Tuesday, 30 November 2021

Liposuction - Fat Removal Procedure

What is Liposuction

The liposuction in Delhi is a surgical technique that removes deposits of subcutaneous fat excess. To reshape and improve the aesthetics of the body.

Liposuction is a procedure to perform on the areas of the body most prone to the accumulation of fat pads. Such as buttocks, abdomen, hips, thighs and knees.

This intervention is not a simple and fast method to lose weight. But a real surgical intervention, useful for eliminating localized adiposity. Such as resistant to the lipolytic action of diet, physical exercise and any cosmetic and aesthetic medicine interventions (eg mesotherapy).

Liposuction Surgical procedure: the traditional technique (dry liposuction) involves the insertion into the subcutaneous tissue of a thin cannula connected to a suction device which, through appropriate maneuvers by the best plastic surgeon in Delhi, shatters the fat pads (composed of adipocytes, blood, lymph, amorphous substance and other cells). Once the desired result has been achieved, the treated area is bandaged to promote tissue remodeling.

Anesthesia: most liposuction procedures are performed under general anesthesia; the administration of a local anesthetic is sufficient only when liposuction is performed on small areas of the body.

Duration of the procedure: one to 4 hours, depending on how much fat is removed, the removal technique and the number of sites subjected to liposuction.

Post-operative discomfort: variable, mild to moderate, controlled with pain relievers.

Final results: fully appreciable after 4 months (when the postoperative swelling disappears) / one year.

Duration of results: they can be long lasting if the patient maintains a healthy lifestyle, adopting a balanced diet and exercising regularly.



Liposuction techniques

Dry liposuction

In (traditional) dry liposuction the surgeon makes incisions of a few mm, through which the suction cannula is inserted, then quickly manipulated back and forth. 

This vibration, exerted manually, allows the plastic surgeon in Delhi to separate and remove a few kilograms of excess fat and reshape the body contours with precision, particularly on smaller areas, such as the arms, knees or ankles.

Over time, this basic procedure has been progressively refined.

Tumescent liposuction

Developed by plastic surgeons in the 1980s, it continues to be the primary liposuction technique used. The tumescent technique is considered safer than other procedures, as it minimizes blood loss. 

Typically, it is performed under local anesthesia and involves infiltrating adipose tissue with large volumes of a sterile solution containing anesthetic (up to three times the volume of fat to be removed).

The anesthetic mixture (also called Klein solution) contains:

  • Lidocaine, a local anesthetic for pain relief;
  • Epinephrine, a drug that causes blood vessels to constrict. This temporary vasoconstriction reduces any blood loss;
  • Saline solution, to allow easier removal of fat.

Klein's solution is intended to make adipose tissue tumescent (i.e., it causes fat to swell), making cannula aspiration easier and more controlled. 

Although it tends to take longer than other techniques - from 30 minutes (chin and knee) to 4-5 hours (for most affected areas) - tumescent liposuction has the advantage of reducing the risk of bleeding during surgery and post-operative swelling, bruising and pain.

Super moist liposuction

This technique is similar to tumescent liposuction, with the exception that it uses less anesthetic fluid: the surgeon injects a volume of solution equal to the amount of fat to be removed. Although a small amount of lidocaine is sometimes added to the liquid, this technique often requires general or epidural anesthesia. The procedure takes one to two hours to complete.

Ultrasound Assisted Liposuction (UAL)

The UAL technique uses a particular suction cannula, which vibrates very quickly and emits ultrasounds. Sometimes, this procedure is used in conjunction with tumescent liposuction.

During ultrasound-assisted liposuction, the plastic surgeon in Shalimar Bagh uses a particular device above or below the skin, which emits ultrasound energy and breaks down the walls of fat cells, forming an emulsion. The liquefied fat is then removed. Ultrasound-assisted liposuction takes longer than other methods, but is more precise and tends to be more effective at removing fat from fibrous areas of the body (such as the male breast.).

The downside is that it generates a lot of heat, and if the ultrasound cannula is not removed quickly enough, it can cause burns. Laser Assisted Liposuction (LAL) is also based on similar principles to UAL.

Power-assisted liposuction (PAL)

In power-assisted liposuction (PAL), on the other hand, plastic surgeons have a special cannula at their disposal, which uses vibrations to break up fat cells so that they can be aspirated.

The cannula moves back and forth at very rapid speed over a distance of 3-5 millimeters. 

PAL allows you to remove more fat in a short period of time (approximately 40% more fat per minute than manual liposuction), which means the procedure takes less time to perform, providing consistent results and fast recovery.

Risks and Complications

All surgical procedures carry some risk.

Liposuction in Delhi is generally a safe procedure and any side effects are minimized, especially if extremely lengthy procedures or excessive removal of fatty tissue are avoided. 

The possibility of a complication increases if the plastic surgeon in Delhi has to operate on very large surfaces of the body or if multiple procedures are planned during the same operation.

Before undergoing liposuction in Delhi, it is important to weigh the risks and benefits, understanding their limitations and possible complications.

Side effects, unlike complications, are temporary and minor unwanted occurrences, although they can be annoying and painful:

  • Pain, swelling, and bruising: These should gradually subside over the course of a month or two, but can last up to six months.
  • Scars: they vary in size depending on the procedure adopted, and should gradually become less evident over the weeks. For some, a scar can take up to a year to "heal".
  • Numbness: Sometimes it persists for a few weeks.
  • Increase of weight post-surgery.
  • Limited mobility: it will depend on the exact procedure adopted by the surgeon.

There may be various factors that restrict movement for a short time, such as:

  • Need to wear an elastic compression garment;
  • Swelling or pain in areas subjected to liposuction.

How much?

One of the most important considerations about whether to undergo liposuction is the cost of the surgery.

Factors that determine the costs of liposuction include:

  • Areas to be subjected to liposuction and amount of fat to be removed;
  • Experience of the surgeon;
  • Operating room and preoperative laboratory expenses (laboratory tests, anesthesia, etc.);
  • Other related expenses such as compression garments worn after the procedure etc.

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