Have you been finding sections of unwanted excess flab on various regions of your body? This can often occur as we grow older and is the result of genetics, the aging process, and lifestyle changes. Bulges of fat make us look less appealing at the beach and in a number of other social situations. They can affect the overall proportions of our bodies, and as a result, our self-esteem may suffer.
Many people attempt to lose their stubborn pockets of fatty tissue using dieting techniques and vigorous exercise routines. While these options can be helpful for maintaining general health, when it comes to sculpting away excess fat from specific parts of the body, they are not the answer. The solution that patients have been looking for typically comes in the form of liposuction surgery. This procedure has a long track record for effective spot reduction of flabby areas.
Liposuction in Chennai Plastic Surgery is performed combining a tumescent technique with power assisted suction, by Cosmetic Surgeon Dr. Karthik Ram and his team. A power cannula is inserted through incisions less than 4 mm made on your skin. Using tiny vibrations produced by Power Assisted Liposuction (PAL), fat cells are broken down and easily removed. It is performed most often under general anesthesia administered by a qualified and experienced anaesthetist.
- Day-care procedure
- Minimally invasive
- Minimal scars
- Gratifying results
- Improved definition in target areas
- More proportionate distribution
Liposuction is a simple day care procedure.
- If your procedure is scheduled in the morning, the same day evening you can return to your home/accommodation. Occasionally, you might need an overnight stay at the hospital depending on your recovery.
- You will have to return to the clinic at the end of 48 hours for plaster removal.
- On day 7, you can have your stitches removed at our clinic / in your hometown.
Liposuction at Chennai Plastic Surgery is offered as day care procedure. As a norm, the patient gets admitted in the morning, gets operated and is free to go home by evening. The sutures are removed 7 days following surgery. You are advised to wear special compression garments for few weeks to provide support, minimize swelling and help skin conform to the new contours of the body. Maintaining a healthy lifestyle and diet is very vital following Liposuction.
Liposuction is indicated for those with stubborn subcutaneous fat deposits that do not budge despite regular exercise and right diet. At Chennai Plastic Surgery, we clarify to our clients that Liposuction is strictly NOT A WEIGHT LOSS TECHNIQUE and should not be opted as a quick fix method to overcome obesity. Infact, it is advisable to opt for this fat reduction procedure only when one has non- fluctuating / stable body weight and is more of a body contouring or body reshaping procedure. However, in addition, it helps get rid of cellulite and reduce dimples or stretch marks.
There are exceptions to this rule under the following circumstances:
- Liposuction can be used in breast reduction procedures in women and men (Gynecomastia). Liposuction is also employed in Multiple Lipoma removal procedures to aid easy excision.
- Those planning for a massive weight loss (ex. Bariatric Surgery, crash diets etc.) are expected to develop a lot of loose skin, which needs corrective cosmetic procedures like skin excision. Undergoing a Liposuction prior to such procedures can help prevent skin sagging to a significant extent.
- Many overweight people refrain from exercising since the excess fat in the thighs or arms make it difficult to engage in cardio or intensive workouts. In such cases, Liposuction could be effective in expressly removing fat in specific areas, thereby facilitating them to pursue exercises and lose overall weight by themselves.
Liposuction can be performed by one or more of the below techniques:
- Tumescent Liposuction.
- Ultrasonic Assisted Liposuction (UAL).
- Power Assisted Liposuction (PAL).
- Laser Liposuction.
Liposuction can be performed on the following areas:
- Abdomen / Tummy
- Gynecomastia (Male Breasts)
- Flanks (love handles)
- Outer Thighs
- Inner Thighs
- Inner Knees
- Calf Area
- Upper arms
Liposuction removes unwanted fat from your body, but the results aren’t immediately visible. Your body needs to heal from Liposuction. As the swelling goes down, you’ll begin to notice the results improve over the next 3 to 6 months.
Be warned. Don’t have very high expectations, as the amount of fat that can be safely removed is limited – too much fat removal e.g. mega liposuction could cause lumpiness or dents in the skin.
The results of the procedure are significant and permanent when done in concurrence with a healthy lifestyle and eating right. The end result is a firmer and more contoured you.
At Chennai Plastic Surgery, you will be thoroughly examined and explained the whole procedure before hand to ensure that you enjoy your new body and approach life with renewed confidence.
Various techniques are used in Liposuction.
Tumescent Technique (TT)
The term Tumescent Liposuction refers to the large volumes of fluid injected into the area to be treated. This technique is the safest and most commonly used form of liposuction today. During this procedure, there is no need for general anesthesia, blood loss is minimal during and after the surgery, and patients experience a much faster recovery.
Ultrasonic Assisted Liposuction (UAL) requires the use of a large volume of tumescent fluid and employs either a metal probe or metal paddle to deliver ultrasonic energy that emits heat into subcutaneous fat, or fat lying under the layers of skin that is stored as tissue.
Power Assisted Techniques (PAL)
PAL techniques are performed using devices that employ power supplied by an electric motor or compressed air to produce either a rapid in-and-out movement or a spinning rotation of an attached liposuction cannula.
Laser Liposuction uses tumescent fluid and a microcannula inserted through a small incision that delivers laser energy and heat into subcutanteous fat, which is then extracted.
CHENNAI PLASTIC SURGERY COMBINES THE TUMESCENT TECHNIQUE WITH POWER ASSISTED TECHNIQUE.
Anesthesia is administered by delivering a large volume of dilute anesthetic solution to subcutaneous adipose tissue prior to the liposuction procedure. The tissue has to firm up and swell, becoming truly “tumescent”.
Typically, the anesthetic solution contains 0.05% to 0.1% lidocaine, epinephrine 1:1,000,000, and normal saline.
Epinephrine to the tissue results in constricting capillaries, thereby delaying the rate of absorption of lidocaine. This in turn, substantially decreases potential blood loss during the procedure. Triamcinolone may be added to the solution to reduce postoperative inflammation. Tumescent anesthesia is introduced via blunt-tip microcannulas. It is tolerated well, resulting in significantly small amounts of blood loss during the procedure, thereby reducing procedure related risks in patients. Due to this, surgeons can predict results far more accurately. The procedure itself is much easier on the tissue.
POWER ASSISTED LIPOSUCTION (PAL)
Power assisted liposuction is a surgical technique that applies small, rapidly vibrating suction tubes to loosen fat cells. The fat is removed through a hollow instrument – a cannula, or PAL wand – that is inserted under the skin. A powerful, high-pressure vacuum is applied to the cannula It is used in conjunction with the administration of tumescent fluid (a mixture of saline, adrenaline and local anaesthetic) to reduce surrounding tissue trauma, minimize patient bruising and make fat removal easier. PAL makes procedures shorter, patients recover quickly, and the results are far better. Areas to be suctioned are marked with a waterproof felt-tip pen prior to surgery.
Making fat removable easier, extremely small cannulae are used. These need really tiny incisions, ranging from 2 to 5 millimetres and negate the need for large cuts. Besides healing fast, PAL has shown better skin contours and improved skin retraction.
The above factors help contribute PAL’s impeccable reputation of showing extraordinary results and high patient safety.
PAL can be performed either by itself or in combination with other body contouring procedures. Examples include abdominoplasty, breast reduction and facelift.
Sometimes, results may show almost as soon as the procedure is completed. But, as the days fly, body contours will further improve in the following weeks after. In fact the true results show up two to three months after the procedure.
After liposuction, patients need to wear compression garments or elastic bands, depending on the area that has been treated. The garments or bandages need to cover the part that has been worked on and aid recovery. Wound care, medication prescriptions and follow-up appointments will all be discussed before and/or after the liposuction procedure.
Be warned. Don’t have very high expectations, as the amount of fat that can be safely removed is limited – too much fat removal could cause lumpiness or dents in the skin.
Liposuction has a number of possible risks: infection, numbness and/or scarring.
LIPOSUCTION PRE-OPERATIVE CARE
In order to prepare for your surgery in the best possible manner, please observe the following instructions.
- Make sure you let your doctor have a look at your complete medical history, and tell him / her about any medications, drugs, vitamins, or natural herbs you are taking. Diabetes is known to affect wound healing, and must be controlled before the procedure.
- Take a bath with Betadine surgical scrub on the night before surgery and on the day of the surgery.
- Do not use any hair oil after your hair wash.
- Do not wear any jewelry or metal objects.
- You are advised not to eat anything or drink water 8 hours prior to surgery.
- You can have prescribed anti-hypertensive drugs or thyroid medication on the day of surgery with sips of water.
- Skip anti diabetic drugs on the day of surgery.
- Wear a comfortable, loose dress on the day of surgery.
- All aspirin or aspirin containing compounds or birth control pills must be stopped for 2 weeks prior to surgery.
- Do not take Vitamin E or B-complex vitamins for seven days prior to surgery.
- Smoking and drinking have an adverse effect your ability to heal. We recommend you stop at least one week prior the surgery and 1 week after the surgery.
- If the patient has any illness or is on long term medication, it is important to keep your surgeon informed.
- Please provide contact person details at the front desk if you are not accompanied by an attendee.
The healing time for a given procedure differs from patient to patient. Following liposuction, you could experience the following:
- No driving for 10 days post-surgery.
- Start with mild workouts and then increase the intensity according to comfort level.
- You are expected to wear a tight-fitting vest or compression garment for 30 to 60 days as advised by your surgeon to keep the swelling under control and enable adherence of the skin to the underlying muscle.
- You will also be prescribed some collagen supplements for skin tightening and medications to reduce pigmentation.
The healing time for a given procedure differs from patient to patient. You could experience a certain level of discomfort and pain, nausea, swelling, bruising etc. which will start settling within the first few weeks of the procedure. Liposuction has possible risks such as scarring, numbness and/or infection, which are kept at a minimum when performed by an experienced Cosmetic Surgeon. We ensure high patient safety.
The fat extracted during Liposuction can be put to use in fat transfer or lipofilling other parts of the body, as in the case of breast fat transfer, buttock fat fill etc. Liposuction also helps improve the appearance of cellulite, dimples or stretch marks to a certain extent.
Discomfort and pain
Since liposuction is a medical procedure, you may experience certain amounts of discomfort and pain. These mild discomforts are normal, can last for between 5-7 days, and can be controlled using the appropriate medication.
Anesthesia could cause a little bit of nausea followed by vomiting in some patients. The effects wear away within 24 hours and are countered by with lots of fluids, anti-emitics and rest.
After liposuction, the maximum swelling occurs at about 3-5 days. Most of it will be gone within 2-3 weeks. However, some firmness can last 6-8 weeks. Patients see the final result at 3-4 months.
Most bruising resolves in 10-14 days. Some light skin discoloration can last several weeks.
Numbness or Burning Sensation
Many patients experience numbness over treated areas. A small number report superficial burning pain. This passes over time and everything returns to normal. You may notice some electric tingling sensations which is not unusual and will subside. Most sensory changes go away by 6-8 weeks, if not sooner.
You must not spend all your time in bed. Do normal things around the house, even take little stroll outdoors, grab some fresh air. It’s good for you and takes your mind off the procedure. Remaining active will greatly minimize the risk of deep clots in your leg veins and will help in decreasing swelling.
For the first 3 days keep your walks leisurely. 4 to 5 days later, most people return to work and gradually increase their activities. This varies, though, and depends on the number of sites treated and individual discomfort tolerance.
If you’ve had many areas treated, you may require 7-10 days before going back to work. Usually al athletic activities have to be put on hold for 3 weeks.
Washing and showering
Showering and bathing can begin on the second day after surgery. Have a family member or friend present the first time you take off the compression garment, just in case you feel lightheaded. The small white tapes (called steri-strips) over your incisions should be left on, unless they’ve come off on their own. Don’t be alarmed if they do, as you can cover the incisions with Band-Aid once you have dried off. Wet and soap yourself everywhere, including the tapes and your incisions. Wash the soap off gently and pat yourself dry using a soft towel. Do not rub. Once dry, wear your support garment on, immediately.
If there is a lot of drainage from the incisions, cover them with gauze before putting your garment back on. This daily routine will help keep the incisions clean, and will promote wound healing.
Do not submerge yourself in a bath tub or swimming pool for 2 weeks after the date of your liposuction surgery.
This garment helps prevent accumulation of fluids from the areas that have been liposuction-ed. It decreases swelling and conforms the skin to its new position, maximizing the cosmetic outcome. This garment aids healing while allowing you to see the final results of your liposuction much sooner. Failure to comply with garment instructions will increase the risk of seroma formation and you may not be able to achieve the best results.
Periodically, your liposuction team will inspect the treated areas.
Non-absorbable sutures are removed at 7-10 days. After the sutures are removed, the incisions will heal without any dressing. You can then begin applying a scar cream. Scars will initially be red and a little raised, but over 3-6 months and with the proper care, they usually get lighter in colour and flatten out.
Recovery after Liposuction and lifestyle
In order to maintain those lovely contour changes that have occurred following liposuction, it is important that you change your lifestyle to maintain the body that has emerged. You must become involved in a regular exercise program, starting three weeks after surgery, and eat a healthy, well balanced diet. Walking on a treadmill for 30 minutes at least 3 times per week is a good way to start.
Consult a nutritionist if you need guidance in proper caloric monitoring.
The importance of a healthy lifestyle cannot be emphasized enough. If you neglect exercising and eating right, your liposuction results may not be optimal.
Another important follow up to liposuction are the pre and post op visits, and following instructions.
Any unusual developments need to be reported immediately to your surgeon.
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Liposuction is usually an day care procedure. This means, a patient is free to leave the hospital once he or she recovers from the anesthetic. If very large areas are treated, they may have to stay overnight and go home the day after surgery.
Stitches are removed between 7-10 days after the procedure. Sometimes, when dissolving stitches are used they don’t have to be removed.
Most people feel tender and bruised after surgery, but the pain is manageable. Pain medication is prescribed to make the patient comfortable.For liposuction recovery time, we suggest patients plan to be off work for 2-5 days. During that time they are encouraged to go for leisurely walks. To resume athletic activities patients need to wait for approximately 2-3 weeks after the procedure. The doctor will let them know when they can re-start their sporting activities.Support garments are worn 24 hours a day for 6 weeks. After 6 weeks, they are worn 8 hours a day for another 4 weeks. These garments are worn to reduce swelling and help the skin adjust to the new body shape. Patients are advised to remove them only to shower and wash the garments. Showering is permitted on the 3rd day after surgery. Massaging the treated areas will begin 7-10 days after surgery, to help decrease the swelling quickly and to smoothen out any irregularities. Soon after the procedure, the patient will see red, slightly raised scars. However, 3-6 months later, they get lighter and flatten out.
We have seen good results after 2 month. Shapes can be predictably achieved and liposuction scars are usually well hidden.*Individual Results May Vary.
Your liposuction procedure will require a shorter or longer period of time depending on many factors. The liposuction techniques discussed previously all require varying amounts of time to perform. The size and location of the area of the body that is being reduced in volume are also factors that will impact surgery length. Additionally, the amount of fatty tissue targeted for removal will make a difference. In the end, it is best to discuss this aspect of the liposuction procedure with your surgeon during your consultation in order to receive a proper and personalized estimate.
The incisions are very small, never more than 1 centimeter. A good surgeon takes care and keeps the scars as inconspicuous as possible by placing them within natural skin folds adjacent to the area being treated.
Liposuction is usually performed under General Anesthesia. This type of anesthesia is used to put patients into a temporary unconscious state, thus avoiding any pain for the duration of the surgery.However, smaller areas can occasionally be treated under Local Anesthesia with sedation to help you relax. Local anesthesia is applied to the regions of the body that are targeted for surgical alteration, numbing those regions to pain for the duration of the procedure. An Anesthetist is always present. If you have any particular problems with anesthesia, let your surgeon know.
Liposuction works well in those close to their normal or ideal weight.
This procedure is not a treatment of choice if you already have a complaint of loose skin. But in some cases, liposuction superficially can help in achieving skin tightening
Age and sex are not the decisive factors in liposuction. Except the gynecomastia where you can do the surgery in an age less than 18 years.
Liposuction is not a procedure to reduce weight.