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LIPOSUCTION

Liposuction has gained more and more popularity with both men and women over recent years as the only internationally recognized way of reducing localized fat deposits around the:

• Buttocks

• Calves

• Upper arms

• Hips

• Lower abdomen

• Back

• Thighs

• Upper abdomen

• Cheeks

• Inner knee

• Flanks

• Chin

• Outer knee

• Breasts

• Neck

• Ankles

• Chest area

There are three common procedures for accomplishing fat removal. With the traditional procedure, surgeons use a small, stainless steel tube, called a cannula, and a very powerful vacuum to remove fat cells safely and effectively. The second procedure is called Ultrasound-assisted lipoplasty (UAL) in which ultrasonic energy is used to liquefy fatty deposits before they are removed making the removal faster and easier. The third is called the tumescent or super-wet technique which requires an infusion of saline solution, adrenaline, and anesthetic prior to fat removal.

The great thing about this procedure is that surgeons tailor the surgery according to your needs and desired results, so no two surgeries are treated the same. Good candidates for this procedure:

• Possess realistic expectations for their results

• Are average or slightly above the average weight for their body type

• Have firm, elastic skin

• Are in good generally good health

• Possess areas of fat that do not respond to diet and exercise

Age is typically not an important consideration when determining candidates for liposuction. Older patients typically do not have the highly elastic skin of their younger counterparts, and this may not produce ideal results, but considerations are taken on an individual basis. Also, if you have poor skin quality (cellulite) liposuction may not be a good alternative for you. Patients with cellulite may develop irregularities in their skin caused by either over- or under-correction of localized fat deposits.

The best way to determine if liposuction is a good alternative for you is to consult with a qualified surgeon. He or she will discuss surgical options that are ideal for you, your skin type, and the results you desire. This is also a good time to ask any questions about the procedures your surgeon may suggest. Do not be shy.

If liposuction is a good option for you, and you decide to undergo the treatment, your surgeon will give you all of the necessary information to help you effectively prepare for the treatment.

• Why do you want to the procedure?

• What is your desired outcome?

• Do you have any current medical conditions or drug allergies, and are you being treated for any other medical conditions?

• Have you undergone any previous surgeries?

• What medications, vitamins, herbal and other supplements, and drugs (including steroids) are you currently using?

• Do you use alcohol and tobacco?

BEFORE AND DURING THE PROCEDURE

Your surgeon will want to meet with you prior to scheduling a procedure to determine whether or not you are a good candidate for liposuction. The following points cover some of the information your surgeon will want to know:

• Why do you want to do the procedure?

• What is your desired outcome?

• Do you have any current medical conditions or drug allergies?

• Are you being treated for any other medical conditions?

• Have you undergone any previous surgeries?

• What medications, vitamins, herbal and other supplements, and drugs (including steroids) are you currently using?

• Do you use alcohol and tobacco?

BEFORE AND AFTER

liposuction

YOUR SURGEON MAY ALSO INSTITUTE:

• Dietary guidelines or restrictions

• Alcohol consumption guidelines or restrictions

• Avoiding certain vitamin supplements

This is not all. Your surgeon will want to complete a physical evaluation to determine your current level of physical health. The information he or she will gather could include:

• Any risk factors you are experiencing, along with any pre-existing conditions

• Photographs that will be included in your medical record, and to aid in determining the extent of improvement

• Treatment options and recommendations

• Discussing possible outcomes of the procedure

• The use of anesthesia during the procedure

BEFORE THE DAY OF THE SURGERY, YOU WILL BE ADVISED OR REQUIRED TO:

• Complete routine blood tests to determine overall physical health

• Avoid taking aspirin, anti-inflammatory drugs, or herbal supplements that increase bleeding

Your doctor will also inform you of what to do on the day of the surgery, and the post-operative care and follow-up that will be required for the procedure.

The actual procedure may be performed on an outpatient basis at your surgeon’s office or at an outpatient surgery center, depending on the type of liposuction treatment you will be experiencing. If large amounts of fat will be removed, the procedure will likely be done at a hospital and require you to stay over night.

The procedure will begin with anesthesia, either IV sedation or local depending on what was decided during the consultation. Liposuction is performed using a small, stainless steel tube called a cannula which is inserted through small incisions into the fatty area to be removed. Fatty areas sit between skin and muscle and are removed using a suction pump or a large syringe. The results are a smoother, contoured body. The time a procedure takes is determined by the amount of fat to be removed.

AFTER THE PROCEDURE IS COMPLETE

Areas that were suctioned will be swollen and uncomfortable for several days after the procedure. In some cases, the incisions made for the cannula are left open and drains are inserted to allow for fluid drainage, as well as and residual fatty tissue drainage as well. Antibiotics will be administered to battle any potential infections. Treated areas will be wrapped with elastic bandages, and support hosiery or a girdle may be worn over the bandages to help decrease swelling and bruising by compressing the affected tissues. These will have to be worked for a few weeks after the procedure. Soon after surgery, you will be encouraged to move around. This decreases the risk of blood clots that may occur from long periods of sedentary time. You will be allowed to return to work within a few days. Not strenuous activities are recommended for at least three weeks.

Preliminary results may appear in as little as one week. But be patient. Final results may not appear for up to six months after the surgery. Assuming your weight remains stable your results will be permanent. Other benefits to this procedure are that it has a very safe track record, and the scars are minimal and usually not obvious.

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