Body Contour

Liposuction / Liposculpture

Who are candidates for a

Liposuction?

It is focused on men and women who want to improve their body contour. Liposuction will enhance your physical appearance, your body contour and your self-esteem. Before deciding on this intervention, think well about your expectations and discuss them with your surgeon. The best candidates for liposuction are people with a relatively normal weight but who have fat accumulation in certain areas. They must be physically healthy and mentally stable, always being realistic with their expectations. And the most important thing, the patient must have firm and elastic skin. Flaccid skin will not adapt to new contour shapes and may require additional intervention to remove excess skin (abdominoplasty). You should keep in mind that this additional procedure can leave visible scars.

hat do you need to know about liposuction?

Liposuction is a technique to remove unwanted fat that has accumulated in specific areas of the body: the chin, neck and cheeks, upper arms, abdomen, hips and buttocks, thighs and knees, twins and ankles. Liposuction is not a method to lose weight, but a technique to eliminate fat that does not respond to diets or exercise. If you are thinking of a liposuction, this section will give you basic information about the procedure, how it can help you, how it is performed and what results you can expect, however it will not be able to answer all your doubts, as they depend on each particular case. Please ask your doctor any questions.

To plan your surgery

At the first visit to the surgeon, your health will be assessed, your fat deposits will be determined and the condition of your skin will be carefully assessed. Your doctor may explain to you some other alternative method of modeling your body and will discuss the options or combinations of techniques that may work best for you. Be honest with your expectations to the surgeon, he will be equally frank with you, describing all the details of your procedure, as well as the risks and limits. You should also tell if you smoke or take any kind of medicine or other substances. Do not hesitate to ask any doubts that arise, especially in those that relate to your expectations and the results of the intervention.

How is the surgery?

The intervention will take place in a clinic. If your intervention is not very extensive, liposuction can be performed under local anesthesia and sedation, so that you are calm and relaxed with minimal discomfort. Epidural anesthesia may also be used. If your doctor plans to suction a larger area or treat different areas, general anesthesia will probably be used. In this case you will sleep during the whole operation. Depending on the amount of fat to be removed, the duration of a liposuction varies considerably from half an hour to 3 hours.

Step-by-step intervention

  • The best candidates for a liposuction are men and women of normal weight, with excess fat in specific areas, for example in the buttocks, hips, waist or thighs. Liposuction is also a solution to eliminate localized fat in men:
    • The area under the chin and around the waist are some of the most common places.
    • It is also used in the reduction of enlarged breasts of men, a condition known as gynecomastia.
  • To begin the procedure, the surgeon makes a small incision, just enough to allow the insertion of a hollow tube, called a cannula. The end of the cannula is attached to a machine that performs the aspiration.
  • The surgeon manipulates the cannula into the fat under the skin by undoing and suctioning. Sometimes it is necessary to make more than one incision to remove all areas of the fat. In very limited liposuctions, you can be under local anesthesia, and you will notice some vibrations and frictions during the procedure. You may also experience an itchy feeling when the cannula moves near the muscle. If during liposuction you lose a lot of fluid and blood along with fat, it is crucial that they are replaced to prevent it from breaking down. In that case, fluids will be given intravenously, or self transfusion or blood transfusion schemes will be assessed.
  • A special garment should be put on the treated areas, to control inflammation, bleeding, and to help the skin adapt to its new contour.
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  • El cirujano manipula la cánula dentro de la grasa que está debajo de la piel deshaciéndola y succionándola. Algunas veces es necesario hacer más de una incisión para extraer todas las áreas de la grasa. En liposucciones muy limitadas, se puede utilizar anestesia local, notará algunas vibraciones y fricciones durante la intervención. Puede que también experimente una sensación de picazón cuando la cánula se mueva cerca del músculo. Si durante la liposucción pierde mucho líquido y sangre junto con la grasa, es crucial que sean reemplazados para evitarle que se descompese. En ese caso, se administrarán fluidos por vía intravenosa, o se valorarán esquemas de auto trasfusión o transfusiones sanguíneas.
  • Deberá ponerse una faja especial sobre las áreas tratadas, para controlar la inflamación, el sangrado, y para ayudar a la piel a adaptarse a su nuevo contorno.

Recovery

You will wear the garment continuously for 3 to 4 weeks, depending on your surgeon’s instructions. At first, the suctioned areas will be swollen and bruised; You may feel a sense of warmth. In the beginning, because of the swelling, it will look worse than it was. It is normal to feel some pain, stiffness and loss of sensation temporarily on the suctioned areas. The pain can be controlled by the medications your doctor prescribes. It is advisable to start walking as soon as possible to prevent the formation of clots. It is important to avoid excessive activity for 2 or 4 weeks. Any stitches you may have will be removed within 5 to 10 days and you can return to work within 1 to 2 weeks after the procedure. Most of the inflammation and discoloration disappear within a month. Some inflammation may persist for 6 months or longer.

Your new look

Liposuction is a very effective technique to give a new contour to the body with very small scars. The results are permanent by eating healthy and exercising regularly. If you gain weight, you will probably do it more evenly and not just in those particular areas. Most patients are satisfied with the results. They are more favored in reducing sizes in their clothes and more at ease with their body. As long as your expectations have been realistic, you will be happy with your new figure.

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