What is Liposuction Surgery?

People who have liposuction typically have a steady body weight but want to get rid of unwanted body fat deposits in particular body areas.

A general weight-loss strategy does not include liposuction. It is not an obesity treatment.

Esthetics is the goal. It is appropriate for those who want to alter and improve their body shape.

However, there is a chance that the residual fat cells will enlarge if the client does not maintain a healthy lifestyle following the procedure.

Risks include infection, tingling, and scarring. The skin may become lumpy or develop dents if excessive amounts of fat are removed. It appears that the quantity of fat eliminated affects the surgical risks.

Types & Methods of Liposuction Surgery

LIPOSUCTION OF THE TUMES:

A topical anaesthetic called lidocaine and a vessel constrictor called epinephrine is pumped into the area of the skin that needs to be suctioned. The fat is sucked via tiny suction tubes. The most common type of liposuction is this one.

LIPOSUCTION DRY:

Dry liposuction is referred to as such because local anaesthesia is not injected into the fat prior to the surgery. 30% blood was indeed present in the tissues that were excised by liposuction utilising the dry approach. Nowadays, this procedure is rarely employed because to the increased danger of bleeding and bruising.

WET LIPOSURGY:

Regardless of the area being treated or the amount of liposuction being done, the patient receiving treatment with this procedure only receives general anaesthesia. In order to reduce patient bleeding, a fluid is administered that constricts the capillaries. Wet liposuction removes 15-20% of the tissue, and this blood is what is being removed. This level of blood loss still poses a serious risk to the patient, and it occasionally necessitates blood transfusion. Despite being less dangerous than dry liposuction, wet liposuction is still regarded as harmful due to blood loss.

SUBSTANTIAL WET LIPOSUCTION:

Super Wet Liposuction, also known as Lipoplasty, is a procedure similar to tumescent liposuction in which a substance is injected into the surgical site; however, it utilises less fluid and is less time-consuming to accomplish. A blood artery constrictor (epinephrine) that aids in stopping bleeding, anaesthetic Lidocaine, and saltwater are all present in this fluid. The extra fat is removed from the patient’s requested body part by the surgeon using a catheter, a suction tool, which is inserted after the solution is injected.

Methods of Liposuction Surgery

LIPOSUCTION MANUAL:

The cannula is moved back to forth and rotated during manual liposuction to disintegrate the bonds that connect the fat cells that are arranged in a fat layer.

LIPOSUCTION WITH ULTRASOUND ASSISTANCE (UAL)

Sound waves are employed during ultrasound-assisted liposuction, commonly referred to as ultrasonic liposuction, to gently loosen the fat. Here, fat is melted using ultrasound energy, and the fat is then extracted using a tiny tube known as a cannula. The cannula vibrates quickly because it is powered by ultrasound energy. The fat cells’ walls are ruptured by ultrasound vibrations. The fat is emulsified as a result, making suction out of them simpler. Utilizing this approach to remove fat makes it simple to perform liposuction on locations with bigger volumes and thicker fat.

A specific emitter can be used to apply ultrasound above the skin, or an ultrasound cannula can be used to apply ultrasound below the skin’s surface.

Two different kinds of ultrasound cannulae exist:

  • 1. A sturdy probe
  • 2. A hollow-core probe
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Under the skin, the solid probe gathers emulsify fat and tumescent solution, which is subsequently suctioned out using a regular cannula. The hollow core has the dual function of emulsifying and eliminating fat.

The UAL technique is appropriate for fibrous areas like the back, male breasts, and regions where liposuction has previously been performed.

LIPOSUCTION WITH POWER ASSISTED (PAS):

A unique, motorised cannula with a mechanical mechanism is used in the Power Assist Liposuction technique. It goes back and forth very quickly over a range of 3 to 5 millimetres. It takes less time to operate and produces results similar to manual liposuction since it eliminates 40% more fats per minute. Plastic surgeons typically employ this technique as individuals age to reduce stress on their bodies and joints.

This is the fourth generation of UAL technology, which has fixed some of the earlier issues. The energy delivered to the tissue is around one-fourth that of earlier devices, and both contact point and pulsed mode are available. Additionally, it lessens heat production.

LASER-ASSISTED LIPOLYSIS (LAL):

This procedure, which is sometimes referred to as guided missiles lipo, uses the strength and sophistication of lasers used in medicine to liquefy fat. It uses a laser beam to break adipocytes and then uses various cannulae to suction out the dissolving fat from the treatment area. As the first laser for lipolysis, neodymium-doped yttrium alumina garnet  2064 mm has been introduced.

What are the steps of a liposuction procedure?

Over the years, liposuction has grown to be among the most well-liked cosmetic procedures. Although there are several methods for performing liposuction, the steps in the process are always the same.

The following steps are included in the liposuction procedure:

Step 1: Injecting anaesthetic

For liposuction, just a local anaesthetic is needed. The surgeon may also opt for tumescent liposuction, in which the subcutaneous fat is injected with a diluted local anaesthetic like lidocaine. The targeted tissue stiffens and becomes simple to remove. This method lowers the risk and stops blood loss. Patients with a lidocaine allergy, however, might not be good candidates for this procedure.

Only when a patient has a significant amount of fat deposited in one place or aggregation of fat in several areas is general anaesthesia administered. Depending on the patient’s profile, local anaesthesia along with sedation may also be used.

Step 2: Placing Incisions in 

The surgeon targets the area with small, barely noticeable incisions after administering the anaesthetic. These incisions are only a fraction of an inch in length, measuring between a quarter and a third. The quantity of fat deposits determines how many incisions are necessary.

Step 3: Eliminating extra fat

A small tube called a cannula is inserted into the incision by the surgeon, who then gently moves it back and forth to loosen the fat cells. A laparoscopic air compressor or syringe linked to the cannula draws out the dislodged fat. Some surgeons employ cutting-edge methods like laser, RF, or ultrasonic to perform operations with more accuracy and less intrusiveness.

Step 4: Closing the wound in 

The surgeon uses absorbable sutures to close the wounds after sucking out the fat before firmly bandaging them. To collect extra fluid, drain tubes are positioned at the locations of the incisions. For three to four weeks, patients are instructed to wear compression clothing to prevent oedema.

Liposuction Surgery risks and side effects?

Following the surgery, there is a chance of:

  • 1. Pulmonary blood clot
  • 2. Lung fluid accumulation
  • 3. Infections from fat clots
  • 4. Under-the-skin bleeding
  • 5. Under-the-skin leakage of fluid
  • 6. Oedema (swelling)
  • 7. Tissue death 
  • 8. Adverse effects of anaesthetic and other drugs
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Risks associated with recovery include:

  • 1. Wavy, bumpy, or uneven skin numbness, bruising, discomfort, swelling, and soreness issues with the body’s shape or contours
  • 2. Infections
  • 3. Fluid instabilities
  • 4. Scars
  • 5. Alterations in skin feeling and sensation
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The adverse effects of liposuction over the long term can differ. By using liposuction, fat cells in the body’s desired locations are permanently removed. As a result, even if you put on weight, your body will continue to store fat in various locations. The additional fat may develop deeper beneath the skin and, if it surrounds the liver or heart, may become harmful.

Permanent nerve injury and modifications to skin sensation can occur in some people. Some people may experience persistently bumpy or wavy skin, indentations or depressions in the suctioned areas, or bumpy or wavy skin in general.

Liposuction surgery before and after

Before the surgery:

To make sure they are healthy enough for surgery, patients must undergo a few health exams before the procedure.

The following suggestions are possible.

  • 1. Regular aspirin and inflammatory medication users should stop using them at least two weeks prior to surgery.
  • 2. It’s possible to request that women stop using oral contraceptives.
  • 3. Iron supplements may be prescribed to anaemic patients.
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A consent document will need to be signed by the person. This demonstrates that they are completely informed of the procedure’s dangers, advantages, and potential substitutes.

After the surgery:

  • 1. General anaesthesia usually requires a patient to stay the night in the hospital. Patients who received a local anaesthetic may be discharged from the hospital on the same day.
  • 2. Support bandages: The targeted area will either be fitted with bandages or an elasticized support corset.
  • 3. Antibiotics: These can be administered right once following surgery.
  • 4. Analgesics: These drugs can assist treat pain and inflammation.
  • 5. Stitches: At a subsequent session, the doctor will remove the stitches.
  • 6. Bruising: The targeted area may sustain severe bruising.
  • 7. Numbness: The area where the fat was removed could feel numb. It should become better in six to eight weeks.
  •  

VASER liposuction and how does it work?

The VASER liposuction method would be the perfect choice if you are a good candidate for this surgery and are thinking about getting rid of stubborn fat from certain body parts including the abdomen, shoulders, chins, necks, upper backs, waistband, hips, and thighs.

A sophisticated liposuction method that uses ultrasound technology is VASER liposuction. Removing extra fat deposits is used to alter the shape and contour and significantly enhances both the shape and physical appearance.

The abbreviation VASER refers to vibrational amplification of acoustic pressure at resonance, which softly dissolves fat cells without harming the blood vessels, nerves, or structural tissue. As a result, it is less intrusive, less blood is lost during the surgery, and the greatest results can be obtained with quicker healing. Tissue is seldom affected because the divided fat is sucked using a tiny catheter.

According to a recent report, liposuction is currently one of the most common plastic cosmetic surgeries, with over 250,000 treatments carried out in the USA. The success rate is about the same even in India, making it a process in high demand among those who practise plastic cosmetic surgery.

Cavitation technology, which is the basis of the VASER liposuction method, softly and selectively separates the fat cells. Modern liposuction technique that has been approved by the US FDA.

  • 1. The VASER liposuction procedure will probably be performed while you are under general anaesthesia.
  • 2. A little incision will be used to implant the ultrasonic probes into the skin and break up the fat cells.
  • 3. The VASER probes, which will emulsify the fat, cause minimal tissue damage when doing gentle liposuction.
  • 4. One method of ultrasonic liposuction, VASER liposuction, uses ultrasonic frequency waves to destroy fat cells.
  • 5. A suction procedure is now used to remove the separated fat.
  •  

VASER liposuction vs. traditional liposuction

Both approaches have advantages and disadvantages. Both procedures can be done as outpatient procedures with little recovery time or risks associated with general anaesthesia. Vaser liposuction may result in less bruising and a quicker recovery time. Vaser liposuction, however, might occasionally cost extra because of the technique used. Vaser liposuction can remove tougher, more fibrous fat, such as the kind present in gynecomastia, more successfully from targeted treatment sites. However, traditional liposuction may be preferable for bigger fat removal volumes.

How to find a board-certified surgeon for Liposuction Surgery

  • 1. Look for plastic surgery board certification. 
  • 2. Your shortlist of potential plastic surgeons should all hold board certification from ABPS.
  • 3. Examine the surgeon’s methods and guiding principles.
  • 4. Examine the establishment.
  • 5. Find a trustworthy person.
  • 6. Search for sincerity.
  •  

Foods to avoid after liposuction surgery

  • 1. Fried food
  • 2. A baked good.
  • 3. Sodas.
  • 4. Swift meal.
  • 5. Sweet cereals.
  • 6. Refined grains, including crackers, white bread, spaghetti, and rice.
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Frequently Asked Questions:

What is the safest form of liposuction?

Tumescent liposuction, being more efficient, safer, and less painful than classical liposuction, as well as having a speedier recovery period, is the most popular type of liposuction and the most frequent cosmetic treatment in the U.S. It can be done without general anaesthesia as an outpatient treatment.

Does Lipo permanently remove fat?

The volume and size of fat cells expand when you put on weight. In turn, liposuction lowers the number of fat cells in a particular region. According to how the area looks and how much fat there is, different amounts of fat are removed. As soon as your weight doesn’t fluctuate, the subsequent shape modifications are typically irreversible.

What is the best alternative to liposuction?

CoolSculpting. CoolSculpting, an FDA-approved nonsurgical procedure that makes use of cryolipolysis scientific technology, is also sometimes referred to as “freeze the fat.” Zerona, Kybella, Liposonix, UltraShape, and others.

Is Liposuction Dangerous?

The treated areas’ skin colour changes. pulmonary oedema, or the accumulation of mucus in the lungs as a result of fluid injection. a pulmonary blood clot (termed pulmonary embolism) Internal organ damage that occurs during the surgery.

Can I eat eggs after liposuction?

You can prolong the benefits of your liposuction by making long-term lifestyle adjustments. High in protein, lean white meats support the body’s natural healing process. Fish and chicken breasts with no skin are included. The yolks of eggs should be avoided, however, the whites of eggs can be a healthy source of protein.

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