LIPOSUCTION



Liposuction is a surgical procedure designed to decrease localized fat in specific parts of the body, fat that is not reduced by diet and exercise. It is advised only for patients that have good skin elasticity, and is generally performed on patients over the age of 16. Liposuction can help the overall shape of the body, though it is important to remember that it should not be treated as a method of losing weight. Liposuction is performed by making micro-incisions in the skin, usually located in regions where they are not especially visible. Through these incisions micro-cannulas are introduced that are connected to a fat aspirator which vibrates and aspirates fat. The amount of fat extracted will depend on the patient. It will not be over 5 % of total body fat. If it is necessary to remove more than this, other parts of the surgery can be scheduled in order to do this. The procedure can be performed on various parts of the body: hips, inner hips, below the chin, abdomen and flanks. One of the advantages of this type of surgery is the limited number of scars.

To prevent pain, the patient should have at least five days of recovery time after surgery. Some swelling and bruising is common, but this usually disappears after four weeks. Lymphatic drainage massages and regular use of a corset for body molding 24 hours a day for at least the first month, and then 12 hours a day on and off during the second month will remove any swelling and bruising.

Sun exposure is only allowed once bruising has completely gone. Exercise can usually be resumed after a month, when the first results be seen. Final results will start to be seen after three months.

The anesthetic used depends on the regions that are to have liposuction performed on them. This could be an epidural, or a general anesthetic. The time in theatre depends on the regions to be liposuctioned but usually takes about two or three hours. The patient will usually stay in hospital for around 24 hours.The stitches that close the micro-incisions are usually taken out after one or two weeks.

Indications:
To treat localized fat in localized areas. However, this should not be the only way of losing fat, especially when there is a substantial amount of fat to begin with. Contraindications: These are basically the same as for any surgical procedure. They include morbid obesity, being overweight, intra-abdominal fat, sagging of skin, presence of co-morbidities such as diabetes, cardiac problems, hypertension, history of thromboembolism or DVT, anaemia and circulation problems, to name a few.