This procedure that one also knows as liposuction or lipoplastia, is recommended for patient with located fatty excesses but not obese, neither with falling or flaccidity of the skin, because the lipoesuction looks for the reduction of the fat with later contraction of the skin that adapts to the new corporal contour, because on the contrary the skin would be left thin and taken down.
The most frequent places in liposuction are the abdomen, the waist, the back, the thighs in their internal and external face (rabbits or guns), knees, arms, neck (jowl), armpits, etc. This procedure can be combined with the lipoinyección or fatty implant that stuffs with fat the depressed places or with little relief as buttocks, lateral depressions of the buttock, lips, facial furrows, front, etc.
Anesthesia:
General or peridural (column) anesthesia is recommended in big cases and the assited local one in located cases.
Procedure:
Through small incisions, we proceed to infiltrate the fatty tissues then with a special solution that helps to loosen the fat and to avoid bleeding so we can be able to make wide liposuctions with minimum complications and to avoid blood transfusions, with the help of special stems we carry out the extraction of the superficial and deep fat of the area under treatment, until we obtain the desired contour; and then to suture the wounds that are less than 1 cm long in hidden places. Then a lycra dress is placed by 1 to 2 months and after a week we remove the sutures and physiotherapy begins, essential for a good result.
Antibiotics and analgesics are formulated , it is managed in an ambulatory way. The duration of the procedure varies approximately from 2 to 4 hours.
Procedure or surgery:
Reduction of corporal fat to give an appropriate contour.
Methods:
– Humid or hardening liposuction.
– Classic liposuction or ultrasonic liposuction with vaser (medical device different from the laser with which is carried out the ultrasonic liposelection).
Objective:
– To highlight the corporal contour reducing the fatty excesses and enhancing the prominences.
– To look for the contraction of the skin for a bigger stability.
Pre Surgery Preparation:
– fast 8 hours before.
– communicate possible allergies medicamentosas.
– To go the day of the intervention with comfortable and wide buttoning or zipper clothing.
– To take a post operative strip.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of peridural (column) anesthesia or assisted local one.
Incisions:
– Small 5 millimeters incisions in strategic places avoiding their visibility.
– The scar is usually almost invisible 6-12 months after the intervention.
Effects and/or convalescence:
– Swelling for approximately two months.
– Ecchymosis (bruises) during fifteen days.
– Located changes of sensibility (they disappear in weeks)
Complications:
– post operative hemorrhages , not very frequent.
– Infection. not very frequent.
– Not very frequent Seroma, requires surveillance for its drainage. It is managed with rest and with bands.
– Bad scaring, is a patient’s individual factor.
– veined Thrombosis (clots) in inferior members, in patients that have varixes.
– Fatty clot, related with big liposuctions in obese patients or with risk factors.
post operative Instructions:
– relative resting during the first 3 days.
– use of strips during two months.
– To take the recommended medication.
– do not to take the sun at least in two months.
– To attend periodic controls.
– physiotherapy should begin a week.
– The patient can travel in 15 to 20 days, according to the evolution.
– Removal of stitches in 5 to 7 days.
– I post operative ice during 48 hours.
Hospitalization:
– Generally ambulatory.
Results:
– Reduction of the fatty excesses improving the corporal contour.
Final time:
– Two to four months.
