Lipoplasty
Lipoplasty or liposuction is a procedure that can reshape the body
by removing unwanted, excess fat. This procedure is
not normally used as a solution for overweight people,
it is more used for those who have had significant weight
loss, but have certain areas of the body that will not
respond to diet or exercise. Fat from areas including
the abdomen, upper arms, cheeks, neck, chin, hips, buttocks,
thighs, and knees are treated most often with this procedure.
Liposuction can remove the excess fat allowing the skin
to tighten and re-shape to the new contours of the body.
The Procedure
The liposuction procedure begins with the surgeon making
tiny incisions near the areas that are being treated.
Once an incision is made, a narrow tube called a cannula
is inserted underneath the skin. The cannula is pushed
through the layers of fat which causes the cells to
break apart. The cells are then suctioned out of the
body through the tube with use of either a large syringe
or a vacuum pump. The incision will then be closed and
the doctor will move onto the next area.
There are several different forms of this procedure and each is used based on what will work best for the patient. One such form is called the Tumescent Technique. This is the safest form of liposuction. The Tumescent Technique involves using large volumes of diluted local anesthetic which are injected directly into the fat cells. When this is done, it causes the cells to become firm and provides for easy extraction. This procedure is the safest because local anesthetic is the safest form of anesthetic to use. It allows the area being treated to stay numb for several hours.
Another form of liposuction treatment is known as the
Wet Technique. The Wet Technique involves the patient
being put under a general anesthetic, after which the
area being treated is injected with a local anesthetic
containing epinephrine. This technique works well, but
it does result in significant blood loss. Any liposuction
procedure requires IV fluids to be injected during the
procedure because of fluid loss, but the wet technique
involves more blood loss than most other techniques.
The Super Wet Technique is yet another form of treatment.
This procedure also requires a general anesthetic. This
technique requires an injection of diluted local anesthetic
but it is less than half of that which is injected during
the Tumescent Technique. This procedure does result
in more blood loss than the Tumescent Technique but
the loss is significantly less than the Wet Technique.
While all of these techniques do result in the removal
of excess fat cells, it is important to discuss the
pros and cons of each with your surgeon. Each procedure
can provide different results, so it is important to
find the one that is right for you.
Will It Hurt?
Depending on the extent of the Lipoplasty procedure, there are
many anesthetic choices that patients can make. If the
treatment area is limited, patients will most likely
receive a local anesthetic. Along with a local, patients
can also request an IV sedative in order to help relax
the body. If patients are receiving extensive liposuction
they will be put under general anesthetic during the
procedure so they will sleep right through it.
Patients may feel pain and burning and may experience
bleeding, swelling and numbness following the surgery.
All of these effects should be minor and temporary.
They should subside a few weeks after the procedure.
What Will My Results Be?
Drainage tubes may be placed under the skin for few
days after the surgery in order to drain excess fluid
and prevent fluid build up. Patients may also be given
snug elastic garments to wear for the first few weeks
after surgery in order to control swelling and help
the skin form to the new contours of the body.
The healing process after liposuction is gradual. Surgeons
encourage patients to walk around as soon as they are
up to it, because the exercise will help reduce bruising
and swelling. Patients are told they can go back to
work within a few days after the surgery and should
feel pretty much back to normal after about two weeks.
The stitches should dissolve or be removed about 10
days after the surgery.
Patients will be able to see a difference shortly after
the surgery, but most don’t see a significant
change until the swelling subsides which is usually
one to two months after the surgery. After about three
months the swelling should be completely gone and the
final shape should be apparent.
Patients should be aware that this is not a permanent
procedure. Fat cells can rejuvenate themselves. Maintaining
a good diet and a healthy lifestyle will ensure that
patients keep their new form.
Costs
Lipoplasty costs can vary according to the area in
which the patient lives and the doctor that performs
the procedure. Single area procedures can cost anywhere
from $800 to several thousand dollars. Most doctors
do provide discounts for those that are treating several
areas at once. This procedure can benefit those that
are having a hard time losing that last bit of unwanted
fat. It can re-shape the body and help patients live
a healthier lifestyle.
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