Liposuction or Lipoplasty, liposculpture, Lipectomy:

A kind of cosmetic surgery used to remove excess fat deposits under the skin. This surgery involves removal of fat tissue from different localized sites of the body through small incisions. The operation gives the skin a smoother and more uniform appearance within the shortest recovery time.

The liposuction candidates are People with unwanted fat that refuse to disappear despite dieting and exercise. These people should have BMI less than 35 and preferably less than 30. Higher BMI may lead to unfavorable liposuction result and increase the risk of some complications.

Tumescent liposuction is the most common liposuction technique. In this technique, at the beginning of surgery, a combination of some drugs and serums is injected in order to tighten the tissue to remove fat, reduce blood loss and pain. Most of the tumescent solution is removed during the liposuction, but the remaining 20% is slowly absorbed by the body or removed from the wound. Tumescent liposuction is performed using a device named cannula that is connected to the suction device. The smooth back and forth movement of the cannula while it is connected to the suction device results in removal of fat. 2- laser-assisted liposuction (lipo-smart): in this technique, laser is used to burn fat tissues before removing them. The heat generated by the laser leads to skin shrinkage. Of course, the scientific data in this case are very low, and most surgeons believe that the amount of skin shrinkage is very low.

nose anatomies

Liposuction steps:

Step 1: Anesthesia: some drugs are administered for the patient’s comfort during liposuction. The topical anesthetic, intravenous sedation, or general anesthetic administered for this surgery depends on the individual’s physical condition, the amount of fat and the duration of surgery.

Step 2:  incision: Liposuction is performed through a small incision. First, a diluted local anesthetic is injected to reduce bleeding and trauma. After that a thin hollow tube, or a cannula is inserted into the incision to smooth the excess fat by a controlled back-and-forth movements. After that, the extra fat is aspirated after being sucked into a cannula or syringe attached to the suction device 

Step 3: closing the incision: the incisions are sutured and then dressed.

Special liposuction sites

Abdominal Liposuction: The abdominal liposuction is most commonly performed in Iran. This surgery is carried out through three incisions: one in the navel and two in the lower abdomen.

Flank liposuction: this surgery is performed to thin the waistline and make the body look like a sandglass. In buttock and flank liposuction, the patient usually lies on the abdomen to provide better access to fatty areas. Two small incisions are made on the flanks

Outer and inner thigh Liposuction: although the back and front sides of thigh are also subjected to liposuction, the most common thigh liposuction sites are inner and outer thighs. The fat deposits in the outer thigh is referred to as saddlebags. The outer sigh Liposuction is performed through a small incision made in the fold under the buttocks. A small incision is also made in the groin. The anterior part of the thigh is also subjected to liposuction. The posterior side of the thigh is also known as hamstring. Most patients deposits of fat in their posterior side of the thigh. This site can be subjected to liposuction either alone or together with the exterior side of the thigh.

Facial liposuction: fat deposits in face and neck give an unpleasant facial look and lead to development of droopy and sagging skin. But sometimes these deposits become so massive that one can’t get rid of them even by exercise and diet. In such cases, Neck and face liposuction is recommended. In this technique, the fat deposits in the neck, double chin, cheeks and the cheek line is removed to make the skin look smoother and more youthful.

Buttocks Liposuction: buttocks Liposuction is performed to reduce the size and bulk of buttocks. If you feel that your hips are too broad, the outer thigh liposuction may be the best choice. In addition to removing excess fats, the ultimate goal of liposuction is to make the body look shapely in every aspect

Inner knee Liposuction: the fat deposit in the inner part of the knee can be removed by liposuction. Some patients also have a prominent mass in their inner knee, which can be attributed to the shape of bones around the knee. It is of vital importance to distinguish these prominent masses during liposuction. The surgeon evaluates the site to make sure it is suitable for liposuction. a small incision is made in the frontal or back side of the inner knee.

Mid-back Liposuction: mid-back Liposuction covers the upper part of the waistline. Patients commonly complain of the fold of the fatty tissue below the bra line. Liposuction is an effective technique for removing fats and reducing the depth of fold in this site. Women are mostly pleased with the outcome because they can wear tight or open-back dresses without being worried about the folds or prominent fatty tissues in their back. The incisions are made in the bra site and are usually covered by bra of bikini

Pre-liposuction instructions

– avoid smoking

– Avoid aspirin, anti-inflammatory drugs and herbal blood-thinning supplements that increase blood loss

Post-liposuction instructions:

– Avoid vigorous activities

– Rest three days after surgery

– resume exercise at least one week after surgery

– consult a physician one week after surgery

– Avoid Fat and salty diets and Fiber-rich foods

– Wear skin-tight garments

Lipolysis: A non-invasive liposuction technique used to remove fat deposits, especially in the flank area. This technique is very fast and painless and is associated with less complications compared to traditional techniques such as liposuction. During lipolysis, a local anesthetic is administered. Then a small incision is made in the abdominal and flank skin to insert a thin cannula (1 mm diameter hollow tube) into the skin. A probe is used to radiate laser pulse on the fat tissue to decompose and melt it. The melted fat cells are naturally destroyed by the body. Some part of the melted fat is quickly extracted from the body by means of a suction device and cannula. This surgery takes about 1 – 2 hours. Lipolysis results in fitness and even distribution of fat deposits in different areas of the body within the shortest possible time without bruising, swelling and other complications of more aggressive abdominal and flank liposuction techniques. Lipolysis is not used as a technique to treat obesity, so it is not recommended for obese people. In fact, this technique is meant to reduce the fat and tighten the skin of people with normal and close-to- ideal weight.

Laser-assisted liposuction technique is only suggested for removal of 500 milligrams of fat. Thus, liposuction or other techniques may be required to remove larger amounts of fat.

Pre-lipolysis instructions:

– have the necessary blood tests before surgery

– avoid smoking and drinking alcohol at least two weeks before the surgery

– avoid aspirin and anti-inflammatory drugs and blood-thinning supplements one week before the surgery

Post-lipolysis instructions:

– one hour of rest after lipolysis

– Avoid vigorous physical activity 1-2 weeks after the treatment

Lipomatic: suction of excess fat under the skin using a technique different from traditional suction techniques may marvel you. Using this technique, a large amount of fat can be isolated and removed in only one treatment session. The fat extracted in this technique can be injected into other areas of the body if needed. In addition to abdomen, lipomatic could be used to remove excess fat from other areas of the body, including the thighs and buttocks, arms, back, shin, and around the knees and female genital organs.

Lipomatic candidates: non-obese individuals over the age of 18 who have unwanted excess fat tissue in different parts of the body, including abdomen and flanks.

The surgery procedure: this surgery is easily performed under local anesthesia and through several 50 mm incisions made in the abdomen or flanks in order to insert cannula tubes. Two additional incisions should be necessarily made in the back in order to remove excess fat in the flanks.  The cannula attached to the suction device weakens and destroys the rigid fat tissue through vibrational movements so that the suction device can easily and completely remove the chopped and even liquefied portions of the excess fat. The patient can be discharged immediately after the surgery. The swelling and partial bruising in the surgery site will fade away within 2-3 days and the patient will be able to resume his routine activities very soon.

Postoperative instructions:

– Avoid vigorous physical activity at least one week after surgery

– Wear skin-tight garment for 2-3 months after surgery to tighten and compress the skin

– take a bath at regular intervals and rub the area around the incisions to facilitate and accelerate the discharge of residual fats and liquids

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