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Liposuction
Introduction
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Liposuction - Cosmetic Surgey Abroad, Prague, Czech Republic.
Liposuction is a cosmetic procedure in which localized areas of fat are removed from beneath the skin using a suction device inserted through a small incision.
This cosmetic procedure is primarily for removing stubborn areas of fat, usually around the hips, thighs, buttocks, stomach, upper trunk and neck, which have proved resistant to diet and exercise. It should not be considered as a means of losing weight.
The maximum amount of fat which can be removed is about four litres (large liposuction), (in some countries this may be as high as six, radical liposuction), so reduction of actual body weight is minimal.
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More InformationWhat is liposuction?
Liposuction is used to reshape and redefine areas of the body. This is achieved by removing fatty deposits; stubborn areas that remain even after healthy diet and exercise
This procedure should only be carried out by a fully qualified surgeon with the relevant skills and experience.
The Treatment:Liposuction Techniques:
- Traditional Liposuction – this was the original technique that began in the 1970s.
- Ultrasonic Liposuction – which is also called ultrasound-assisted lipoplasty (UAL), was first developed in the 1980’s in Europe. Ultrasonic liposuction works by combining high-frequency sound waves with gentle suctioning. Ultrasonic energy is directed from the tip of the cannulae to effectively "liquefy" the fat. This "melted" fat can then be suctioned out with the use of the ultrasonic cannula or by a second cannula. This is the technique that is used by our Prague liposuction surgeons.
- External Ultrasound-Assisted Liposuction (EUAL) – with this method, ultrasonic waves are delivered through a rod that is placed directly into fat deposits. Ultrasonic energy is then directed onto the skin over the fat. The liposuction procedure is then performed. However through their experience some liposuction surgeons have found that this technique did not represent the best procedure to use, as frequently suctioning the fat after the application of external ultrasound showed no particular advantage against carrying out the liposuction without any ultrasound having been administered at all.
Liposuction and Other Cosmetic Surgery Procedures:
- Tummy Tuck – this cosmetic surgery procedure is often advised for clients, where liposuction would not solve the problem, such as where loose skin or lax inner girdles exist. Often the tummy tuck surgery is combined with additional liposuction to achieve optimum results.
- Upper Arm Lift or Thigh Lift – if the problem being tackled involves loose skin in the upper limb with poor muscle tone, an upper arm lift or inner thigh lift will offer the best results. If the problem is excess fat in these areas, then arm liposuction or thigh liposuction would be the most appropriate treatment.
Cellulite is a common and unattractive dimpling and puckering of the skin usually seen at the top of the legs and around the buttocks. Unfortunately, cellulite per se, does not respond to treatment with liposuction.The Best Candidates for Liposuction (far removal)
A good candidate for liposuction (liposculpture) should have realistic expectations about what this cosmetic surgery procedure can deliver. It's important to understand that while liposuction can enhance your appearance and self confidence, it will not necessarily alter your looks to match your ideal or make other people treat you differently. Before you decide to have this or any cosmetic surgery, think carefully about what your expectations are and discuss them candidly with your liposuction surgeon.
The best candidate for liposuction is a person who is of normal weight or who is close to their ideal weight but who has stubborn pockets of fat deposits that resist diet and exercise. The skin to be treated should be firm with good elasticity. With liposuction, age is not a major consideration; however diminished skin elasticity that is seen in older patients may not allow them to achieve the same results as a younger patient who has tighter skin.
The best time to consider liposuction is after weight has been stabilized through diet and exercise. The results of liposuction will be permanent if weight remains stable with no weight gain. If a patient treated with liposuction did gain a large amount of weight a rippling might become visible in the treated areas, this, however, would be dependent on skin elasticity.
Liposuction is not a treatment for obesityIn the case of an obese patient, if they were to find a liposuction surgeon who would agree to perform liposuction surgery the results would be unlikely to be pleasing or long lasting.Preparation for Liposuction (Fat removal)
Pharmaceuticals containing acetylsalicylic acid (Acylpirin, Aspirin, and Anopyrin etc.) are not to be used for 3 weeks before the cosmetic surgery, as they affect the clotting capability of the blood. If you smoke you are advised to stop smoking or at least to cut down prior to your surgery. Smoking slows down the recovery process and can also pose an increased risk of complications.Operation – Liposuction
Before the liposuction surgery, your plastic surgeon will mark the areas to be suctioned and may also make marks on your skin with areas to avoid. Liposuction is a cosmetic surgery procedure, and it consists of the suctioning out of accumulated fat through thin tubes, which are connected up to a vacuum system. It is only necessary to make very small incision to introduce these tubes and as results scarring will be virtually invisible. Liposuction is performed under a general anaesthetic.
Once you are under anaesthetic, the liposuction plastic surgeon will make several tiny incisions around the areas that are to be treated. Using a metal rod, which is about the diameter of a pencil, but much longer, tumescent fluid will be injected into your fat layers. The suction machine attached produces a vacuum and a liposuction rod will be used to suction out the fat cells. Most liposuction surgeons use dissolving stitches, and these will not need to be removed.
For some years now we have been using the ultra fine ultrasonic liposuction method in our liposuction clinic, which does not harm the skin or any other tissue. Using the Vibrasat device, gentle aspiration of a considerable amount of fat from very fine, almost imperceptible places is possible, without damaging the subcutaneous layers of skin. This limits side effects, e.g. post-operative bleeding, swelling or severe pain of the treated areas. In addition to this, the vibration of the equipment has been observed to limit the signs of cellulite in the skin grain.Post-operational Course – Liposuction (Fat removal)
Postoperatively one nights stay in the clinic will normally be necessary and a patient will be fitted with a special compression bandage. Thereafter the patient should rest at home for about a week.
The garments that are worn after liposuction are an essential part of ensuring good results following the procedure. If the instructions of the liposuction plastic surgeon are not followed and the garment is not worn as directed, the result may baggy, lumpy, irregular, or uneven results. You will have to wear the garment for 4–6 weeks after the surgery although a month after surgery it will no longer be necessary for the underwear to be worn at night.
Most liposuction plastic surgeons usually work with dissolving stitches, which will not need to be removed. After 1–2 weeks, a liposuction patient can return to everyday activities, although avoiding any activity that requires extreme physical effort. Any bruising and swelling will usually have resolved a month after surgery.
Bruising or inflammation of the treated area may be present, but this is normal and will resolve in time. The results of the liposuction procedure will become more apparent over time as the reduction of volume and the skin re-modelling process is continuous and gradual. A significant improvement to the profile and body shape can certainly be achieved.How Will I Feel after the Liposuction (fat removal) Surgery?
Straight after surgery you will probably feel tired, sleepy and feel some discomfort and pain especially in the first few post operative days. Your plastic surgeon may also prescribe antibiotics to prevent potential infection and you will also be given tablets to reduce any swelling.
You might also notice that you feel unhappy or depressed a few days after surgery. This is a normal consequence of stress and of undergoing general anaesthetic, frustration with the healing process, more pain than you expected or the fact that you are away from your home and family.Is the liposuction (far removal) recovery painful?
Our client’s experience is that some pain is present, especially during the first postoperative days. However, when you leave the clinic you will be prescribe painkillers, which should be sufficient to help with any pain you might have. You might also feel discomfort, swelling, heaviness, and numbness in the areas where surgery was performed but this will reduce in time and is quite normal.Possible Risks and Complications – Liposuction (Fat Removal)
Liposuction carries slightly higher risk of complications for individuals with existing medical problems such as diabetes, significant heart or lung disease, poor circulation, or for those who have recently had surgery close to the area to be contoured with liposuction.
However, the specific risks and the suitability for having liposuction for any person can only be determined accurately at the time of consultation. All surgical procedures carry some degree of risk. Minor complications that do not affect the outcome do occur occasionally but major complications are rare. It should be noted, however, that liposuction can lead to numbness, nerve damage, unevenness or scarring in the area that is treated.Important, Before You Fly:
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All Clients:Please advise us if you are taking aspirins, as we need to make sure that you have at least two clear weeks of not taking them, before any operation.Request CALL BACK CONTACT US MEDICAL QUESTIONNAIRE
Cosmetic Surgery Abroad - This page contains inforamtion about Liposuction within our Prague Clinic, within the Czech Republic - Going Abroad for Surgery. Cosmetic Surgery Prague.
Last update: Revised: 25th May 2010
