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When a close friend told me yesterday she’s planning to go under the knife for liposuction, the only response I was able to utter was, “Seriously?” Even as someone who’s not against cosmetic surgery, lipo seems to be going way too far. So, to be able to give my friend sound advice, I decided to research about it and shed some light on the matter .
Who should consider liposuction?You’re a good candidate of the procedure if you have troublesome, localized fat deposits that are resistant to the effects of diet and exercise. Once you have decided to undergo liposuction, instructions will be given to you to prepare for the surgery.
Tumescent liposuction or liposculpture is the safest form of liposuction or body sculpting available.
Any surgery involves the risk of infection, bleeding, scarring or serious injury, however tumescent liposuction has an amazingly good safety record. Patients can minimize the risk of surgical complications by not taking medications or over-the-counter preparations that might adversely affect the surgery. Tumescent liposuction using microcannulas is the least likely to cause any significant or noticeable post-surgical irregularities of the skin. Normal healing after tumescent liposuction involves a limited but definite degree of soreness, swelling, bruising, and lumpy firmness.
Although the results of liposuction are often quite spectacular, it is not realistic to expect perfection.
Patients who would be satisfied with a 50% improvement would be reasonably good candidates for liposuction. Most of the time, Liposuction is considered a safe procedure, but like other cosmetic surgeries there are certain risks, complications and side effects associated with liposuction.
Possible complications for Liposuction include risk of infection, delayed healing, formation of fat clots or blood clots, excessive fluid loss, friction burns or other damage to the skin or nerves.
After the procedure is done, you are not likely to look or feel great right after the surgery, and you may experience some pain, burning, swelling, bleeding and temporary numbness. Please be advised that the risk of the mentioned complications and side effects of the procedure can occur greater to patients with medical problems such as diabetes, heart or lung disease, or people who have recently had surgery near the relevant area. You have heard the stories of liposuction in the past being painful, discomforting and dangerous. Throughout the years, this technique has been refined to the current method which is now touted as the safest form of liposuction. If you are frustrated by the stubborn fat pockets, come to our center for a complimentary consultation to see if you are a candidate for Liposculpture. Call our office at 281-362-0014 to make your appointment or schedule an appointment online.
Avoidance is the best method for addressing complications after liposuction, and that is usually possible by practicing careful patient selection and using proper technique based on appropriate training and adequate experience, says E. Patients who underwent liposuction alone when they really needed abdominoplasty to remove excess skin account for many of the poor cosmetic outcomes, whereas the presence of contour irregularities (lumps, bumps, divots, ridges) is the most common cosmetic complication seen after liposuction procedures, Dr. In all cases, good tumescent anesthesia, attention to detail and adequate experience are critical to minimize poor results. A 37-year-old female patient who had undergone liposuction of the thighs (left) and subsequently presented to Dr. COMBATING IRREGULARITIES When contour irregularities occur, their appearance can be improved, although they usually cannot be totally eliminated to achieve a perfectly smooth surface. After marking the depressed areas and injecting tumescent anesthetic, the surgeon can use the fat-disrupter cannula to break up the fat and fibrosis.
For fat shifting, after disrupting the fat in both the elevated and depressed areas, the surgeon can try to relocate the fat by applying mechanical pressure on elevated areas, forcing the freed-up fat to ooze into the depressed regions.
To perform fat transfer, after disrupting the fat and fibrosis into an emulsified layer, the surgeon uses a small fat-harvesting cannula to remove excess fat from the elevated areas.
He says any intervention to address irregularities should not be attempted for at least three months in order to allow for some healing and scar-tissue maturation. INFECTION CONCERNS Infection is one of the most potentially serious complications of liposuction.
BUILDING SKILL Although recent innovations involving laser or ultrasound-based lipolysis have been touted by manufacturers as superior to traditional tumescent liposuction for fat removal and body contouring, proper training and adequate experience — not new technology — are the elements for surgical excellence, Dr.
I mean, a bit of snip and snap in the nose or eyelids is fine, but having fat vacuumed out from under the skin?

Your surgeon will then discuss the best options for you depending on your skin type and current fat deposits.
It may only be locally applied or you may require a general application in which case the surgery will be done while you are sleeping. A surgeon’s cost for liposuction may vary based on his or her experience and the type of procedure used.
Ideal candidates are close to their target weight, but have trouble spots or fatty deposits. One of the reasons that tumescent liposuction is so safe is that neither general anesthesia nor IV sedation is required. It is impossible to guarantee the precise amount of improvement that will result from liposuction.
If the patient later gains or loses weight, the change tends to be distributed proportionately over the entire body. Risks increase if a great number of areas are treated at the same time, or if a large area is being treated.
In a tumescent liposuction, the anesthetic fluid injected may cause lidocaine toxicity (if the lidocaine solution content is too high), or the collection of fluid in the lungs (if too much fluid is administered).
Pain can be managed with pain relief medication, but you may still feel sore for a few days.
Davis utilizes the tumescent technique, as well as Tickle Lipo to perform Liposculpture in The Woodlands, TX. Also if you are considering liposuction with a tummy tuck, come to see us first as many of our patients who were told they would need a tummy tuck actually did not and had great results with no scarring. Although the latter can often be treated to achieve a satisfactory outcome, they are also mostly preventable in the hands of a well-trained surgeon," says Dr. In addition, surgeons who are early in their liposuction experience should focus on treating only smaller anatomic areas and removing smaller volumes of fat using microcannulas.
Mangubat suggests that more experienced surgeons — as well as beginners — consider a fat-disruption technique he introduced several years ago that is effective for enabling the evacuation of larger volumes of adipose tissue without leaving divots. This will result in an almost-immediate improvement of the defects, but not full correction. However, fat transfer offers greater control for contouring and therefore is a more reliable method for achieving good results, Dr. The fat is harvested into a syringe, processed for transfer and injected into the depressed areas. Otherwise, it may be necessary to reintroduce the fat disrupter to release more of the scarring, or in some cases to free it by cutting with scissors," Dr. Not only does the recovery period stretch as far, I’ve also heard news about people dying while being operated on the table. You will most likely be wearing a compression garment, usually used to help “shrink” the skin.
You also need to be transparent about your medical history, your current medications and allergies.
Once the anesthesia has taken effect, the liposuction procedure is performed using a suction device attached to a small, stainless steel instrument called a cannula. Unlike traditional liposuction performed with general anesthesia, tumescent liposuction patients have faster recovery times, less bruising, less visible scars, and a dramatically lower risk of complications.
A recent survey involving over 15,000 patients who had tumescent liposuction without general anesthesia revealed no serious complications, no serious infection, no hospitalizations, no blood transfusions, and no deaths. Kayal of any medications being taken either regularly, or occasionally, including herbal remedies. Then tiny cannula or tubes are placed below the skin and the fatty deposits are suctioned away.
While tumescent liposuction may reduce the degree of cellulite, it is unlikely to eliminate it.
Obese patients may be good candidates for limited liposuction if their goal is simply to improve the shape of certain limited areas of the body. Most patients can actually see some improvement of their silhouette within one week after surgery.
The patient will be advised as to how many areas he or she can have undergo liposuction treatment.

After the surgery, you are likely to experience some fluid drainage, and sometimes a small drainage tube may be inserted beneath the skin to prevent that fluid from building up. We have heard from many people that they are frustrated with the difficulty in looking and feeling good. Repair results are shown (right) six months post-revision liposuction using a fat disruptor in the scarred areas and fat transfer using a closed-syringe technique adding platelet-rich plasma to the fat grafts. The fat disruption technique uses a special cannula (Mangubat Fast-Lipo Cannula, IMI Beauty and Sound Surgical Technologies) that mechanically disrupts the fat infrastructure and allows large volumes to be removed faster using larger cannulas with reproducibly smooth results. Mangubat says in his practice, the post-liposuction infection rate is below 1 percent and the cases usually involve more minor surgical-site infections caused by common skin flora. Through small incisions, the cannula is inserted into fatty areas between skin and muscle where it removes excess fat either using a suction pump or a large syringe.
Most people can return to work within a few days and to normal activities within about two weeks.
By magnifying the fatty compartment, the tumescent technique permits more accurate removal of fat, with greater assurance that the liposuction cannula will not inadvertently approach too near the undersurface of the skin, which would cause irregularities. However, because of the slow resolution of post-surgical swelling, the ultimate results following liposuction usually require 12 to 20 weeks to be achieved.
Although patients can usually expect to achieve at least a 50% improvement, it is unreasonable to expect 95% improvement or near perfection. If a 50% improvement would make a patient happy, then it is likely that these expectations will be met. You may wear an elastic garment over the treated area for a few weeks to control the swelling.
Jeffrey Klein, a dermatologist in California developed the tumescent technique which utilizes local anesthesia to numb the area being treated. Early detection and intervention are important, however, for eradicating the infection and avoiding progression to a more serious complication. One can't give novices a set of brand new tools and expect them to carve Michelangelo's David on the first attempt," he says. Thus the tumescent technique helps to minimize the risk of post-surgical irregularities of rippling of the skin. For the perfectionist, or for liposuction of a very large area, maximum improvement may require a second procedure for which there would be an additional fee.
Most of the bruising and swelling will disappear within 3 weeks, but some swelling may remain for about 6 months. However, every person's outcome will vary based on factors such as volume of fat cells removed and area of removal.
Liposuction might improve pre-existing irregularities of the skin such as dimpling, but prospective patients should not assume that there would be significant improvement. He has trained with some of the leading physicians in the country to offer a solution to stubborn fat removal.
Obtaining a specimen for culture and sensitivity and beginning empiric antibiotic treatment is appropriate for what appears to be a surgical-site infection, but more worrisome cases, especially if the patient seems ill, need to be handled aggressively with hospitalization for a full work-up to identify any serious problems and initiation of intravenous antibiotics if appropriate," Dr. In this regard, the American Academy of Cosmetic Surgery and many of its members have a lot to offer in learning opportunities, including fellowships, mentorships and live surgery workshops," he says. Utilizing a procedure known as tumescent liposuction, fat can be removed in a matter of hours with minimal downtime and discomfort. Patients should expect that their skin would have approximately the same degree of dimpling and irregularities as existed before tumescent liposuction surgery. The end result will not be evident until the six week point, and areas continue to improve over the next six months.
However, it is possible that a noticeable irregularity of skin may have a genetic predisposition for persistent discoloration at incision sites.

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Comments »

Either to one breast or to both breasts of the 17 women.
17.09.2015 | 19:58:27
You know if you are a candidate for minimal incision mastopexy using low suction as opposed.
17.09.2015 | 13:37:12