sound energy waves that break
down the walls of the fat cells, and then the fatty fluids are released. It
allows for a more accurate removal of oil deposit and increases skin
penetration.
2. Power-Assisted Liposuction (PAL)
In this procedure, a
special cannula that performs small and rapid vibrations is used to break down
fat cells, and to remove fat from the patient’s body. This procedure helps the
surgeon to control the liposuction process, and this helps them to perform the
removal process more accurately.
This procedure helps
the surgeon remove excess fat in a short time and helps to achieve better
results, and faster recovery. The special cannula used in this process allows
for small cuts and vibrating PAL tips that make the process safer due to its
precise and minimal movement. This allows the surgeon to direct only the area
and not cause any damage to the surrounding body tissues.
3. VASER (Vibration Amplification of Resonance
Sound) Liposuction
This is a new
generation of liposuction that creates and rejuvenates the body according to
one’s dream and desire. It uses ultrasound power to dissolve fat cells, and
then uses a small tube cannula to remove fat. This process works by removing
large volumes and small fat deposits.
The method uses a less
aggressive method, therefore, recovery is faster. During treatment, tumescent
fluid is injected into the body area. The vibration releases fat cells and
creates a tumescent fluid injected into the target area. As a result, the emulsification
process begins, and with the help of a small cannula, fluid and fat are
removed. The salt used in this procedure causes abrasions, bleeds, and protects
other tissues.
4. Laser-Assisted Liposuction
This procedure
involves laser adipocyte dissociation and removes scattered oil with the help
of a cannula. In this way, the tumescent fluid is injected into the target
area, and in the next step, the laser fiber is inserted under the skin to help
dissolve the oil, and the suction cannula removes the melted fat.
Therefore, the method
is mild compared to the traditional method of liposuction, and in general,
there is less swelling and abrasions with laser-assisted liposuction. The heat
generated by the laser also stimulates the formation of new collagen and helps
to keep the skin smooth and firm.
5. Suction Assisted Liposuction
This is a very common
term for liposuction.
6. Micro Cannula
This does not refer to
a specific course but to the width of the cannula, a stainless steel tube
inserted into the oil under the skin with a small hole or cut in the skin. The
outer diameter of the micro-cannula ranges from 1 mm to 3 mm.
7. Lymph Sparing Liposuction
This procedure does
not require a specific rod and is usually performed with tumescent liposuction
or WAL (below). It refers to a specific surgical procedure, a surgeon’s
ability, and a wide variety of training to remove lipedema oil.
Because the scope
differs in the removal of lipedema oil against cosmetic contouring, if
lymph-sparing is not observed in surgical surgical notes, a committee reviewing
medical requirements may determine that the procedure poses a “risk to the
lymph system.
8. Tumescent local anesthesia (TLA)/tumescent
liposuction
This may refer to
either of the above methods, but the process is the same. This is a method of
anesthesia recommended for lymph-sparing liposuction surgery. The word
“tumescent” means swelling and stiffness.
By injecting large
doses of highly soluble lidocaine (local anesthetic) and epinephrine (capillary
constrictor) into subcutaneous fat, the target tissue becomes swollen and firm,
or tumescent. This process does not require a special or specific type of wand.
9. Water-jet assisted liposuction (WAL)
Lipedema oil is
removed using a fluid-shaped water jet, which includes an anesthetic. In
contrast to the tumescent liposuction above, where the anesthetic is injected
differently than before, the WAL rod both injects the solution and absorbs the
oil. BodyJet is a water-based Liposuction program.
10. Fibro-lymphoma-lipo-aspiration (FLLA)
This unique and unique
form of liposuction lipedema is used in a specific paper by Campisi,
Fibro-Lipo-Lymph-Aspiration With a Lymph Vessel Sparing Procedure to Treat
Enhanced Lymphedema After Multiple Lymphatic-Venous Anastomoses: Complete
Treatment Protocol .
The term emphasizes
the diversity of the rebuilding process as opposed to the cosmetic process.
Everything about the cannula surgical procedure is different from conventional
suction lipectomy.
The FLLA Goal is to
relieve symptoms such as pain, reduce disability, improve function and quality
of life, and stop disease progression. Only small dull cannulas are used, great
care is used to prevent damage to the already common lymphatic and the risk of
injury increases.
The only longitudinal
position of the cannulas is used in sensitive areas. Sensitive lymphatic
structures before surgery are scanned and marked. FLLA surgery is much more
time-consuming than cosmetic surgery that usually requires 4-5 hours per organ;
Excessive aspirate volume is removed compared to cosmetic suction lipectomy.
The benefit of lymphatics is not only in the removal of adipose tissue beneath the
skin, but also in all parts of the loose connective tissue including the
removal of fibrosis in the interstitial space.
11. Cryolipolysis or fat freezing
Sold under the brand
name CoolSculpting, cryolipolyis is not a form of liposuction but rather a non-fat
reduction process that freezes fat cells; is a FDA-approved, non-invasive
procedure that uses cooling power to disrupt fat cells under the dermis.
This freezing light
shines and ultimately kills targeted fat cells without damaging the healthy
tissues around them. The body’s metabolic processes work to remove dead fat
cells. Coolsculpting is not recommended for those with lipedema, lymphedema or
other conditions affecting the lymphatic system. Model Linda Evangelista has
reportedly been left anonymous after the Cryolipolis process.
12. After care—sutures
Doctors do not agree
with the news that wounds are not connected compared to the elimination of
inflammation allowed by leaving wounds open to drain fluid. Suturing is most
common with a large cannula. Since the holes are small, and the amount of fluid
to be expelled is high, some surgeons prefer to leave the holes open, while
others heat up a portion, leaving room for fluid to leak out.
Symptoms
Prior to liposuction,
pre-surgery marking was performed while the patient was standing. In patients
with whole-body cleansing or contouring, marking can be done one day in
advance. Areas to be absorbed are marked in a circle.
Types
of Anesthesia
Low volume liposuction
can be performed under local anesthesia with minimal sedation. High volume
liposuction requires general anesthesia.
The procedure includes
injecting anesthetic solutions to the body to facilitate fat removal and reduce
post-op pain.
Absorbing Fat
Special cannulas are
used to extract oil from problem areas through small holes.
The holes are drilled
in hidden areas and are approximately 3mm to 4mm long. These symptoms usually
disappear over time.
Fat cells are
permanently removed through liposuction, but a person can gain weight back as
new fat cells are able to accumulate in the body. Thus, after surgery, a person
should include extra protein, vegetables, fruits, juices, and low-fat dairy
products in his diet and should exercise regularly.
Safety and Risks
Liposuction is
considered the safest, but not all liposuction surgery is the same. Lower volume
liposuction (<1000 cc) is different from high volume liposuction (> 5000
cc, in some cases 10,000 cc) performed during anesthesia and hospital stay.
A suction-assisted
lipectomy (aka liposuction) is identified in the Tracking Operations and
Outcomes for Plastic Surgeons database maintained by the American Society of
Plastic Surgeons (ASPS). ASPS maintains registration of plastic surgery cases
called TOPS which is the largest website for plastic surgery cases. The TOPS
database is only voluntary, not available to the public, and does not follow
long-term cases or obtain patient and patient information, only from doctors
who benefit from liposuction.
Based
on this database, no deaths have been reported in about 4,500 cases by plastic
surgeons.
In the study,
sixty-nine of the 4534 patients (1.5 percent) and implantation methods
experienced a postoperative complication. Their conclusion was: Surgical
board-operated plastic surgeons are safe, with minimal risk of life-threatening
complications. The volume limits for normal liposuction do not accurately
reflect the individual risk. The authors’ risk assessment model shows that a
dose of more than 100 ml per unit of weight index provides an additional risk
of complications.
There are a number of
problems that can occur as a result of any liposuction. The risk increases when
the treatment areas cover a large percentage of the body, there are many holes,
a large amount of tissue is removed, and simultaneous surgery is performed.
This 17-page document
of ASPS discusses important safety issues and provides recommendations. In
addition, an increase in tumescent and lymph-sparing techniques has had a
positive effect on reducing complications. In a 2009 paper, the author found in
a series of 3,240 procedures, no deaths occurred, and no complications
requiring hospitalization.
In nine cases,
problems arose that required further action. The conclusion was that surgery
using Tumescent Local Anesthesia (TLA) only was a guaranteed safe procedure as
long as the existing guidelines were followed carefully.
Other
side effects and complications include, but are not limited to the following:
·
Pain, which may be
temporary or permanent
·
Redistribution of fat
after liposuction or post-liposuction weight gain
·
Harm
·
Bacteria
Embolism may occur
when loose fat enters the bloodstream through broken arteries during surgery.
Fat can end up in the lungs, or even the brain. Fat embolism can cause
permanent disability or, in some cases, fatal.
Piercing wounds in the
limbs (visceral holes) may need surgery to repair them. They can also die.
Seroma consists of
serum, a fluid-colored fluid from the bloodstream, in areas where tissues have
been removed.
Paresthesias (a change
in sensation that may be caused by nerve pressure) is a changed sensation in
the area of liposuction. This may be in the form of increased sensitivity
(pain), or numbness in the area. In some cases, these changes in mood may be
permanent, although normal patients recover within a few weeks.
·
Inflammation, in some
cases, may persist for weeks or months after liposuction.
·
Skin necrosis occurs
when the skin on the surface of the liposuction area changes color and falls
off. Large areas of skin necrosis can be infected by germs or microorganisms.
·
Burns may occur during
ultrasound-assisted liposuction surgery if the ultrasound examination is hot.
·
Liquid imbalances can
affect you after you go home. This condition can lead to serious illnesses such
as heart problems, fluid retention, or kidney problems.
Toxicity from
anesthesia due to the use of lidocaine, a skin-tightening drug, can cause mild
headaches, restlessness, drowsiness, ringing in the ears, slurred speech,
metallic taste in the mouth, numbness of the lips and tongue, tremors, muscle
spasms. Tremors and convulsions. Lidocaine use has already been linked to death
from liposuction.
Scars on the cut area
usually become smaller and fade over time, though some may be larger or more
prominent.
Paralysis can occur in
the area of liposuction after the procedure in about 20% of patients.
Death
Major complications
include deep vein thrombosis, organ piercing, bleeding, and infection. Death
occurs in about one in ten thousand cases
Conclusion
Evidence does not
support the effect of weight gain over a few months and does not seem to affect
obesity-related problems. In the United States, liposuction is the most common
form of cosmetic surgery.
https://cosmeticsurgeondelhi.co.in/liposuction-surgery-treatment-in-delhi/
What is Liposuction?
Liposuction is
a corrective methodology that eliminates fat that you can’t dispose of through
diet and exercise.
A plastic or
dermatologic specialist typically does the method on your hips, paunch, thighs,
bottom, back, arms, and under the jaw or face to work on their shape. However,
liposuction should likewise be possible with other plastic medical procedures,
including facelifts, bosom decreases, and stomach tucks.
What Should One Know
Beforehand?
The initial step is to
talk with your specialist. Talk about your objectives, the choices, the dangers
and benefits, and the expenses. Pose every one of your inquiries.
In the event that you
choose to proceed with liposuction, your specialist will give you directions on
the most proficient method to get ready for it. These might incorporate eating
routine and liquor limitations.
Inform your specialist concerning
any hypersensitivities you have and any prescriptions you take, including
over-the-counter and natural enhancements. They will probably suggest you quit
taking certain drugs, for example, blood thinners and certain painkillers a
little while before medical procedure.
What Should I Expect?
Your liposuction might
happen at your primary care physician’s office or a medical procedure place.
Ensure that where you’re making it happen is licensed, and is known for its
expert guidelines, security and great outcomes.
·
You’ll return home the
day of the strategy. Make a point to have somebody drive you home thereafter.
(In case you’re having a ton of fat eliminated, you ought to finish the medical
procedure in an emergency clinic, where you may remain for the time being).
·
Before your
liposuction begins, your PCP may check the spaces of your body that will be
dealt with. They may likewise take photographs to utilize later for prior and
then afterward correlations.
·
Next you’ll get
general sedation – which implies you won’t be alert during the methodology – or
a “nearby,” which implies you will be conscious however not feel any
aggravation.
Dangers of liposuction
Like all medical
procedures, this strategy likewise conveys a danger of intricacies. Your
specialist will illuminate you about the dangers and advantages so you can
settle on an educated choice.
·
The chances
incorporate
·
Risks related with
sedation
·
Deep vein apoplexy,
cardiovascular and pneumonic complexities
·
Irregular forms
·
The need for amendment
medical procedure
·
Persistent enlarging
·
Poor wound
recuperating
·
Bruising
·
Infection
·
Excessive dying
Extra systems may once
in a while be needed to decrease abundance skin.
How would you get
ready for a medical procedure ?
You should have an
exhaustive clinical assessment and blood tests. On the off chance that you
smoke you should stop a little while before the technique.
You will be prompted
with respect to preoperative directions identified with not eating or drinking
anything for 8-10 hours preceding a medical procedure and some other explicit
guidelines. Your anesthetist will meet you and survey your clinical notes and
test reports.
Steps of the strategy
·
You will be given
sedation – the decision of sedation will rely on your condition.
·
Small entry points are
made and a nearby sedation arrangement is mixed to decrease draining and
injury. With a dainty empty cannula embedded through the entry points, and a
controlled to and fro movement, the overabundance fat is relaxed. The unstuck
fat is then suctioned out of the body utilizing a careful vacuum or needle
joined to the cannula.
·
Any overabundance
liquid and blood is depleted and the treated region is sewed up and bound.
·
Fluid substitution
might be required in case there is a critical loss of liquid or blood.
The method normally
takes one to three hours. A great many people need to remain in the clinic
short-term.
How does recuperation
happen ?
·
You will be kept in
the recuperation room till you have recuperated from the sedation and all your
clinical boundaries are steady.
·
If a little region was
dealt with, you might have the option to get back to work inside a couple of
days. In case it was an enormous region, you might require as long as 10 days
off work to recuperate.
·
You’d need to keep
away from arduous action for as long as about a month (yet strolling and
general development ought to be fine).
·
It for the most part
requires around fourteen days to make a full recuperation.
·
The consequences of
the strategy will be seen once the enlarging has gone down. It can require as
long as a half year for the space to settle totally.
·
Stitches would be
taken out following seven days (except if you had dissolvable join).
·
You ought to have the
option to continue your standard exercises at four to about a month and a half.
·
If the aggravation and
expanding continue alongside fever, it very well may be an indication of
contamination and you should contact your PCP.
Introduction
A suction lipectomy or
liposuction is one of the most popular ways to involve the body in cosmetic surgery.
This method removes packets of fat that a person can remove after strenuous
exercise or dieting. Therefore, liposuction helps to achieve the desired body
shape by removing the fat deposits that exist between the muscles and the skin.
This metabolic procedure permanently removes fatty tissue and the effects are
permanent if the patient maintains his or her weight.
Who
can undergo the liposuction
surgery ?
Note: It is not a
treatment for obesity and it does not help to remove stretch marks and cellulite.
One should also keep in mind that if a person puts on weight after the
procedure, the results do not last long.
The
Techniques used for Liposuction
For Delhi liposuction
surgery at any Clinic there are many important adjustments to the standard liposuction
available as UAL (ultrasound-assisted liposuction), PAL (power-assisted
liposuction), VASER, and -laser-assisted liposuction.
1. UAL (Ultrasound-Assisted Liposuction)
In this process, fat
is added to the liquid before removal by targeting the fat cells with
ultrasound waves. Therefore, this method utilizes sound energy waves that break
down the walls of the fat cells, and then the fatty fluids are released. It
allows for a more accurate removal of oil deposit and increases skin
penetration.
2. Power-Assisted Liposuction (PAL)
In this procedure, a
special cannula that performs small and rapid vibrations is used to break down
fat cells, and to remove fat from the patient’s body. This procedure helps the
surgeon to control the liposuction process, and this helps them to perform the
removal process more accurately.
This procedure helps
the surgeon remove excess fat in a short time and helps to achieve better
results, and faster recovery. The special cannula used in this process allows
for small cuts and vibrating PAL tips that make the process safer due to its
precise and minimal movement. This allows the surgeon to direct only the area
and not cause any damage to the surrounding body tissues.
3. VASER (Vibration Amplification of Resonance
Sound) Liposuction
This is a new
generation of liposuction that creates and rejuvenates the body according to
one’s dream and desire. It uses ultrasound power to dissolve fat cells, and
then uses a small tube cannula to remove fat. This process works by removing
large volumes and small fat deposits.
The method uses a less
aggressive method, therefore, recovery is faster. During treatment, tumescent
fluid is injected into the body area. The vibration releases fat cells and
creates a tumescent fluid injected into the target area. As a result, the emulsification
process begins, and with the help of a small cannula, fluid and fat are
removed. The salt used in this procedure causes abrasions, bleeds, and protects
other tissues.
4. Laser-Assisted Liposuction
This procedure
involves laser adipocyte dissociation and removes scattered oil with the help
of a cannula. In this way, the tumescent fluid is injected into the target
area, and in the next step, the laser fiber is inserted under the skin to help
dissolve the oil, and the suction cannula removes the melted fat.
Therefore, the method
is mild compared to the traditional method of liposuction, and in general,
there is less swelling and abrasions with laser-assisted liposuction. The heat
generated by the laser also stimulates the formation of new collagen and helps
to keep the skin smooth and firm.
5. Suction Assisted Liposuction
This is a very common
term for liposuction.
6. Micro Cannula
This does not refer to
a specific course but to the width of the cannula, a stainless steel tube
inserted into the oil under the skin with a small hole or cut in the skin. The
outer diameter of the micro-cannula ranges from 1 mm to 3 mm.
7. Lymph Sparing Liposuction
This procedure does
not require a specific rod and is usually performed with tumescent liposuction
or WAL (below). It refers to a specific surgical procedure, a surgeon’s
ability, and a wide variety of training to remove lipedema oil.
Because the scope
differs in the removal of lipedema oil against cosmetic contouring, if
lymph-sparing is not observed in surgical surgical notes, a committee reviewing
medical requirements may determine that the procedure poses a “risk to the
lymph system.
8. Tumescent local anesthesia (TLA)/tumescent
liposuction
This may refer to
either of the above methods, but the process is the same. This is a method of
anesthesia recommended for lymph-sparing liposuction surgery. The word
“tumescent” means swelling and stiffness.
By injecting large
doses of highly soluble lidocaine (local anesthetic) and epinephrine (capillary
constrictor) into subcutaneous fat, the target tissue becomes swollen and firm,
or tumescent. This process does not require a special or specific type of wand.
9. Water-jet assisted liposuction (WAL)
Lipedema oil is
removed using a fluid-shaped water jet, which includes an anesthetic. In
contrast to the tumescent liposuction above, where the anesthetic is injected
differently than before, the WAL rod both injects the solution and absorbs the
oil. BodyJet is a water-based Liposuction program.
10. Fibro-lymphoma-lipo-aspiration (FLLA)
This unique and unique
form of liposuction lipedema is used in a specific paper by Campisi,
Fibro-Lipo-Lymph-Aspiration With a Lymph Vessel Sparing Procedure to Treat
Enhanced Lymphedema After Multiple Lymphatic-Venous Anastomoses: Complete
Treatment Protocol .
The term emphasizes
the diversity of the rebuilding process as opposed to the cosmetic process.
Everything about the cannula surgical procedure is different from conventional
suction lipectomy.
The FLLA Goal is to
relieve symptoms such as pain, reduce disability, improve function and quality
of life, and stop disease progression. Only small dull cannulas are used, great
care is used to prevent damage to the already common lymphatic and the risk of
injury increases.
The only longitudinal
position of the cannulas is used in sensitive areas. Sensitive lymphatic
structures before surgery are scanned and marked. FLLA surgery is much more
time-consuming than cosmetic surgery that usually requires 4-5 hours per organ;
Excessive aspirate volume is removed compared to cosmetic suction lipectomy.
The benefit of lymphatics is not only in the removal of adipose tissue beneath the
skin, but also in all parts of the loose connective tissue including the
removal of fibrosis in the interstitial space.
11. Cryolipolysis or fat freezing
Sold under the brand
name CoolSculpting, cryolipolyis is not a form of liposuction but rather a non-fat
reduction process that freezes fat cells; is a FDA-approved, non-invasive
procedure that uses cooling power to disrupt fat cells under the dermis.
This freezing light
shines and ultimately kills targeted fat cells without damaging the healthy
tissues around them. The body’s metabolic processes work to remove dead fat
cells. Coolsculpting is not recommended for those with lipedema, lymphedema or
other conditions affecting the lymphatic system. Model Linda Evangelista has
reportedly been left anonymous after the Cryolipolis process.
12. After care—sutures
Doctors do not agree
with the news that wounds are not connected compared to the elimination of
inflammation allowed by leaving wounds open to drain fluid. Suturing is most
common with a large cannula. Since the holes are small, and the amount of fluid
to be expelled is high, some surgeons prefer to leave the holes open, while
others heat up a portion, leaving room for fluid to leak out.
Symptoms
Prior to liposuction,
pre-surgery marking was performed while the patient was standing. In patients
with whole-body cleansing or contouring, marking can be done one day in
advance. Areas to be absorbed are marked in a circle.
Types
of Anesthesia
Low volume liposuction
can be performed under local anesthesia with minimal sedation. High volume
liposuction requires general anesthesia.
The procedure includes
injecting anesthetic solutions to the body to facilitate fat removal and reduce
post-op pain.
Absorbing Fat
Special cannulas are
used to extract oil from problem areas through small holes.
The holes are drilled
in hidden areas and are approximately 3mm to 4mm long. These symptoms usually
disappear over time.
Fat cells are
permanently removed through liposuction, but a person can gain weight back as
new fat cells are able to accumulate in the body. Thus, after surgery, a person
should include extra protein, vegetables, fruits, juices, and low-fat dairy
products in his diet and should exercise regularly.
Safety and Risks
Liposuction is
considered the safest, but not all liposuction surgery is the same. Lower volume
liposuction (<1000 cc) is different from high volume liposuction (> 5000
cc, in some cases 10,000 cc) performed during anesthesia and hospital stay.
A suction-assisted
lipectomy (aka liposuction) is identified in the Tracking Operations and
Outcomes for Plastic Surgeons database maintained by the American Society of
Plastic Surgeons (ASPS). ASPS maintains registration of plastic surgery cases
called TOPS which is the largest website for plastic surgery cases. The TOPS
database is only voluntary, not available to the public, and does not follow
long-term cases or obtain patient and patient information, only from doctors
who benefit from liposuction.
Based
on this database, no deaths have been reported in about 4,500 cases by plastic
surgeons.
In the study,
sixty-nine of the 4534 patients (1.5 percent) and implantation methods
experienced a postoperative complication. Their conclusion was: Surgical
board-operated plastic surgeons are safe, with minimal risk of life-threatening
complications. The volume limits for normal liposuction do not accurately
reflect the individual risk. The authors’ risk assessment model shows that a
dose of more than 100 ml per unit of weight index provides an additional risk
of complications.
There are a number of
problems that can occur as a result of any liposuction. The risk increases when
the treatment areas cover a large percentage of the body, there are many holes,
a large amount of tissue is removed, and simultaneous surgery is performed.
This 17-page document
of ASPS discusses important safety issues and provides recommendations. In
addition, an increase in tumescent and lymph-sparing techniques has had a
positive effect on reducing complications. In a 2009 paper, the author found in
a series of 3,240 procedures, no deaths occurred, and no complications
requiring hospitalization.
In nine cases,
problems arose that required further action. The conclusion was that surgery
using Tumescent Local Anesthesia (TLA) only was a guaranteed safe procedure as
long as the existing guidelines were followed carefully.
Other
side effects and complications include, but are not limited to the following:
·
Pain, which may be
temporary or permanent
·
Redistribution of fat
after liposuction or post-liposuction weight gain
·
Harm
·
Bacteria
Embolism may occur
when loose fat enters the bloodstream through broken arteries during surgery.
Fat can end up in the lungs, or even the brain. Fat embolism can cause
permanent disability or, in some cases, fatal.
Piercing wounds in the
limbs (visceral holes) may need surgery to repair them. They can also die.
Seroma consists of
serum, a fluid-colored fluid from the bloodstream, in areas where tissues have
been removed.
Paresthesias (a change
in sensation that may be caused by nerve pressure) is a changed sensation in
the area of liposuction. This may be in the form of increased sensitivity
(pain), or numbness in the area. In some cases, these changes in mood may be
permanent, although normal patients recover within a few weeks.
·
Inflammation, in some
cases, may persist for weeks or months after liposuction.
·
Skin necrosis occurs
when the skin on the surface of the liposuction area changes color and falls
off. Large areas of skin necrosis can be infected by germs or microorganisms.
·
Burns may occur during
ultrasound-assisted liposuction surgery if the ultrasound examination is hot.
·
Liquid imbalances can
affect you after you go home. This condition can lead to serious illnesses such
as heart problems, fluid retention, or kidney problems.
Toxicity from
anesthesia due to the use of lidocaine, a skin-tightening drug, can cause mild
headaches, restlessness, drowsiness, ringing in the ears, slurred speech,
metallic taste in the mouth, numbness of the lips and tongue, tremors, muscle
spasms. Tremors and convulsions. Lidocaine use has already been linked to death
from liposuction.
Scars on the cut area
usually become smaller and fade over time, though some may be larger or more
prominent.
Paralysis can occur in
the area of liposuction after the procedure in about 20% of patients.
Death
Major complications
include deep vein thrombosis, organ piercing, bleeding, and infection. Death
occurs in about one in ten thousand cases
Conclusion
Evidence does not
support the effect of weight gain over a few months and does not seem to affect
obesity-related problems. In the United States, liposuction is the most common
form of cosmetic surgery.
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