Tumescent Liposuction

Developed about 15 years ago, this is the most common, and safest, method of liposuction. The term "tumescence" refers to the swelling and firming of fatty tissues by the means of infusing fluid into the tissue. After tiny incisions are made where the patient's skin covers fatty tissue, the area is soaked with a saline solution that contains an anesthetic (Lidocaine) and adrenaline to reduce blood loss and bruising. This reduction of blood loss through the shrinking of capillaries has been a great advance, enabling plastic surgeons to remove much fat with little blood loss.

Tumescent liposuction involves swelling the areas to be suctioned with a solution that equals two to three times the amount of the fat and fluid that will be suctioned out. In the Super-Wet technique of liposuction, however, the tissues are infused with an amount of fluid that equals the fat and fluids that will be suctioned. Super-wet involves the use smaller amounts of, or no, Lidocaine, thereby reducing the risk of Lidocaine toxicity.

Power Assisted Liposuction

In essence, this is liposuction hastened by a vibrating suction cannula. Developed by a German surgeon, this technique employs an electric-powered cannula, which like a jackhammer sucks out the fat faster. In my opinion, while it might help the surgeon to do his or her job faster, it takes away from the surgeon's ability to feel the contour and the topography of tissue as this machine vibrates. Also, this machine might not be safe to be used in delicate or potentially dangerous areas such as the neck and face.

Ultrasonic Assisted Liposuction (UAL)

This method was first used in the 1990's, and was considered an advance in treating especially fibrous areas, such as the male chests, back, and flanks. It uses cannulas that bombard subcutaneous fatty tissues with waves of ultrasound, thereby liquefying them through ultrasound energy and heat. An external method also delivers this energy by applying a paddle-shaped instrument to the skin. The higher general complication rate of this technique as compared to other conventional techniques has recently drawn surgeons away from this fad.

Specifically, ultrasonic assisted lipoplasty (UAL) carries an increased risk of skin and tissue burns, permanent tissue damage and scarring, nerve damage causing lasting skin irritation or pain, and fluid buildup or formation of seroma cavities of fluid beneath the skin. Because there is insufficient proof of the safety of UAL devices, the Food & Drug Administration (FDA) has never approved the marketing and advertising of UAL devices to be specifically used for liposuction.

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Liposuction Surgery Techniques and Information

Often done in conjunction with a face lift, neck liposuction gently removes the sagging fatty tissue that has collected in the lower face and underneath the chin. Liposuction of the neck is appropriate for men and women of all ages.

The procedure is performed in our office, usually on an outpatient basis. Neck liposuction is generally performed under local anesthesia, which allows you to remain awake but anesthetized and relaxed. The procedure takes about one hour, depending on its extent.

Preparation

Eat a balanced, nutrient-rich diet before surgery. A healthy diet will help speed recovery. Plan ahead and prepare nutritious meals that are easy to warm up so that you won't need to spend too much time in the kitchen during your recovery.

If you smoke, abstain from smoking for at least six weeks before and after surgery. This reduces the risk of infection and encourages faster healing.

Do not take any medicines containing aspirin or ibuprofen during the two weeks preceding surgery.

Do not eat or drink after midnight the night before surgery.

Be certain you do not have a cold or sunburn the day of surgery.

Do not wear make-up or contact lenses to surgery.

Arrange to have someone take you home after surgery and, if possible, help you around the house for a few days while you recover.

Procedure Overview

Using the "tumescent" technique, the surgeon injects the area with a large amount of sterile saline solution in order to make the area tumescent or firm. The saline solution also acts as a local anesthetic as it constricts the blood vessels, which reduces discomfort and lessens the bruising that follows liposuction.

After the area is firm, the surgeon makes a tiny incision either beneath the chin or in the crease under the ears.

A narrow tube called a cannula is inserted through the incision and excess fat cells are vacuumed out. The incision is stitched up and a compression bandage is applied to the treated area.

What to Expect After Neck Liposuction

After the procedure is over, patients may experience some numbness and swelling and/or discomfort at the incision site. This is normal and will pass with time. Incision site pain is usually minimal and can be controlled with medication, if necessary. Swelling can be treated with cold compresses.

The compression bandage is usually removed in our office the next day, but patients should continue to wear the bandage at night for several weeks to speed recovery.

Within two days you should be able to return to work, if liposuction is the only procedure performed. If done in conjunction with another procedure, patients usually won't notice any additional discomfort.

Risks

As with any surgery there is the risk of complication. Most complications associated with liposuction are minor and will pass with time. Possible complications include bruising, infection, and reactions to the anesthesia. You can reduce your risk of complications by closely following instructions both before and after surgery.

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Post from: Liposuction Surgery Chicago

Neck Liposuction Surgery Information

Anyone wanting to have liposuction has to be within 30% of their ideal weight, if you suffer from obesity a surgeon will not perform the treatment and is liable to ask you to lose weight before returning again.

To be qualified for liposuction, patients have to be able to show up a clean bill of health, both physically and mentally. They should also be fairly fit and have already tried exercise and diet before approaching a cosmetic surgeon for liposuction. If the skin on the area to be treated is too wrinkled or loose it might be deemed not acceptable for the treatment.

Liposuction is not considered to be a very complicated technique. First, small incisions are made in the skin. Then a small tube, known as a cannula and attached to a vacuum machine, is inserted into the fatty tissue to be removed. You are usually given the option of a general or local anaesthetic.

Often it is not considered necessary to stay overnight at a hospital after the procedure has been done. A hospital stay may be necessary if there is a large amount of fat to be removed however.

Liposuction can be used in a number of different areas over the body. Men usually undergo the treatment as they age and build up excess weight around their waists (the love handles) and stomachs, or fatty tissue forming a double chin. Some men also suffer from man breasts then go for a surgery. For Women, issues with excess fat will often show under their chin, hips, on their upper arms, their thighs and waistline. Liposuction can make your lumps and bumps evaporate and improve body contours, giving you an improved shape both in and out of your clothes.

Liposuction on the face is often performed at the same time as a face or eye lift is being done. Fat can be removed from around the eyes, cheeks and chin. The procedure can particularly help women who have undergone a breast reduction or men who need Gynecomastia reduction. The buttock region is another liposuction favourite for removing obstinate fat deposits. A common area, particularly for women, is liposuction on the inner thighs and knees. When the fat is removed it can make your legs look slimmer and shapelier.

Liposuction is a commonly carried out and safe procedure; however complications can accompany any surgery. Dimpling effects or a lumpiness in the skin are just some of the problems patients have reported, whilst others have had experience a slight numbness in the treated area. Others have experienced numbness, scarring, discoloration, or sagging skin in the treated area. Always ensure you know all the risks when considering surgery and any side effects. Your surgeon should be able to explain any risks that could occur. Even though liposuction will get rid of fatty tissue for you, you must have a realistic expectation of your body type and not go too far trying to perfect it. A good doctor will always make sure you are fully informed of any possible risks.

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Post from: Liposuction Surgery Chicago

Useful Information on Liposuction

The amount of fluid that is injected varies depending on the preference of the surgeon.

Large volumes of fluid -- sometimes as much as three times the amount of fat to be removed -- are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as 4 to 5 hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or "tumesced" state of the fatty tissues when they are filled with solution.

The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.

Ultrasound-Assisted Lipoplasty (UAL). This technique requires the use of a special cannula that produces ultrasonic energy. As it passes through the areas of fat, the energy explodes the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional liposuction technique.

UAL has been shown to improve the ease and effectiveness of liposuction in fibrous areas of the body, such as the upper back or the enlarged male breast. It is also commonly used in secondary procedures, when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction.

Power Assisted Liposuction

Lipoplasty (liposuction) has proven to be a very popular surgical cosmetic procedure; see current American Society for Aesthetic Plastic Surgery (ASAPS) statistics. Power-Assisted Lipoplasty (PAL) is a relatively new technique, approved for general use by the FDA in December 1998, and is not yet widely used. Most lipoplasty procedures are performed using traditional suction-assisted lipoplasty (SAL) and certain procedures can benefit from ultrasound-assisted lipoplasty (UAL).

Technique:

In PAL, a reciprocating cannula, or hollow tube (powered by gas or electricity) powers through tissue and vacuums out fat and fibrous or scarred tissue reportedly with minimal effort. The back and forth motion of the tip of the cannula facilitates passage through tissue.

Benefits:

Procedure may be gentler for the patient, possibly causing less bruising, swelling and discomfort.

May provide a more rapid recovery, with quicker return to work and activities.

Patients may spend less time in the operating room and under anesthesia than with other lipoplasty techniques.

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Liposuction Surgery Information – Technique Variations

Liposuction is not a substitute for dieting and exercise, but it can remove stubborn areas of fat that does nor respond to traditional weight loss method.

Best candidates for liposuction:

The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, and realistic in your expectation. Individuals with medical problems like diabetes, heart or lung problems poor blood circulations are not suitable candidates for liposuction.

Anesthesia for liposuction:

Your surgeon will select the type of anesthesia that is most suitable and safe for your surgery. If only small amount of fat and a limited number of body sites are involved, liposuction is performed under local anesthesia, which numbs only the affected areas. Regional anesthesia is a good choice for more extensive procedures. In such cases the anesthetist makes sure you are completely asleep during the procedure.

Preparing for surgery:

Patient should stop taking anticoagulants for two weeks before surgery. Smoking must be avoided for about two months prior to surgery. As it interferes with circulation and causes blood clots.

The surgery:

The time required to perform liposuction varies considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia and techniques used. Through or tiny incision, a narrow tube is inserted and used to vacuum the fat layer that lies deep beneath the skin.

The cannula is then pushed and pulled through the fat layer, breaking up the fat cells and suctioning them out by a vacuum pump or a large syringe. The fluid lost along with the fat is replaced during the procedure to prevent shock. Under careful observation the patient receives intravenous fluids during and immediately after surgery.

Techniques used in liposuction:

The basic technique of liposuction as described above is used in all patients undergoing this procedure. A medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid is a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) help the fat to be removed easily, reduces blood loss and provides anesthesia during and after surgery.

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Liposuction Surgery – General Information