Liposuction: all you need to know

Thin legs, flat stomach … Liposuction helps correct the appearance of the silhouette. Tips and Testimonials: Zoom on this technique of cosmetic surgery.

Before making the decision to undergo liposuction, it is essential to have all the cards in hand. Who to go for surgery safely, what are the prices, how to boost the results after surgery and especially have all the advice of a doctor to be certain that this surgical technique fits your profile.

Liposuction: for whom?

This cosmetic surgery intervention is intended for women as well as men. Nevertheless, about 80% of women versus 20% of men currently use liposuction. The results are more visible in relatively young patients who have tonic and elastic skin, which is more easily shaved once the excess fat is removed. Contrary to the many received ideas, liposuction does not allow in any case to lose weight but only to remove the localized fat cells that resist diets. It is not indicated in cases of general overweight or obesity. The best is therefore to have a normal and stable weight at the time of the intervention.

Liposuction: who to contact?

Liposuction is a surgical procedure in its own right and must be done with a qualified surgeon who you totally trust. To find it, contact the National Council of the Order of Physicians. The first consultation allows you to judge the seriousness of the practitioner and the latter to evaluate your request. If he considers that this intervention is feasible, he then practices a thorough examination using radios, photos and must submit two written documents, namely an estimate containing the qualifications of the practitioner, the place of the intervention, the price and references to his professional insurance. As for the second, it is an informed consent, which must include all the information (type of intervention, anesthesia, risks and follow-up and result to be achieved). Also know that there is no specific number of visits to respect, except the first made with the surgeon and another performed with the anesthetist, between one month and one week before surgery. A mandatory 15-day referral period must also be maintained, between consultation and liposuction. Finally, a postoperative consultation is recommended one week after liposuction.

Liposuction: progress of the operation

First performed in the late 1970s, liposuction, also known as liposuction, is the most common method of suppressing fat volume in many areas of the body: thighs, waist belt, hips, panties of horse, knees … The duration of the intervention and the degree of anesthesia (general or local) depend on the number of areas to be treated and the importance of the operation. It takes on average 30 minutes for an intervention on an area and up to two hours in several areas. The principle is simple: the surgeon introduces fine cannulas through small incisions, usually located in discrete places such as the natural folds of the skin. He can then suck the excess fat and carve the entire targeted area, so that it fits better to the entire silhouette. The important thing is that the handling of the subcutaneous fat is smooth and regular, to avoid unsightly ripples. Note that this operation leaves almost no scar (otherwise, they disappear over time). In the few hours following the procedure, it is mandatory to wear a panty. It is a kind of compression tights used to compress the treated areas and to heal the bruises. It must be worn a few hours after surgery, day and night, for three weeks.

Before the intervention

Liposuction is a surgical procedure that must be organized several weeks in advance. There is no number of consultations given, only the first with the surgeon and the one with the anesthesiologist doctor are mandatory. During this first consultation with your surgeon, you will be issued your estimate (cost of the intervention, fees, expected results …) and your order of panty, which is bought in pharmacy or by correspondence and costs about 80 euros. Nevertheless, it is better to try it on the spot, to check that it suits you and to avoid that it closes you too much. Take your usual size so that you feel as comfortable as possible. Between one week and one month after this surgical consultation, you will also have to make an appointment with the anesthesiologist. He will prepare a complete preoperative assessment (blood tests among others) and will decide if you should undergo a general or local anesthesia. Once these two consultations are done, you will be able to submit your hospital reservation form in the establishment where your cosmetic surgeon practices. Regarding your luggage, do not bother! Take the bare essentials, namely a toiletry bag, one or two comfortable and wide-fitting outfits (most often a tracksuit) and a pair of floppy and soft shoes.

Preparedness for the intervention

You must arrive at the clinic the morning of the procedure, the time to settle in your room, to shower if necessary, to meet the medical team and ask the last questions to your surgeon, before the intervention . In most cases, nurses administer pre-medication in the form of a mild sedative to allow slightly anxious patients to wait for the operation more comfortably. At the time of the intervention, you will be taken to the operating room, where the team is already present with instructions to keep: the disinfection of equipment, the installation of operative drapes and the diagrams of the incisions to be made. The procedure usually lasts between half an hour and two hours, depending on the amount of fat to be removed. The anesthesiologist can then proceed to anesthesia, injecting a product by infusion which takes effect after a few minutes.

After the intervention

Once the operation is over, the medical team will take you to your room, where you will be waking up. After a few hours, you can put your panty that you have to wear day and night. It is also common to have an infusion within 24 hours after the procedure, which includes antalgics and painkillers, to reduce any pain and improve the comfort of the patient. Regarding the length of stay, it is one day with the night of the intervention included. And when you leave the establishment (in the morning if all goes well), you can move and walk but with some embarrassment. Better then to reserve you three to five days of rest or more if necessary. After about a week, there is a postoperative consultation, which allows the surgeon who operated on you to check and remove the sutures. This visit is not mandatory but it is strongly recommended to do it. Finally, know that the results will not be visible from the first days, so patience … And of course, if you feel the need to see your surgeon again in the weeks that follow, it’s quite possible. The important thing is to feel supported by your entourage and your surgeon and especially, to rest the necessary time.

Liposuction: side effects

Even if the liposuction was performed seriously by a competent surgeon, there are several normal side effects that vary from one patient to another, namely edema or bruising called post-traumatic, impressive in sight but which fade after a few weeks. Cases of hematoma, infections, phlebitis, anemia or asthenia are exceptional. In general, the pain experienced following liposuction of moderate intensity and resemble more aches. Nevertheless, this varies from person to person, depending on the sensitivity and the physical condition prior to the intervention. Finally, know that the result will not be observable before 3 or 4 months.

Plastic surgery: liposuction

Sometimes, despite food and physical efforts of several years, the expected results are still not up to par. This is the case when the overweight was important or when this state remained too long: the tissues are loose and the skin is distended.

Sometimes, after all the efforts of the world, there is still a disgraceful surplus located. Surgery nowadays offers an exceptional alternative to localized imperfections: Liposuction.

Liposuction (or liposuction) technique “tumescent” is a safe procedure, and it remains the best way to eliminate localized excess fat.

This permanent removal of excess fat is a common procedure in cosmetic surgery. The procedure has become very popular thanks to its accuracy, security and quick recovery.

General anesthesia is never necessary.However, intravenous sedation is used when treatment of multiple areas is needed. Local anesthesia is recommended for single zone liposuction. The sedation used depends on your wishes and the type of procedure.

WHAT DOES A “SOFT-JET” OR “TUMESCENT” LIPOSUCCION MEAN?

Modern liposuction, also known as “soft-jet” or “tumescent” liposuction, is a method of injecting a large quantity of serum into the fat of the area to be treated in order to inflate the tissues. The injected serum numbs the area to be treated and reduces bleeding. This technique consists in introducing, by very small incisions (3mm) made in the skin, very thin cannulas, connected to a vacuum cleaner at low pressure. Practiced by a doctor, this process is likely to suck and eliminate with great accurately the excess fat. Liposuction “SOFT-JET or” TUMESCENT “is much less aggressive than traditional liposuction or liposuction Ultrasound. Blues, if there are any, disappear within two weeks after the procedure

The risk of having irregularities is lower. The doctor works more efficiently, and can suck a larger amount of fat, more evenly, without taking additional risks.

LIPOFILLING – LIPOSTRUCTURE

The fat can be eliminated but can also be transplanted in areas where the fat is insufficient.

The silhouette is often harmonized, not only with the elimination of excess fat, but also by the filling of hollows, folds and deep wrinkles. The transplanted fat cells give extra volume to the treated area.

LIPOFILLING: this is a procedure that involves extracting fat cells from one area and transplanting them into another. But beware, the substance extracted is not only made of intact fat cells, so a part can degrade. Secondary treatment may be necessary.

LIPOSTRUCTURE: The removal of fat cells is done in the same way, but the extracted substance is purified before being reinjected. Only intact, living cells are transplanted. That’s why the result is more accurate. Over time, the result can be degraded with smoking or advancing age.

However, even this technique with filtration of liposapaired fat remains to be taken with great care. Widely used in the USA, lipo-aspirate extract fat deposits are reinjected into the breasts to increase their volume.

“In a fat transplant procedure, liposuction fat is filtered and sterilized to minimize infections.

Following this process, the patient’s fat is then injected into the area needing to be strengthened.While the procedure has been traditionally used for improvements and adjustments to the faces and hands, its recent use of breast augmentation has raised concern among some surgeons.

The companies warn that there is little clinical investigation demonstrating the safety of fat transplantation, but argue that breast augmentation is safer or more suitable than the use of saline or silicone breast implants.

They also warn that long-term complications, such as scarring or calcification of tissue, may mask or prevent breast cancer screening during self-examination, mammography, ultrasound or MRI.

BIO-ALCAMID: May be a good alternative to lipofilling or lipostructure. Bio-Alcamid. is a hydrogel (97% water and 3% poly-alchylimide) which after being injected forms a soft-touch implant in the treated area. The Bio-Alcamid implant is well tolerated by the body.

QUELLES SONT LES ZONES QUI PEUVENT ÊTRE TRAITÉES AVEC LA LIPOSUCCION?

In general, liposuction can be performed on all areas where there is excess fat. The most commonly treated areas are: neck, arms, hips ‘love handles’, thighs, breeches, inner side of knees, belly (lower abdomen), and the stomach.

liposuccion--zones.jpg

1. armpits

2. arms

3. stomach

4. belly

5. pubis

6. love handles

7. breeches

8. inner thighs

9. before thighs

10. inside the knees

11. calf

Liposuction for the treatment of girls’ breasts

Liposuction is also used for breast surgery. Young girls who develop too much breasts may use liposuction to slow the growth of the mammary glands. This treatment avoids the operation of reducing the chest, and therefore scars.

LIPOSUCCION FOR THE TREATMENT OF MASCULINE BREAST

Men who develop breast can also be treated with liposuction to remove fat.

Often liposuction of the male chest is combined with gynecomastia to remove the mammary glands.

THE LIPOSUCCION FOR A FLAT BELL?

If you have an accumulation of fat in the belly area and your skin is still elastic, liposuction is perfect for getting a flat stomach. ABDOMINAL MUSCLE CORRECTION: Belly correction with liposuction may be combined with abdominal tightening under abdominal muscle endoscopy. During the same procedure, the abdominal muscles can be stretched. Small incisions of 1 to 2 centimeters are hidden in the pubic hair and in the navel. With the same method, the surgeon is also able to refine the size. ABDOMINAL PLASTY: If your skin has lost its elasticity, a correction of the belly fold may be necessary. Then the excess skin is removed and gives way to a scar. The muscles can also be stretched during this procedure. If the cause is an internal distension, health measures can be taken to solve the problem. It requires a change of diet and we have a program of personalized diets to help you.

FOR WHICH LIPOSUCCION IS COUNTER-INDICATED?

For overweight generalized and diffuse. If you are too coated, it is recommended to follow a serious diet program under medical supervision. If diets are not effective, the stomach may initially be tightened under endoscopy.

Edema: Fluid accumulation is often the cause of swollen legs. In this case, liposuction is not effective. Edema is not treated by liposuction.

PREPARATION AND POSTOPERATIVE CARE

During the consultation, the doctor can prescribe vitamin supplements to help you recover quickly. Patients are asked to arrive fasting on the day of the procedure.

After the procedure, the treated area is immediately wrapped with an elastic bandage. It is important that this dressing is custom-tailored to be ready at the time of the procedure.

In general, you can go home the same day. However, it is possible that in the early days, pink fluid flows will occur. An alèze can protect your mattress for the first nights.

The pain, after the intervention, varies according to the individuals. But in general, for most patients, liposuction is a mild procedure.

The special anesthetic used during the procedure has a full day effect. After the procedure, the muscles and tissues can be rather stiff. Bandage clothing (eg a panty) is worn from ten days to six weeks. The duration varies according to the case of each patient.

HOW LONG IS TIME FOR A GOOD RECOVERY?

A few days of rest are recommended, although many patients resume their activities the next day. After a few days, you find your complete mobility. It is possible to swim after 5 days. For other sports it is best to wait two weeks after the procedure. Small discomfort may occur such as local numbness or hardening of the dermis. These usually disappear within four months. Postoperative massage and lymphatic drainage may be helpful.

ARE THE RESULTS PERMANENT?

Yes.During puberty the body produces fat cells. However, in adulthood this production stops. The swelling of fat cells can occur because of poor eating habits. Diets help reduce fat mass while liposuction removes fat cells. The fat cells can not multiply after puberty. Liposuction can therefore permanently reduce the amount of fat since it consists in eliminating part of the fat cells!

Liposuction: a little history

Liposuction (or liposuction) is the intervention that perfectly illustrates this evolution! Today, considered one of the safest and most common cosmetic procedures in the world, liposuction is the result of many years of improvements. It must be known that it has had a very painstaking, sometimes dramatic, beginnings before reaching its stage of glory that we know today.

The first tests

In the 1920s, Dr. Charles Dujarier, a French surgeon, introduced a concept of curettage with direct cuts in fat and skin. He performs “his technique” on a dancer, who is too fat at the knees and calves. Alas, the result is disastrous since this surgeon hurts an important artery during the operation, and the dancer is amputated of a leg. This concept of curettage has been abandoned and no one dares to attempt a “degreasing” operation for several decades.

At the beginning of the 60’s, another “degreasing” test: a German doctor, Dr. Schruddle, tries to remove excess fat still by curetting them. The result is still a failure, with serious complications.

It is then an Italian gynecologist, Dr. Giorgio Fisher, who with Dr. Arpad, in 1974, resume the process but with the principle of aspiration by canicular. The results are improved with a slight decrease in hematomas and seromas, but the operation is still very unreliable.

It’s in 1978, that we aspire finally to better!

Liposuction finally enters the modern era.

Dr. Yves-Gérard Illouz, French doctor, accompanied by Dr. Fourrier, finally develops a revolutionary liposuction technique. The aspiration is done by canicular but with very fine cannulae with rounded ends sparing the vessels, and thus considerably reducing the bleeding

canule-liposuccion

Liposuction cannula with non-traumatic rounded tip

retrait-graisses-superficielles

Removal of superficial greases by negative pressure

The 80’s still mark a turning point

In 1885, Dr. Jeffrey A. Klein, a Californian dermatologist, with Dr. Illis, invented the tumescent technique of liposuction. This revolutionary technique consists in infiltrating into the subcutaneous fat, before the aspiration of fats, a fluid containing lidocaine (local anesthetic) and epinephrine or adrenaline (drugs involving localized vasoconstriction). Lidocaine finally allows local anesthesia, avoiding general anesthesia or intravenous sedation or analgesics. Surgical bleeding is further greatly reduced. This technique was presented at a medical conference in Philadelphia in 1986, and was published in the American Journal of Cosmetic Surgery in 1987. It is now used worldwide.

Resultat-lipoaspiration

Result of lipo-aspiration

After a tumultuous debut and “degreasing tests” throughout the 20th century, liposuction is now considered one of the safest interventions (if its indication is well posed and its procedure respected) and the most common on the global plan. Not very painful, liposuction is one of the interventions offering a short postoperative recovery time, with, finally, safe and lasting results.