Liposuction

liposuction

Liposuction

In women, the creation of smooth and well-defined curves always improves their figures. As surgeons, we aim to improve the shape of our patients, but the results of our efforts are closely linked to the realistic expectations of each patient rather than unrealizable ones.

In males, a more angular and muscular shape is sought, paying attention to the definition of the abdomen and chest wall muscularity. Improvement in shape and figure generally makes patients feel more comfortable about themselves, enabling more versatility in wearing different clothes, sporting fashions, and/or swimwear.

Liposuction has established itself as the most valuable body-contouring plastic surgical procedure available, and the demand for it is not abating. Improved instrumentation and anesthetic techniques have facilitated better and upgraded results since the introduction of the technique 30 years ago.

Liposuction has estabilished itself as the most valuable body –contouring plastic surgergical procedures available and the demand for it is not abating.
Improved instrumentation and anesthetic techniques have facilitated better and upgraded results since the introduction of technique 30 year ago.

Indication:

The optimal patient is one who has completed diet and exercises but still has localized areas of fat deposition. In men, these areas are the abdomen, male breast, and love handle area. In females, these areas are the inner thigh, outer thighs, hips, and abdomen. Obese patients should be accepted with proper counseling, explaining that liposuction is a procedure for body sculpting and not for weight reduction. Hence, expectations should be realistic with a proper understanding of the limitations of liposuction.

What is safe liposuction?

It is generally accepted that large-volume liposuction is anything over 5000 mL of fat removal, and that greater volumes of aspiration are associated with increasing complication rates.

Liposuction Machines

  • Normal suction machine which generates about 30 mmHg negative pressure.
  • Ultrasonic liposuction Machines.
  • Power-assisted liposuction machine.
  • Manual with syringe cannula.

Liposuction Cannulas

There are various cannulas of different sizes ranging from 1 mm to 6 mm and in different shapes with varying tips.

Anaesthesia

Liposuction can be done under general, regional, or local infiltration with IV sedation.

Dressing, Compression, and Postoperative Management:

After the closure of all access ports with an absorbable suture, a gauze dressing is applied. Fluid leakage from the incisions overnight. Patients have to wear pressure garments for 2 to 3 months.

Adjunctive Measures Postoperatively:

Lymph drainage, massage, and ultrasound treatment by a qualified physiotherapist are recommended for persistent swelling and tissues that are woody, indurated, or bruised.

Complications

Immediate
  • Haematoma.
  • Blood loss.
  • Infection.
  • Venous thrombosis, which are rare.
  • Pulmonary embolism, which are very rare.
  • Visceral perforation, again very rare.
Late
  • Seroma.
  • Swelling.
  • Bruising.
  • Contour deformity.
  • Loose skin which is not contracted.
  • Numbness and paresthesia are usually self-limiting.
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