Diagnosis for liposuction
Liposuction is a highly individualized procedure, diagnostic criteria for individuals opting for liposuction:
- Adults within 30% of their ideal weight
- Individuals who have firm, elastic skin and good muscle tone
- Healthy individuals with no co-morbid disease conditions
- Useful in cases of Lymphedema, Gynecomastia
- Lipodystrophy syndrome - Fat accumulates in one part of the body, Liposuction can help by improving body fat distribution.
- After extreme weight loss to remove excess skin and other abnormalities.
- Useful to treat Lipomas
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Types of liposuction
Traditional Liposuction - performed under general anesthesia The surgeon makes an incision and inserts a cannula, moving it back and forth to break up fat cells which are removed with suction.
Tumescent /Super wet Liposuction - safest and most effective form of liposuction surgery. Large amounts of saline fluid are injected through small incisions, into the fatty area to be treated. The saline solution helps separate the fat from muscle. A cannula is then passed back and forth through the areas of excess fat and fat removed by vacuum pump.
Ultrasound-assisted liposuction (UAL) - also known as ultrasonic liposuction, uses ultrasonic energy to liquefy excess fat prior to surgical suctioning. An added advantage is that it tightens the skin during the process.
Power assisted liposuction (PAL) - in this a powered cannula is utilized which produces tiny, rapid vibrations, to loosen and break up fat cells, the procedure allows more fat to be removed and can be performed more quickly, causes less discomfort as well as less post-operative bruising.
Laser Assisted Lipolysis (LAL) - also known as laser-guided lipo, a small tube is inserted through the incision to deliver laser energy and heat into the fat that is under the skin which is then suctioned out.
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Procedure of liposuction
- The surgeon will discuss your expectations and the benefits of having the procedure, potential risks, after care following surgery.
- Patient will be evaluated by the surgical team, clinical dietitian and a psychologist.
- Complete medical history will be taken .
- Series of preoperative lab tests are performed to check fitness for surgery
- Advised to adjust current medications, Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
- If you are a smoker, you will be advised to stop smoking
- Depending on the surgeons preference and requirement anaesthesia may be local anesthesia, intravenous sedation or general anesthesia.
- Liposuction procedure is performed through small, inconspicuous incisions.
- Large amounts of saline fluid are injected through small incisions, into the fatty area to be treated. The saline solution helps separate the fat from muscle.
- A thin hollow tube, or cannula, is inserted through the incisions to loosen excess fat.
- The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula.
- After the operation, the surgeon may leave the incisions open so that excess fluid and blood can drain from the body.
- Swelling and fluid retention commonly experienced following liposuction
- There may be numbness in the area where fat was removed. This should improve in 6 to 8 weeks.
- Compression garment or elastic bandages are adviced to cover the treatment areas . These help to control swelling and compress the skin to new body contours.
- Small temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluid.
- Care should be taken that incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing.
- Medications are prescribed to aid healing and reduce the potential for infection.
- Improved body contour will be apparent once the swelling and fluid retention commonly experienced following liposuction subside.
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Complications of liposuction:
Any procedure carries a risk, the following risk or complications though rare can be associated with liposuction:
- Organ perforation
- Blood clot, which can be life threatening
- Pain, bruising and swelling around the operated site
- Allergic reaction
- If too much fat is removed, there may be lumpiness or dents in the skin.
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Factors affecting cost of liposuction procedure
- Hospital costs
- Surgeons fee and team of doctors fees
- Medical tests
- Cost of medication
- Cost of post surgery follow ups