PURPOSE :

Removal of excess fat tissue from areas in which it has bad cosmetic effects (i.e. abdomen, hips, knees, chin/neck, thighs). Change of body contour in a given area. Sculpting of a given body area and figure modeling

INDICATIONS:

Excessive fat accumulation in selected body areas causing visible cosmetic defects in a person with a relatively good body structure.

PROCEDURES :

anesthesia : local, general, or epidural
procedure:Probes and suction pumps are used to remove excess fat tissue from selected areas of the body. They type of equipment used during the procedure does not affect the surgery.
The procedure involves first soaking the tissues to be operated in fluids allowing for good anesthesia of the area, which also decreases blood flow and leads to fewer incidences of edema and/or bruising. Individuals with elastic, tight skin with fat deposits in the abovementioned areas are excellent candidates for this procedure. Overweight individuals or those with loose skin with stretch marks may require additional corrective procedures to obtain the maximal effect.
A small incision (2-3mm) allows the introduction of a probe into subcutaneous fat tissue and its suctioning into a container that is used to determine the amount of fat removed. During a single procedure we suction approximately 50mL of fat per 1kg of the patient's body weight, which is safe for the patient. After the procedure, dressings are placed over the incision sites and a compression bandage is placed on these dressings; the compression bandage must be used continuously for 4 weeks

POST OPERATIVE CARE :

hA compression bandage/garment is placed over the operated area both to prevent complications (hematoma, hemorrhage) and to help sculpt the operated area. The patient may only take the compression bandage off to wash (showers only) for a period of 4 weeks. Mild to moderate pain can be expected and is managed with painkillers (avoid salicylates, i.e. aspirin). The patient should avoid heavy physical work and heavy exercise for a period of 3 months.

POSSIBLE COMPLICATIONS:

hematomas, infections, bad wound healing
This procedure does not have an increased risk of complications than any other surgical procedure of similar extent, while the rist of fat emboli is lesser than the risk seen after, for example, bone breaks, gynecologic or surgical procedures. Of significance are proper qualification to surgery and strict adherence to the pre-, intra-, and post-operative requirements. Surgical risk is increased by suctioning higher-than-recommended amounts of fat tissue or coexistance of another condition (i.e. diabetes mellitus).
The patient may feel mild to moderate pain and the operated area can be bruised for approximately 2 weeks. Areas that feel uneven or thicker resolve over time.

LENGTS OF TIME PATIENT MUST REMAIN AFTER THE PROCEDURE:

usually 2 days

TIME NEED FOR RECUPERATION:

Positive effects of the procedure are seen in about 3 weeks, once bruising and edema resolve.
This procedure is a way to model specific areas ofhte body in order to obtain the desired cosmetic effect and should not be treated as a weight loss method. Compressive bandages must be worn continuously for 4 weeks. A follow-up visit is necessary 1 week after the procedure and at 3 months postoperatively. The lentgh of time required for recovery depends on the treated area; in the case of chin/neck or knee liposuction, recovery time can be just a few days.

PRE-OPEERATIVE PREPARATION:

Medication that can affect clotting (salicylates i.e. aspirin) cannot be used for the 3 weeks preceding the procedure. Smoking cessation is necessary in the case of extensive procedures. The patient should be of overall good health and have normal results in the recommended preoperative tests.

REQUIRED TEST :

blood morphology, blood type, bleeding time, clotting time, EKG

CONTRAINDICATIONS:

uhypertension, hypotension, coagulopathies, vascular hemorrhagic diathesis, uncontrolled diabetes mellitus, infection of the area to be treated, deep vein thrombosis (including history of)

COST:

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