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What
is liposuction and body sculpturing?
Liposuction is a surgical technique that improves the body’s
contour by removing excess fat from fatty deposits located between
the skin and muscle. Body sculpturing by liposuction is literally
a dream come true. Localized accumulations of fat, which are often
hereditary and frequently impossible to eliminate by exercise or
dieting, can now be removed permanently by liposuction surgery,
never to plague you again.
Liposuction involves the use of a small stainless
steel tube called a cannula. Connected at one end to a specialized
suction pump, the cannula is inserted through tiny skin incisions.
The removal of fat is accomplished as the suction cannula creates
tiny tunnels through the fatty layers. After surgery, these tiny
tunnels collapse, resulting in an improved body contour.
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About
Fat
The body fat of an adult tends to increase gradually
over the years. After the age of 30, an individual tends to add
fat according to a genetically predetermined pattern. This fat distribution
is often resistant to exercise and dieting. An example of genetically
predetermined fat distribution that is resistant to dieting and
exercise is the fat that appears on the abdomen and hips of a woman
after pregnancy. For many people who have inherited the tendency
to accumulate excessive fat, liposuction is the only realistic means
of significantly changing the body’s silhouette.
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What
areas can be treated by liposuction?
The most frequently treated areas in women are
the abdomen, hips, thighs, knees, calves, ankles, and beneath the
chin. In men, who comprise about 25% to 30% of patients who undergo
liposuction, the most commonly treated areas include the love handles,
abdomen, breasts, and the neck and chin area.
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Are
the results of liposuction permanent?
Fat cells that are removed by liposuction do not grow back. As
long as the patient does not gain an excessive amount of weight,
the new, more pleasing silhouette is permanent.
A woman who always tends to put weight on her thighs
and knees, will find that after liposuction, these areas are less
likely than other areas to accumulate fat when she gains weight.
In fact, a number of patients have had liposuction and subsequently
gained weight. In these patients, the areas originally treated by
liposuction generally maintain their new desirable silhouette, whereas
areas not treated by liposuction are the sites of new deposits of
fat.
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What
is the Tumescent technique?
The Tumescent Technique of liposuction was developed in 1985. The
Tumescent technique involves the use of large volumes of a dilute
solution of lidocaine (a local anesthetic) in combination with the
vasoconstrictive drug, epinephrine, which shrinks capillaries.
Local anesthesia used in the Tumescent technique for liposuction
is so effective that patients no longer need intravenous sedatives,
narcotic analgesics, nor general anesthesia. This technique is now
considered the safest form of liposuction for removing very large
amounts of fat because there is virtually no blood loss. Not only
has the Tumescent technique proven to be safer than the standard
technique using general anesthesia, but it also has proven to be
less painful, has minimal post operative recovery time, and produces
optimal cosmetic results.
With the Tumescent technique, infiltrating the
local anesthesia is associated with minimal discomfort. Once the
area has been completely numbed, surgery in that area is essentially
painless. In addition, because the numbness remains in the treated
area for more than 12 hours, there is no pain immediately after
surgery.
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What
are the risks?
As with any surgical procedure, liposuction is associated with
certain common side effects such as bruising, swelling, and temporary
numbness. Although irregularities of the skin are possible following
liposuction, this side effect is minimized by the Tumescent technique.
When larger cannulas are used, occasionally there are patients with
an irregularity of the skin. Since smaller, microcannulas became
available, noticeable irregularities are very rare. Because of the
slow resolution of post liposuction swelling, the ultimate results
following liposuction usually require 12 to 16 weeks to become fully
apparent. Nevertheless, patients can usually see dramatic improvements
within two to four weeks after surgery.
Although the results of liposuction are often quite
spectacular, it is not realistic to expect perfection. Liposuction
of the thighs, while improving the silhouette, does not necessarily
eliminate the subtle “puckering” of the skin that is
often referred to as “cellulite.” Liposuction with the
Tumescent technique does reduce the degree of cellulite but it is
unlikely to eliminate it. Rare problems that can potentially occur
with any surgical procedure include infections, bleeding and nerve
injury, The Tumescent technique, however, minimizes these risks.
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How
does the Tumescent technique reduce risk of infection?
Infections are extremely rare, regardless of whether
or not the anesthetic technique is that of general anesthesia or
local anesthesia. Although there have been reports in the medical
literature of patients who have had serious infections following
liposuction surgery, to the best of our knowledge, there have never
been any patients who have had an infection following Tumescent
liposuction performed using only local anesthesia. Lidocaine,
the local anesthetic that is used for the tumescent technique, kills
bacteria. With the Tumescent technique the areas that are being
treated surgically are those same areas that will receive the local
anesthetic that kills bacteria.
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When
can I return to normal activities?
Because of the significant decrease in swelling
and decrease in inflammation and pain after surgery, patients are
able to return to normal physical activities very soon after the
procedure. There is no limitation of physical activity other than
what common sense would dictate. Some patients are able to return
to jogging, golf, or light aerobic exercise within a day or two
after surgery. Some patients do find the soreness after surgery
to be more significant than others, but on the average, most patients
are surprised at how quickly they are able to return to normal activity.
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How
does the Tumescent technique result in better and smoother results?
Because very small cannulas are used with the Tumescent technique,
it permits a more delicate and gentle approach to liposuction as
the surgeon can control the direction and position of the cannula
with much more accuracy. This results in a greatly reduced risk
of inadvertently approaching the undersurface of the skin too closely
and unintentionally causing skin irregularities. Further, the use
of very small cannulas enables the surgeon to make such small
incisions that no stitches are used. The wounds heal by themselves
and virtually disappear over time.
By not using stitches to close skin incisions,
the rate of healing is faster. Another benefit of not stitching
the incisions closed is that, after the procedure, the open incisions
permit easy drainage of the slightly blood-tinged anesthetic solution.
This has a dramatic effect in minimizing bruising. Most patients
notice that bruising is almost entirely absent after surgery.
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