Weight Control / / April 21, 2016
What is liposuction?
How did such a large number of celebrities manage to keep your body in admirable form?
Undoubtedly, many adhere to a strict diet and exercise program.But many of them have developed their slender thighs, flat stomach and firm buttocks in the office of a plastic surgeon, even if they do not want to admit it.
Celebrities are not the only ones who resort to cosmetic surgery.The doctors perform about 500,000 liposuction procedures each year in the United States, making it the most popular form of cosmetic surgery.
Liposuction is a cosmetic surgical procedure, also known as lipectomy, in which fat is suctioned out of the body from specific areas of localized fat deposits.
Liposuction is not an operation to "weight loss", since its purpose is to change the contours of the body in areas that are resistant to a reduction of body fat through diet and exercise.Liposuction can improve the appearance of the figure.Therefore, this procedure is sometimes called body
Firstly, what is fat?This fabric (otherwise known as adipose tissue), which consists of cells that provide energy supply and preserving body temperature.Grease usually is located under the skin.Places fat deposits directly dependent on the gender of the person.In men, fat tends to accumulate in the chest, abdomen and buttocks.In women, it is often localized in the chest, hips, waist and buttocks.
There are two layers of subcutaneous fat: superficial and deep.During liposuction, the physician makes a small incision and inserts a hollow stainless steel tubes (known cannula) into a deep fat layer.Work on this layer is more secure than the surface layer.This is associated with less risk of skin damage.The doctor moves the tube through the layer of fat, destroying fat cells and syringe or vacuum pump removes the fat, sucks it.
How long the results of liposuction are saved?
Many people want to know whether the results of liposuction permanent.As with many other issues related to plastic surgery, yes ... and no.
The human body has a certain number of fat cells, and they grow to the extent that, as a person gains weight.The number and distribution of our fat cells is set as early as adolescence.That is why, perhaps, some have "stubborn area", where fat is not budge, even if you easily lose weight in other areas.
When fat deposits are removed through liposuction, those fat cells are removed permanently.The contours of the body are improved, the figure becomes desirable proportions.However, some fat cells remain in the treated area and in other areas of the body.Therefore, if the patient subsequently gains weight, the remaining fat cells will grow larger.That is, in the case of weight gain, these areas of the body will be in better proportion to the rest of the body.However, be aware that you are now accumulate more weight in those areas which are not subjected to liposuction because these areas now contain proportionately more fat cells.This occurs in particular due to the hormone leptin, which is produced in the fat cells.The level of this hormone is reduced when the fat is removed.This drop causes an increase in appetite and therefore food intake.This problem is especially pronounced in people who were overweight prior to the procedure.To compensate for the lost fat cells, the body produces more fat cells in other areas, and the fat starts to gather there.
liposuction procedure can be repeated if necessary, but there is no guarantee that the same effect will not happen again.
Who can do liposuction?
Liposuction is most often used for cosmetic purposes to give a smoother form in areas such as the thighs, abdomen, buttocks, calves, arms or certain areas of the back.It can also be used to reduce breast size in men or remove fat from a lipoma.Fat may be removed from more than one body part for a surgical procedure.
Liposuction is the most profitable procedure for patients who are near their ideal weight, but still have disproportionate localized fat deposits are resistant to exercise and diet, which, as a rule, in good health and who have a positive outlook and realisticexpectations regarding the results of the procedure.
ideal candidate for liposuction should also have good skin elasticity and muscle tone.If the patient has already lost a significant amount of weight and have sagging skin, liposuction may only worsen those problems.If the skin is not sufficiently elastic, it will remain baggy after the procedure.For this reason, older patients may not see the same result as younger patients.
Anyone who has diabetes, heart disease, poor circulation, infection, history of bleeding or coagulation disorders (such as thrombophilia) should consult their physician before undergoing liposuction.
Liposuction is also not recommended for people taking medications that prevent blood clotting (blood thinners such as aspirin, warfarin and heparin).
not the best candidates for liposuction are smokers.
What can not do liposuction?
Liposuction can not relieve you of the weight of more than 20 kilograms, that you have typed the last 10 years.Typically, the amount of fat removed during liposuction surgery typical ranges from 500 grams to 4.5 kg.The greater the amount of fat can be removed, the higher the risk of skin sagging and uneven contours of the body after the procedure.
Liposuction is usually not reduce cellulite.However, there are new treatments such as the SmartLipo, shock wave therapy and Rejuveskin, any of which can be performed as an adjunct to traditional liposuction.
Moreover, for patients who have loose skin in addition to the excess fat in certain areas of the body can be made lifting, to improve overall patient outcome after liposuction.
How much is liposuction?
average total cost of liposuction varies widely depending on the size and quantity of the treated area, as well as the specific methods.Typically, liposuction costs from $ 1500 to $ 7500.Differences in the cost associated with the complexity of the procedure, the geographical location of the clinic, and your surgeon's skills, qualifications and his reputation.Adding another area of the body increases the cost by about 1200 - $ 4000.Some surgeons may even offer substantial discounts if multiple areas undergo liposuction in a single operation.
Liposuction can be performed in the office of the surgeon, an outpatient surgery center or hospital.Sometimes liposuction is performed on an outpatient basis, which is usually cheaper.
Risks and complications of liposuction
As with any surgery, liposuction carries with it certain risks.They include:
- Formation fat clots or blood clots which can migrate to the lungs (potentially fatal condition called pulmonary embolism);
- Too much fluid loss, which results in a deterioration of general condition, possibly, to death;
- Accumulation of fluid in the tissues;
- nerve damage that causes numbness or changes in sensation;
- swelling that lasts for several weeks or months after the procedure;
- skin necrosis, whereby the skin over the place liposuction dies;
- Burns from the ultrasonic probe;
- Punctures organs (eg, intestine can be punctured during abdominal liposuction);
- Reaction to anesthetic drugs, including reactions to lidocaine;
- Excessive bleeding or bruising;
- asymmetry of body contours;
- Changes in skin sensation;
- Deep vein thrombosis;
- Cardiac and pulmonary complications;
- Damage to nerves, blood vessels or muscles;
- Unfavorable scarring, skin discoloration;
- Sagging skin, or other unsatisfactory aesthetic results;
- The need for additional operations;
In rare cases, liposuction can lead to death.Data on this topic vary a lot, but estimates range from 3 to 100 deaths occur per 100,000 liposuction procedures.
Every liposuction procedure begins with a consultation.The doctor will evaluate your health, both physical and psychological, and determine whether you are a good candidate for this procedure, based on the elasticity of the skin and places fat.Then he will help you decide which liposuction procedure is most suitable for you.
likely require laboratory to confirm the state of health tests.This examination will include a complete history of health and, most likely, a detailed history of weight gain.You may be also required to stop or begin taking certain medications, for example, avoid aspirin, many anti-inflammatory drugs and herbal supplements for two weeks prior to surgery.
Before the procedure, the doctor says, from what area (one or more), the fat is removed.
Anesthesia for liposuction
Like most types of surgical procedures, liposuction requires anesthesia.Type anesthesia depends on what sections and to what area liposuction.For smaller areas, doctors may use local anesthesia, which numbs only the area participating in the operation.Usually, the doctor inserts a sedation with local anesthesia to relax a patient.
Sometimes, the doctor may give the patient an epidural, which is administered intravenously and blocks sensation of the whole body (for example, from the waist down).
General anesthesia may be used in a hospital, when a large amount of fat to be removed.In any case, your doctor will recommend to you the best choice of anesthesia.
Generally, liposuction incisions are very small (about 0.3 - 1.5 cm each) and your surgeon will take care to place the incisions in the body where they are not visible.Often the treatment of larger areas, make a few cuts for each treatment area.
surgery During surgery, the doctor inserts a cannula through the incision into the fat layers of the planned areas.The cannula rapidly moves back and forth to release the fat cells, which are filtered off, usually by a vacuum device connected to the cannula, and poured into a special flask.The cannula creates tunnels in the fat layer, to create a new body shape.For this reason, the patient must wear a compression garment after surgery.Because patients also lose fluid during the procedure, it is sometimes required intravenous fluids after surgery.
incisions are closed with surgical sutures.In some cases, drainage tubes cut in places to help drain the excess fluid can be installed.
Recovery after liposuction
If the patient is under local anesthesia, it can usually go home the day after surgery.General anesthesia is often required one night in a hospital or surgical center.
After the procedure, many patients are installed drainage tube to drain fluid for 2-5 days.Patients often recommend wearing a compression fitting underwear to compress the operated area, which would reduce swelling and promote speedy healing.You may be prescribed antibiotics to prevent infection
Most patients can return to work relaxed after only 2 - 3 days.The hard work may be resumed, at least until after 2 - 3 weeks after liposuction, depending on which areas have been processed.As after any operation, it is important to understand that these conditions may vary widely depending on the physical condition of the patient, the methods, conditions and other related operations.Despite this, it is important to take care not receive excessive power load, to avoid friction at the site of the procedure, or sudden movements during the healing period.
stitches the incision are removed or dissolve after about 10 days.Many patients experience pain, pain or burning during the healing process, but these symptoms usually disappear within three weeks.About four to six weeks, the swelling has to go, and you can see the results.
Patients should also avoid heavy exercise and other physical activities within a month after the procedure.
What results have to wait after liposuction?
postoperative swelling and bruising can be significant after liposuction, so the results can not be fully judged earlier than 1 - 3 months after surgery.While most bruising will disappear within 2 to 4 weeks, the swelling may persist for up to six months after liposuction.
In 1975, Italian researchers Giorgio and Arpad Fisher first came up with the idea of removing the fat through a hollow tube attached to a suction device, the so-called "dry" method."Dry method", because the surgeon does not introduce any fluids in the adipose tissue before removing it.But their method of liposuction was a lot of risk, especially heavy blood loss and postoperative complications, such as skin dents.French surgeon Yves Gerard Ilouz later came up with an alternative "wet" method, in which he introduced the salt solution in the operated area, to reduce blood loss and facilitate the removal of fat tissue.
In 1987 in California, dermatologist Jeffrey Klein, delivered with advanced technology, adding the anesthetic lidocaine injected under the skin in the solution.Today it is in Prospect ezhnemu the most popular method of liposuction.
Types of liposuction
Much has changed since the invention of liposuction procedures.The main surgical method of liposuction, now known as the "dry" technique, required hospitalization and general anesthesia for each patient, it is usually necessary, and a blood transfusion due to significant blood loss.For this reason, the dry technique is completely abandoned since the early 1990s.
Communities plastic surgeons have since developed a set of techniques that are constantly evolving.These methods often allow you to perform liposuction on an outpatient basis under local anesthesia and with little blood loss.Here we will discuss the most popular techniques used today in plastic surgery in the "war on fat."
small amount of fluid that is substantially less in scope than the amount of fat removed, is introduced into the area of liposuction.This liquid consists of a combination of lidocaine (local anesthetic), epinephrine (to minimize bleeding) and saline (saline similar to our own biological fluid).The fluid helps to remove fat cells and reduce bruising.The fat cells were then sucked from under the skin using a vacuum pump attached to the cannula.
This type of liposuction has become the basis of modern methods of liposuction was subsequently slightly modified and more usovershenstvan.
This method is similar to the wet technique, with the exception that it uses a different amount of liquid.The total amount of liquid used in this technique is about the same amount of fat which is planned to be deleted.Despite the small amount of lidocaine added to the solution, this method often requires general anesthesia and epidural.The procedure takes about one to two hours.
Many plastic surgeons prefer this technique in high-volume liposuction because it balances fluid more efficiently.