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Types Of Liposuction Techniques - Dr. Sachin Rajpal

Liposuction is one of the most popular cosmetic procedure in both men and women. It is nowadays known by many different terms like Liposculpture, Lipo or Lipoplasty. It is a surgical procedure which evacuates excess fat deposits from the body that have not been responding to diet and exercise. This procedure helps in improving body contours and proportions and can safely be performed on most of the body areas including face, neck, arms, abdomen, back, thigh, chest and thighs.<br><br>

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Types Of Liposuction Techniques - Dr. Sachin Rajpal

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  1. Liposuction is one of the most popular cosmetic procedure in both men and women. It is nowadays known by many different terms like Liposculpture, Lipo or Lipoplasty. It is a surgical procedure which evacuates excess fat deposits from the body that have not been responding to diet and exercise. This procedure helps in improving body contours and proportions and can safely be performed on most of the body areas including face, neck, arms, abdomen, back, thigh, chest andthighs. • When a person gains weight, the size and volume of fat cells increases and these large fat cells are sucked out by liposuction thereby decreasing the number of fat cells in that particular area. The changes after liposuction are generally permanent as long as your weight remains stable. • For best results of liposuction surgery an individual must be healthy with good skin elasticity so that the skin contracts and re-drapes after surgery to provide better contour. • People having excess skin following massive weight loss, old age and after multiple pregnancies, will need to undergo excision procedures rather than liposuction to get satisfactorycontour. • Candidates forLiposuction • Healthyindividual • Localized fat pockets that don’t go away with diet orexercise • Not having lot of excess hangingskin • Have good muscletone • Do notsmoke • Good skinelasticity • Procedure • Before the surgery, the areas to be sucked are marked out carefully in erect position. Once patient is under anesthesia the procedure involves the removal of fat through small incisions approx. 0.5 -1 cm which are given in the hidden areas of body through which the hollow tubes (cannulas) are inserted and fat is removed with the help of vacuum andsuction. • Types of liposuctiontechniques • Suction assisted liposuction (SAL) : Most common type where tumescent solutionisinfiltratedintoaffectedareawhichcontainsananestheticagentand

  2. medicine to decrease bleeding. Fat is sucked out with the help of long hollow cannulas attached to suction apparatus with appropriate negativepressure. • Power Assisted Liposuction (PAL) : Here the cannula moves rapidly in back and forth position and the vibrations generated by rapid motion helps in breaking the fat cells which are then sucked out. PAL is more useful in more fibrousareas. • Ultrasonic assisted Liposuction/Vaser/ High definition Liposuction : Here ultrasound energy is used to emulsify the fat first which is then sucked out using the suction cannulas. Vaser has nowadays gained popularity as it helps in achieving the precise definition of body contours and also causes less trauma to tissues. • Anesthesia • Liposuction is usually performed under general or regional anesthesia. For small areas it can be done under IV sedation or local tumescentanesthesia. • Duration • Duration of surgery depends upon the extent of area to be treated and is usually between 1 to 4hrs. • Immediate PostOperative • In the immediate post Operative period one may experience some pain and bruising. Pain killers will be prescribed by your treating surgeon but the bruising may take upto 4 week to getsettled. • One need to wear compression garment over the operated area for some weeks which will help in controlling swelling and skin draping and also to prevent fluid collection underneathskin. • Early mobilization is encouraged after the surgery and patient are usually mobilized on the same day ofsurgery.

  3. Post Operativecomplications • Contour irregularities : This can occur in some area if there is uneven removal of fat or if there is poor skin elasticity leading to bumpy or wavy appearance. • Fluid accumulation : Collection of fluid (seroma) under the skin canhappen • which is usually temporary & which usually resolves on its own in some days. It may sometime require needle aspiration. Wearing compression garments can also help in preventing fluidcollection. • Skin discoloration/ Bruising : This is common and can take about 4-6 weeks to settlecompletely. • Decreased sensation/Numbness : Affected area may have decreased sensation or numbness after the surgery but it is usually temporary and settles down in weeks to monthtime. • Infection : Skin infections are rare after liposuction surgery but can occur which may sometime require surgical intervention for woundmanagement.

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