Friday, 9 May 2014

Liposuction & Liposclupture

Liposuction,Liposclupture ,Lipoplasty, or Suction assisted Lipectomy or Lipo is a day care, key hole, stitch less Cosmetic procedure in which excess fatty tissue is removed permanently from under the skin by suction. This procedure has become very popular and it is considered to be the number one procedure requested of plastic surgeons today. The procedure can improve your body contours & proportions & hence ultimately your self image.
Diet and exercise are the best ways to lose unwanted pounds, but for those very resistant problem areas, liposuction can help to achieve the look you desire by removing 'target' fat deposits.

Philosophy of Liposuction :
Results of Liposuction are permanent.The suctioned fat cells will not returns to the area with healthy lifestyle. The number of fat cells in the body is fixed at the age of 18-20 years of age.In later life,even if body fat increase,fat cells grow in size but not in number. During  liposuction, the fat cells are removed from a particular area and hence fat does not come back to that area again . Thus the loss of fat is permanent in the areas of liposuction.
Liposuction can be performed on any area of the body, but the most common areas are the abdomen, flanks, thighs, buttocks,calves,arms ,back rolls,chin,cheeks,neck ,etc.
Liposuction alone will not remove excess skin.In some cases, liposuction is performed alone, in other cases it is combined with plastic surgery procedures such as a facelift, breast reduction, or a tummy tuck.
Lipoplasty is the suction removal of fat to sculpture the figure. It is not meant as a form of weight loss, but as a body contour procedure.

After liposuction, the patient not only loses weight,but also there is inches loss. A patient looses about 4 to 10 inches or even more in the waist-line ,buttocks,thighs etc and hence achieve improvement in the contour of the body.
 Up to 7-10 litres of fat can be suctioned safely in one sitting, although more can also be done depending on the individual case and weight of the patient. As per the International recommendations usually not more than 10% of your weight is removed in one stage.

Liposuction is performed through 2-4mm small incisions which are placed in inconspicuous areas, such as the natural creases of the skin. Dr. Bembde uses the “Tumescent technique” in which a solution containing saline, lidocaine, and epinephrine is first injected into the treatment area, causing the fat to become swollen and firm. A small cannula, or hollow tube, and suction device are then used to remove the fat. The Tumescent technique allows for larger volumes of fat to be safely removed without the need for blood transfusions.

The recovery after liposuction takes about one week. Patients may experience some numbness & soreness.Bruising and swelling after liposuction are common. A compression garment is worn for few weeks after surgery. Work can be resumed after one week, though more strenuous activities may need to be postponed for four  weeks.

Benefits of a Liposuction
Patients benefit both mentally and physically from liposuction. It is considered to be a safe and effective way to remove excess fat of the body. The benefits of liposuction includes, but are not limited to the improvement in the appearance of cellulite, safe removal of fat, improve health usually associated with fat loss, sculpting areas of the body that even exercise do not seem to impact, and boost in self-esteem.

Liposuction of fat more than 5 percent of person’s body weight is referred to as large volume liposuction.
Small volume liposuction which is much simpler and safer. Smaller volumes of fat can be removed under local tumescent anaesthesia , without hospitalization with minimal blood loss.
Large volume liposuction on the other hand requires much more preparation, hospitalization and recovery time. If you are well prepared you can get the best out of your liposuction .

Preparation for large volume liposuction:

1)Healthy diet before liposuction: Your nutritional status determines the healing capacity. A lot of obese people are actually iron and vitamin deficient, especially if they have been on crash diets. Start taking Iron and multivitamin supplementation and avoid crash diets 1-2 months before planned liposuction. Diet control should be done under supervision of qualified dietician.

2)Consult the plastic surgeon three months prior. It helps to evaluate general health and getting physician fitness. If any problem like anaemia or hypothyroidism are detected they need to be treated adequately before patient can have the liposuction. So plan in advance

Disclose complete past & present medical & surgical history to the plastic surgeon for  total safety under anesthesia .Keeping secrets from your doctor can be dangerous.

Medications:Do not take any medications and supplements in the month preceding liposuction without discussing with your plastic surgeon. Certain health supplements sold in gym, weight loss medicine, birth control pills, common painkillers – all these need to be stopped 2-3 weeks before surgery. Some medicines may interact with anaesthetic drugs and anaesthetist must know about them.

Prepare for 2 weeks of rest time after liposuction: After large volume liposuction, body takes a couple of weeks to recover from its effects. Giddiness , aches and pain are maximum during first week and gradually come down during second week.

Stage the liposuction: It makes sense to not just limit the amount of fat removal in one sitting but also the number of areas from which you get the fat removed. Try to limit the liposuctioned areas to two to three areas at a time. Do not push the surgeon to remove fat from all over your body. It will make your recovery too painful. Keep at least 2 months time between two sittings to recover fully.

Choose the right surgeon : An experienced plastic surgeon and anaesthetist team at a well equipped hospital makes a safe large volume liposuction possible.

Choose the right hospital facility: Large volume liposuction should be performed only in hospital setting where postoperative monitoring and emergency care is available.
Facts: Liposuction is best for people who are on weight loss trend or at least maintaining weight in last 6 months.

Some medical conditions may benefit from liposuction, including:
Lipomas - benign fatty tumors.
Gynecomastia - where fatty breast tissue has developed in men.
Lipodystrophy syndrome - a lipid (fat) metabolism disturbance in which there is too much fat in some parts of the body and partial or total absence of fat in other parts. Sometimes a side effect of some HIV medications.
Over the last decades, advancement in liposuction techniques have meant that a larger number of fat cells can be removed with less blood loss, risk, discomfort, and shorter recovery periods.
Fat can also be used today as a natural filler (autologous fat transfer), where fat is taken from one part of the body, cleaned, and then injected into another area of the body - for example, to enhance the shape of the buttocks ,lips, breasts,or reduce wrinkles & post acne scars etc.

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