Considering
Liposuction?
Liposuction is a procedure that can
help sculpt the body by removing unwanted
fat from specific areas, including
the abdomen, hips, buttocks, thighs,
knees, upper arms, chin, cheeks and
neck.
Today, a number of new techniques,
including ultrasound-assisted lipoplasty
(UAL), the tumescent technique, and
the super-wet technique, are helping
many plastic surgeons to provide selected
patients with more precise results
and quicker recovery times. Although
no type of liposuction is a substitute
for dieting and exercise, liposuction
can remove stubborn areas of fat that
don't respond to traditional weight-loss
methods.
The Best Candidate
For Liposuction
To be a good candidate for liposuction,
you must have realistic expectations
about what the procedure can do for
you. It's important to understand
that liposuction can enhance your
appearance and self-confidence, but
it won't necessarily change your looks
to match your ideal or cause other
people to treat you differently. Before
you decide to have surgery, think
carefully about your expectations
and discuss them with your surgeon.
The best candidates for liposuction
are normal-weight people with firm,
elastic skin who have pockets of excess
fat in certain areas. You should be
physically healthy, psychologically
stable and realistic in your expectations.
Your age is not a major consideration;
however, older patients may have diminished
skin elasticity and may not achieve
the same results as a younger patient
with tighter skin.
Liposuction carries greater risk for
individuals with medical problems
such as diabetes, significant heart
or lung disease, poor blood circulation,
or those who have recently had surgery
near the area to be contoured.
Liposuction
is Normally Safe
However, it's important to keep in
mind that even though a well-trained
surgeon and a state-of-the art facility
can improve your chance of having
a good result, there are no guarantees.
Though they are rare, complications
can and do occur. Risks increase if
a greater number of areas are treated
at the same time, or if the operative
sites are larger in size. Removal
of a large amount of fat and fluid
may require longer operating times
than may be required for smaller operations.
The combination of these factors can
create greater hazards for infection;
delays in healing; the formation of
fat clots or blood clots, which may
migrate to the lungs and cause death;
excessive fluid loss, which can lead
to shock or fluid accumulation that
must be drained; friction burns or
other damage to the skin or nerves
or perforation injury to the vital
organs; and unfavorable drug reactions.
After The Surgery
After surgery, you will likely experience
some fluid drainage from the incisions.
Occasionally, a small drainage tube
may be inserted beneath the skin for
a couple of days to prevent fluid
build-up. To control swelling and
to help your skin better fit its new
contours, you may be fitted with a
snug elastic garment to wear over
the treated area for a few weeks.
Your doctor may also prescribe antibiotics
to prevent infection.
Don't expect to look or feel great
right after surgery. Even though the
newer techniques are believed to reduce
some post-operative discomforts, you
may still experience some pain, burning,
swelling, bleeding and temporary numbness.
Pain can be controlled with medications
prescribed by your surgeon, though
you may still feel stiff and sore
for a few days.
It is normal to feel a bit anxious
or depressed in the days or weeks
following surgery. However, this feeling
will subside as you begin to look
and feel better.
The Surgery
The time required to perform liposuction
may vary considerably, depending on
the size of the area, the amount of
fat being removed, the type of anesthesia
and the technique used.
There are several liposuction techniques
that can be used to improve the ease
of the procedure and to enhance outcome.
Liposuction is a procedure in which
localized deposits of fat are removed
to re-contour one or more areas of
the body. Through a tiny incision,
a narrow tube or cannula is inserted
and used to vacuum the fat layer that
lies deep beneath the skin. The cannula
is pushed then pulled through the
fat layer, breaking up the fat cells
and suctioning them out. The suction
action is provided by a vacuum pump
or a large syringe, depending on the
surgeon's preference. If many sites
are being treated, your surgeon will
then move on to the next area, working
to keep the incisions as inconspicuous
as possible.
Fluid is lost along with the fat,
and it's crucial that this fluid be
replaced during the procedure to prevent
shock. For this reason, patients need
to be carefully monitored and receive
intravenous fluids during and immediately
after surgery.
Recovery
Healing is a gradual process. Your
surgeon will probably tell you to
start walking around as soon as possible
to reduce swelling and to help prevent
blood clots from forming in your legs.
You will begin to feel better after
about a week or two and you should
be back at work within a few days
following your surgery. The stitches
are removed or dissolve on their own
within the first week to 10 days.
Activity that is more strenuous should
be avoided for about a month as your
body continues to heal. Although most
of the bruising and swelling usually
disappears within three weeks, some
swelling may remain for six months
or more.
Your surgeon will schedule follow-up
visits to monitor your progress and
to see if any additional procedures
are needed.
If you have any unusual symptoms between
visits -- for example, heavy bleeding
or a sudden increase in pain -- or
any questions about what you can and
can't do, call your doctor.
Becoming The New You!
You will see a noticeable difference
in the shape of your body quite soon
after surgery. However, improvement
will become even more apparent after
about four to six weeks, when most
of the swelling has subsided. After
about three months, any persistent
mild swelling usually disappears and
the final contour will be visible.
If your expectations are realistic,
you will probably be very pleased
with the results of your surgery.
You may find that you are more comfortable
in a wide variety of clothes and more
at ease with your body. And, by eating
a healthy diet and getting regular
exercise, you can help to maintain
your new shape.
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