Liposuction
What should you know about a liposuction? What happens during the first consultation
Liposuction is a surgical procedure used for the removal of deposited fat-pads. These undesirable fat cells are most frequently multiplied in the area of the abdomen, the thighs and the waist. Although in most cases liposuction is performed on these areas, the correction of the double chin, the knees or the upper arms is not rare either. The first consultation with the plastic surgeon is of particularly great importance. It is practical to prepare in advance for this consultation, we kindly ask you to think through your questions and expectations concerning the liposuction.
During the first consultation our plastic surgeon examines you and makes a recommendation regarding the type of the necessary procedure(s). It is possible that in your case liposuction has to be supplemented with another correction – your surgeon informs you about this, as well. Of course, he explains the process of the surgery in detail and answers all your further questions concerning the liposuction.
Preparing for the liposuction
Before the liposuction you must go for a complete medical check-up. The reason for this is to find out whether you have any health problems that could have an influence on the liposuction. All preliminary examinations are made at our Plastic Surgery Institute, saving you the pains of queuing and waiting in other health centers. In the course of the medical check-up laboratory tests and as occasion requires, other examinations (ECG, X-ray, etc.) are performed according to the plastic surgeon’s suggestion. In certain cases we advise our patients to change their lifestyle in the days preceding the liposuction.
To facilitate proper recovery, it is important that you do not smoke because nicotine slows down the process of regeneration and harmfully influences the healing of the wound. In the days before the liposuction you should eat light foods, drink lots of fluids and take some vitamins (vitamin C, selenium, zinc). Two weeks before the liposuction you should avoid the use of aspirin, ginko biloba and other naturopathic products.
Liposuction
Before the liposuction the plastic surgeon marks the places of the necessary incisions which are located hidden on different body parts. Through previously marked incisions, a thin tube is inserted. Using vacuum and controlled back-and-forth movements, the plastic surgeon loosens and eliminates the superfluous adipose tissues. The liposuction is performed under general anesthesia. Depending on the size of the area it takes 1.5-2 hours.
Techniques of liposuction
The technique of the operation means the choice and localization of the necessary incisions. Nowadays 3 types of liposuction are in use. The most frequent and least dangerous plastic surgery procedure is the suction-assisted lipectomy technique (SAL), when the loosening and suction of the swollen adipose tissues happens with the help of cannulas.
The second method differs from the previous one in that the head of the cannula is under constant vibration; this way loosens the adipose tissues. This is called power-assisted liposuction (PAL). The danger of vibration (power) assisted liposuction is that the uncontrolled mechanical vibration sucks the fat too close to the surface of the skin as well, which might cause an uneven skin surface. In the case of the third type of liposuction ultrasound is applied. The loosening of the deposited adipose tissues is carried out by ultrasonic beams at the end of the cannula, and the removal of the adipose tissues happens with the help of cannulas. The disadvantage of this method is that the ultrasonic beams might reach areas the treatment of which was not the purpose of the liposuction, this way the amount of haemorrhage after the liposuction is much larger. For the above reasons, at our Plastic Surgery Institute the conventional SAL method is applied in the course of the liposuction.
For decreasing the bleeding, before the start of the liposuction, an astringent and anesthetic solution containing minerals is injected into the given area. On one occasion a maximum of 4-4.5 liters of fat can be removed. It is important to keep in mind that liposuction only results in an aesthetic outcome if the skin is not yet sagging. In case the connective tissues under the skin are weak and the skin has lost its tone, liposuction needs to be complemented by another plastic surgery, in the course of which the superfluous skin is removed.
Recovery and risks of a liposuction
After the liposuction you must spend one night at our Plastic Surgery Institute. We aim to make the period after the liposuction as convenient as possible for you. In order to do this, waterproof bandages are placed on the wounds, so you can even have a shower at home. After the liposuction you must wear a special compression garment for 8 weeks. Our institute provides you with these items of clothing. Sensitivity, swelling and bloodshots may occur on the treated area, but these disappear in 10-14 days.
To prevent deep vein thrombosis and pulmonary embolism, blood diluting injections must be applied for 5-10 days after the liposuction, and constant use of the fixing tights is mandatory. During the first few days temporary weakness or dizziness might appear. During the time of recovery it is not necessary to lie in bed, you can freely manage your home to-dos and routines. For the compensation of the blood loss you should consume red meat, beans, peas, lentils, rye-bread for supplementing the iron in a natural way. After 3 weeks you can start to do light exercises. From the third week lymphatic massage or LPG-treatment (vacuum massage) is recommended because it improves the circulation, reduces the swelling and makes the skin surface even. Sunbathing, the use of solarium and sauna must be avoided for 2 months.
After the liposuction you have to attend control examinations on the 7th and 14th day, and the 6th and 12th week. To facilitate the healing of the wound it is advisable to use scar creams. Before the liposuction we aim to filter out the possible risk factors with preliminary examinations but even so unpredictable complications may occur. Liposuction counts as routine plastic surgery procedures. The chance for the occurrence of complications is extremely slight. These complications can be the following: infection, oedema, serous oedema, formation of the keloid scar, and uneven surface.
Results of the liposuction
The results of the liposuction are immediately visible, but the final shape will be obtained after 6 months. The change is not primarily measurable in kilograms, because the liposuction is a figure shaping and not a body weight reducing procedure. It is not on the scale where you notice the change, but in the size of your clothes. You experience with great satisfaction a tight body, and a shapely and proportionate figure.
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