Watch this interesting vidos about Liposuction - Lipoplasty
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A pioneer specializing in Cosmetic Vaginal Surgery for 20 years, Dr. Baker is the only Female Faculty
member of the American Academy of Cosmetic Gynecologists and her lectures and surgeries have
inspired physicians and patients alike.
Patients who have localized areas of fat, may wish to consult with our board certified liposuction specialist in New York City, Kenneth M. Rose, M.D. Through liposuction ("lipoplasty"), patients can attain a slimmer, better-contoured figure. However, this procedure is not meant for weight loss.
Dr. Rose performs tumescent liposuction, which removes excess fat from specific areas of the body, including the inner and outer thighs, lower abdomen, hips, waist, upper arm, chin and cheeks. By utilizing this method, patients experience less complications and better satisfaction with their results.
Should you require the removal of hanging skin and/or fat in the abdominal area, Dr. Rose may recommend tummy tuck surgery ("abdominoplasty").
Feel free to browse Dr. Rose's Web site for more information and to schedule an appointment for liposuction.
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What is Liposuction - Lipoplasty ?
What is Liposuction - Lipoplasty
Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen,
hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. In the last years, liposuction, which is also known as
"lipoplasty" or "suction lipectomy," has benefited from several new refinements. Nowadays, a number of new techniques, including
ultrasound-assisted lipoplasty, the tumescent technique, and the super wet technique, are helping many plastic surgeons
to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute
for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight loss methods.
To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. It is important to
understand that liposuction can enhance your appearance and self confidence, but it will not necessarily change your looks to match your ideal
or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them
with your surgeon.
Good candidates for liposuction are normal weight people with firm, elastic skin who have pockets of excess fat in certain areas. They
should be physically healthy, psychologically stable and realistic in your expectations. Their age is not a major consideration, however, older
patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin.
Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood
circulation, or those who have recently had surgery near the area to be contoured.
Some uncertainty and Risk
Liposuction is normally safe, as long as patients are carefully selected, the operating facility is properly equipped and the physician is
adequately trained.
As a minimum, your surgeon should have basic accredited surgical training with special training in body contouring. Also, even though
many body contouring procedures are performed outside the hospital setting, be certain that your surgeon has been granted privileges to perform
liposuction at an accredited hospital.
Your doctor must have advanced surgical skills to perform procedures that involve the removal of a large amount of fat,
ask your doctor about his or her other patients who have had similar procedures and what their results were. Also, more extensive
liposuction procedures require attentive after-care. Find out how your surgeon plans to monitor your condition closely after the procedure.
However, it is important to keep in mind that even though a well trained surgeon and a state of the art facility can improve your chance of
having a good result, there are no guarantees. Though they are rare, complications can and do occur. Risks increase if a greater number of areas
are treated at the same time, or if the operative sites are larger in size. Removal of a large amount of fat and fluid may require longer
operating times than may be required for smaller operations.
The combination of these factors can create greater hazards for infection, delays in healing, the formation of fat clots or blood clots, which
may migrate to the lungs and cause death, excessive fluid loss, which can lead to shock or fluid accumulation that must be drained, friction
burns or other damage to the skin or nerves or perforation injury to the vital organs, and unfavorable drug reactions.
There are also points to consider with the newer techniques. For example, in UAL, the heat from the ultrasound device used to liquefy the fat
cells may cause injury to the skin or deeper tissues. Also, you should be aware that even though UAL has been performed successfully on several
thousand people worldwide, the long-term effects of ultrasound energy on the body are not yet known.
In the tumescent and super-wet techniques, the anesthetic fluid that is injected may cause lidocaine toxicity (if the solution's lidocaine
content is too high), or the collection of fluid in the lungs (if too much fluid is administered).
The scars from liposuction are small and strategically placed to be hidden from view. However, imperfections in the final appearance are not
uncommon after lipoplasty. The skin surface may be irregular, asymmetric or even "baggy," especially in the older patient. Numbness and
pigmentation changes may occur. Sometimes, additional surgery may be recommended.
Before the Surgery
In your initial consultation, your surgeon will evaluate your health, determine where your fat deposits lie and assess the condition of your
skin. Your surgeon will explain the body contouring methods that may be most appropriate for you. For example, if you believe you want
liposuction in the abdominal area, you may learn that an abdominoplasty or "tummy tuck" may more effectively meet your goals, or that a
combination of traditional liposuction and UAL would be the best choice for you.
Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail
and explaining its risks and limitations.
Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and
taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection,
your surgery may have to be postponed.
Though it is rarely necessary, your doctor may recommend that you have blood drawn ahead of time in case it is needed during surgery.
Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at
home for a day or two.
The Surgery
Various types of anesthesia can be used for liposuction procedures. Together, you and your surgeon will select the type of anesthesia that
provides the most safe and effective level of comfort for your surgery.
If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs
only the affected areas. However, if you prefer, the local is usually used along with intravenous sedation to keep you more relaxed during the
procedure. Regional anesthesia can be a good choice for more extensive procedures. One type of regional anesthesia is the epidural block, the
same type of anesthesia commonly used in childbirth.
However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed. If this is the case, a nurse anesthet
ist or anesthesiologist will be called in to make sure you are completely asleep during the procedure.
The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of
anesthesia and the technique used.
There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome.
Liposuction is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision,
a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled
through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe,
depending on the surgeon's preference. If many sites are being treated, your surgeon will then move on to the next area, working to keep the
incisions as inconspicuous as possible.
Fluid is lost along with the fat, and it is crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients
need to be carefully monitored and receive intravenous fluids during and immediately after surgery.
Technique Variations
The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been
developed and refined, several variations have been introduced.
Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic
surgeons today. The fluid -- a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels)
helps the fat be removed more easily, reduces blood loss and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.
The amount of fluid that is injected varies depending on the preference of the surgeon.
Large volumes of fluid -- sometimes as much as three times the amount of fat to be removed -- are injected in the tumescent technique. Tumescent
liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction
(sometimes as long as 4 to 5 hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may
not be necessary. The name of this technique refers to the swollen and firm or "tumesced" state of the fatty tissues when they are filled with
solution.
The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid
injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one
to two hours of surgery time.
Ultrasound-Assisted Lipoplasty (UAL). This technique requires the use of a special cannula that produces ultrasonic energy. As it passes
through the areas of fat, the energy explodes the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional
liposuction technique.
UAL has been shown to improve the ease and effectiveness of liposuction in fibrous areas of the body, such as the upper back or the enlarged
male breast. It is also commonly used in secondary procedures, when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction.
After the Surgery
After surgery, you will likely experience some fluid drainage from the incisions. Occasionally, a small drainage tube may be inserted beneath
the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be
fitted with a snug elastic garment to wear over the treated area for a few weeks. Your doctor may also prescribe antibiotics to prevent
infection.
Don not expect to look or feel great right after surgery. Even though the newer techniques are believed to reduce some post-operative
discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications
prescribed by your surgeon, though you may still feel stiff and sore for a few days.
It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look
and feel better.
At last
You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent
after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible.
If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more
comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can
