Liposuction


Liposuction is a procedure that removes excess fat through a suctioning process. Although it is not a substitute for weight loss, it is a way of changing the bodys shape and contour.

Liposuction Techniques

Tumescent technique

The tumescent technique involves the injection of a large quantity of a medical solution into a fatty area. The medical solution is a combination of drugs that numb the area as well as shrink the capillaries and prevent blood loss. After the injection, a small incision is made into the skin and a tube connected to a vacuum is inserted into the fatty mass. The fat is then suctioned out.

Super-wet technique

Similar to the tumescent technique, the super-wet procedure uses a smaller amount of the injected medical solution. After the injection, a small incision is made into the skin and a tube connected to a vacuum is inserted into the fatty mass. The fat is then suctioned out.

Ultrasound-assisted lipoplasty

In the ultrasound-assisted lipoplasty, a special tube that produces ultrasound energy is used. This ultrasound energy breaks down the walls of the fat cells turning them to liquid. The fat is then suctioned out.

Possible complications associated with liposuction techniques:

Injury to the skin or deeper tissues

In the ultrasound-assisted lipoplasty, there is the potential of damaging the skin or deeper tissues from the heat transmitted from the ultrasound device.

Irregular skin surface

Changes in the skin surface can occur after liposuction, giving it an asymmetric or baggy look. There can also be changes in the skin pigmentation and areas that may become numb.

Greater risks if large areas are treated

The risk for infection, the formation of blood clots or fat clots, excessive fluid loss, and damage to the skin, nerves, or vital organs is greater when large areas are treated.

Lidocaine toxicity or fluid in the lungs

If the lidocaine content is too high, it may cause lidocaine toxicity. If too much fluid is injected, it may cause fluid build-up in the lungs.

Generally people of normal weight who have localized areas of protruding fat acquire the most desired results, but patients who are slightly overweight can also benefit from liposuction. The best candidates for liposuction are:

• normal-weight (or slightly-overweight) people
• people with firm, elastic skin
• people who have pockets of excess fat in certain areas
• physically healthy and psychologically stable people
• people with realistic expectations

Age is not a major factor, although older patients, with diminished skin elasticity, may not have the same results as patients with tighter skin.

Women usually have liposuction performed under the chin, on hips, thighs, and stomach, and in the under arm and breast areas. In women, the single most frequently treated areas are the outer thighs, followed by the stomach.

Men usually have liposuction performed under the chin and around the waist, or in the reduction of enlarged male breasts, a condition known as gynecomastia. In men, the flank area or "love handles" are most frequently treated.

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