Practo Review

Liposuction

Liposuction in India is a popular surgical procedure for removing fat from particular areas of the body. If you are considering liposuction surgery its very important for you to know if you will be suitably benefitted by this surgery.

There are three main categories of people who seek best liposuction surgeon India.

Category I: People with Nearly Normal Weight

Contrary to common perception these are the best candidates for liposuction.

Ideal candidates for liposuction in India:

  • Men and women of normal weight who mainly want to improve their body shape and contours.
  • People with fat deposits that are “trouble areas”, where exercise and diet seem not to have any effect, like love handles, abdomen, hips, arms.
  • People with good elasticity in their skin, so when the fat is removed, they will achieve a smooth appearance.

Safety: Safe Results: Permanent

Category II: Moderately Overweight

Those who are 10 to 50 percent above their normal weight, with fat everywhere but relatively excessive in one or two body parts like hips, abdomen, thighs. These body parts can be selectively liposuctioned to bring in harmony with rest of the body.

These people seek liposuction because they are unable to get back in shape with their diet and exercise or they have a short-term slimming target in a few months for some important event.

Safety: Liposuction of fat from one or two areas at a time with limited fat removal is safe.

Results: Results will need to be maintained. If the basic reason for weight gains like unhealthy diet and sedentary lifestyle remain then the fat is bound to reaccumulate. Results are long lasting and can even improve if a person adopts a healthy lifestyle.

Category III: Grossly Obese Those who are 30 to 100 percent or more above their ideal body weight are not good candidates for liposuction. These people have bulges everywhere, and sometimes they suffer from obesity-related conditions like high blood pressure, diabetes, and hypercholesterolemia. They want liposuction for weight reduction. This group does not benefit from liposuction even though liposuction is possible.

Safety: Liposuction is not meant for losing weight from the overall body. Expecting to lose more than 6 to 7 kgs of weight by liposuction can be risky.

Results: Poor, because the limited amount of fat that can be removed in one sitting will not give a satisfactory look. Unless they change their lifestyle drastically fat will come back.

Procedures

  1. Anaesthesia: General / Local
  2. Surgery Time: 1-3 hours
  3. Hospital Stay: Discharge same day or next day
  4. Stitches: Usually none
  5. Recovery: Walking and dinner same day. Recovery depends on how much fat was removed and from which part
    • Self Care: Getting dressed, combing hair, eating: Day of surgery
    • Preparing tea, heating food: Next day
    • Work: Cooking, dusting, light household work: 1 week
    • Driving, desk job: 1 week
  6. How is it Done: Areas of fat deposits are marked. After giving anaesthesia, those a few 3 to 4 mm size cuts are made around the area, and tumescent fluid is injected into the fat through the holes. Later with hollow metal cannulas (tubes) with holes near the tip are passed through the same holes into the fat (Under the skin and over the muscle). The cannulas are attached to a liposuction vacuum machine through a plastic tube. Due to the powerful suction of the machine and to and fro movement of the cannula, fat is broken down into small pieces and is sucked out into the jar attached to the machine in liquid form

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Liposuction

FAQ

Usually 18 years. Old age is no bar if the patient is fit for surgery.
Areas of fat deposits are marked. After giving anaesthesia, a few 3-4 mm size cuts are made around the area, and tumescent fluid is injected into the fat through the holes. Later with hollow metal cannulas (tubes) with holes near the tip are passed through the same holes into the fat (under the skin and over the muscle). The cannulas are attached to a liposuction vacuum machine through a plastic tube. Due to the powerful suction of the machine and to and fro movement of the cannula, fat is broken down into small pieces and is sucked out into the jar attached to the machine in liquid form.
    Commonly treated areas are:
  • Cheeks, jowls and neck
  • Upper arms
  • Breast or chest areas
  • Back
  • Abdomen and waist
  • Hips and buttocks
  • Inner and outer thighs
  • Inner knee
  • Calves and ankles
Silicon gel implants are made of Solid silicon outer shell and are filled with cohesive gel. Due to wear and tear over years thus outer shell may become weak and inner gel may protrude out. Older implants used to have thinner gel, and that leaked around the breast tissue. The modern cohesive gel is like pudding and does not run like liquid. The body forms a capsule around the implant. In the case of leakage, gel stays inside the capsule and can be removed easily without any spread in the breast or body.

ASAPS (American Society of Aesthetic Plastic Surgeons) and several other world authorities recommend fat removal equivalent to 5-8 percent of body weight as an upper limit. That means five kgs can be safely removed from a 60 kilos person and 8 kilos from a 100 kilos person.

Removal of more fat is occasionally done if the person is perfectly healthy and is willing to accept higher risk. This can be done only in a hospital with ultramodern support systems.

Liposuction of 500 ml or more fat is a major surgical procedure and is safe when done by a qualified person in a hospital with good anaesthetic and ICU facilities. In the absence of the abovementioned, even smaller liposuction can be risky.

The small 3 to 4 mm cuts used for liposuction are made in hidden areas. Therefore scars are not a big concern. A spot like marks lightens with time.
Fat is superficial, and liposuction is relatively safe surgery. Bleeding, infection and reactions to anaesthesia are some risks common to all surgeries. Uncommonly there can be asymmetry, depressions, waviness, pigmentation prolonged numbness after surgery. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.
The amount of fat Removed: Fat removal within 5-8 % of body weight in a single sitting is considered safe. Person’s Health: In people with diabetes/hypertension and other risk factors more precautions are required. Training of Surgeon: Qualified plastic surgeon trained in liposuction is recommended. Hospital Facilities: Complete monitoring is recommended. Larger the liposuction more the facilities needed, including ICU facility in the hospital.

Liposuctioned parts are covered in padding for two days. Liposuction holes are left open usually, and there is a discharge of bloodstained fluid which is soaked by padding. If needed you can change the padding. You will be wearing a stretchable tight garment on the operated part. Your dressings will be changed after two days in the doctor’s clinic. You can have a shower from the 4th day after surgery and can remove your dressings and wash your whole body. You will be given instructions about self-dressing at home after bath everyday. Initially, you will notice liposuctioned part to be swollen and sometimes with black and blue patches. The liposuctioned part may also feel numb and tender. You will wear a support garment for 4-6 weeks until the swelling and discoloration diminish. There are no stitches.

  • Normal Food: Same day
  • Dressing Change: After 48 hours
  • Bath: 4th day
  • Pain: 1 week (Relieved with Painkiller Medications)
  • Self Dressing: For ten days
  • Skin Discoloration: 2 -3 weeks
  • Swelling: 1 month
  • Tenderness: Mild for 1-2 months
  • Support Garment: 6 weeks or more
  • Numbness: weeks or months
If you had any bulges showing through your clothes they flatten and your body looks streamlined. You can get a flat abdomen if your abdominal muscles are strong. You will loose inches at the liposuctioned part, and the rest of the body will remain the same. You also loose weight equivalent to or less than the amount of fat liposuctioned.
Liposuction cuts are few and small and heal in a week, but internal healing after liposuction goes on for months. The fat that is broken and removed is gradually replaced with tough fibrous tissue which shrinks over next 3-6 months. The improvement in inches is nil in first two weeks, 30-40 percent in one month and 90 percent in 3 months and 100 percent in 6 months.
  • First 15 days: Tenderness, numbness, swelling, bruising and no significant improvement in your size. Soreness of muscles on movement.
  • 15 days to 1 month: Clothes become looser, skin looks normal in colour, you can feel hardness and lumps if you press the liposuctioned part. Numbness persists. During this time you may feel occasional discomfort and pain, especially after exertion. You can take care of that by a painkiller pill and rest.
  • 1 to 6 months: Numbness, hardness gradually returns to normal. Further reduction in inches and size up to 6 months provided you maintain a healthy lifestyle by regular moderate exercise and healthy diet.
You should wait for at least six weeks.
Scars can be improved by anti-scar creams, gels prescribed by your doctor.

Results are permanent if you maintain your body weight by sensible lifestyle.

Click here to view the article on maintaining liposuction results.

You will return to the clinic for follow-up care at prescribed intervals, usually two days, two weeks one month and three months later. At these visits, your progress will be evaluated, and minor problems are taken care of. You are not charged for follow-up visits after surgery till one year.

Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery or need additional information at a later time, you should contact Dr Priti.

Injection lipolysis technique uses a chemical substance which can be injected into the fatty deposits and is said to dissolve fat. Only very small fatty deposits can be treated by this, and multiple sittings are required. This technique is not as popular as liposuction due to its limitations.
Such machines have recently come into the market, but their results are not proven. Multiple sittings are required.
Ultrasonic liposuction cannula emits ultrasound waves. Which helps in breaking down the fat. Currently, this equipment is out of vogue because of increased complications reported with its use.
In tumescent liposuction, a special fluid is injected into fat before sucking it out. Advantages are less bleeding and easier liposuction. It can also be used to give local anaesthesia. Modern liposuction always involves the injection of fluid before liposuction.
Even though liposuction cuts are small and there are no stitches, liposuction is in every other way like any other major surgery. Removal of fat causes trauma to tissue under the skin in the area liposuctioned and that part takes the time to heal from inside. Liposuction is usually done under general anaesthesia. Even if liposuction is done under local anaesthesia it is not a minor surgery.
You can go home after surgery. You will have an elastic garment on your arms which you will have to wear for a month. It can be hidden inside long sleeves. You can join back work light in 4-7 days. Swelling disappears in 4-6 weeks. Arm exercises can be done after one month.
Skin quality can be assessed before surgery. If the skin has reasonably good tone, it will shrink. Special cannulas and techniques can be used to minimise the risk of sagging. If there is sagging and stretch marks already and if you are older with thinner skin, there is a chance of sagging. If sagging occurs, then three months after liposuction, excess skin can be removed through a cut in the armpit.
An arm lift is sometimes needed for sagging arms after massive weight loss. Liposuction alone will not help because there is excess skin, which is removed through a cut in the armpit or down the arm.
You can go home after surgery if the fat removal is limited. You will have an elastic garment on your thighs which you will have to wear for a month. It can be hidden inside trousers. You can join back work light in 4-7 days. Swelling disappears in 4-6 weeks. Leg exercises can be done after one month.
A thigh lift is sometimes needed for sagging thighs after massive weight loss. Liposuction alone will not help because there is excess skin. Thigh skin is lifted up and removed along with liposuction.
Yes, liposuction can help you achieve your goals without visible scars.If you are over 40 and have a lot of loose skin, you may require skin tightening as well facelift.
You can go home after surgery. You will have elastic chin strap which you will have to wear for a month. You can join back work light in 4 to 7 days. Swelling disappears in 4 to 6 weeks.
There is a very small risk of injury to certain branches of facial nerve resulting in temporary drooping of the lower lip. This is uncommon and usually temporary.
By liposuction, fat deposits can be removed, and if you continue to maintain your present lifestyle, the result will be permanent.
After childbirth usually, there are stretch marks and skin as well as the muscle of abdomen begin sagging. There is excess fat too which can be removed by liposuction. You will need to get the excess skin and muscle tightened by additional tummy tuck procedure if you want the best results.
If the very small amount of fat is removed from an obese body, the difference is unlikely to be noticeable. Also if the person’s lifestyle is unhealthy- no exercise, excess food, then he may not maintain results. All this can be assessed before surgery and removal of an appropriate amount of fat from the right places is very important.
Your condition is called gynaecomastia where your breast gland is enlarged. Liposuction can partially reduce the chest, but usually, additional removal of the firm gland is required by gynaecomastia surgery.
Breasts are not pure fat. There is harder gland part also which can not come out in liquid form through liposuction cannulas. Therefore only small reduction is possible by liposuction. You should consider the option of breast reduction surgery.
Liposuctioned fat can be injected elsewhere. Silicon Breast Implants are the most reliable and safe method of breast enlargement, and that is always the best option. The second option of fat injection is not very popular because all the fat that is injected does not survive and the ultimate size may be smaller than you need.
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