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What is Liposuction? Why is it applied?
Liposuction is the operation of vacuuming fat out of the undesired parts of the body by the help of thin canullas.
There might be fat accumulation in various parts of our body due to genetic or hormonal reasons or because of weight gain of certain amounts. Liposuction is an effective surgical method in correction of contour deformities that may occur in such parts.
“Liposuction is not a weight-loss operation but a contour correction operation.”
On which parts is Liposuction usually applied?
The most common application areas for liposuction include cheeks and lower chin on the face, and breasts, belly circumference, side parts of the waist as well as back, upper arm, upper outer and inner thighs, and inner knee on the body.
The most common liposuction application areas include correction of breasts called gynecomastia, in and belly and waist circumference in males while waist circumference and hips in females.
In classical liposuction, a special solution is injected to the liposuction area by the help of a thin cannula. That liquid will ensure less bleeding and numb the operation area. Then the fat cells that have been tried to be liquidized will be sucked out by another cannula.
In laser liposuction, there is one more step added. Fat cells are tried to be melted down using a cannula with laser energy on its tip.
In vaser liposuction, in the step added, fat cells are tried to be melted down using a cannula disseminating ultrasonographic sound waves from its tip. It will ensure less bleeding during the operation. Since this operation is more specific to fat cells, the probability to impact nerves will be lessen down, and it is expected to have less loss of sense in the post-operation areas. Less edema is expected, resulting in shorter use of a corset and a faster return to social life. It is an alternative that can be considered especially for patients who want skin tightening while can be used in males to treat gynecomastia or define the lines in front of sixpacks and construct a more muscular abdomen appearance (six-pack surgery), i.e. operations called high-def liposuction. It is also an alternative that can be preferred in patients to undergo arm or jowl liposuction.
Reaching your ideal weight before a scheduled operation is important both to facilitate your operation and get better results following the operation. The point to be considered here in losing weight is to support it not only with a balanced diet but also exercise.
It is required to decide which type of anesthesia will be used for the operation depending on number and amount of the application area. Certain liposuction operations can be performed under local anesthesia while sedation or general anesthesia is preferred in others.
Operation preparations prior to a liposuction operation is similar to the actions needed to be taken before any other operation. If your operation will take place under general anesthesia, necessary blood tests will be conducted prior to the operation. Those tests are usually carried out on an empty stomach in the morning at the hospital where your operation will be performed. Anesthesiologist may require additional tests if deemed necessary. To make this decision, it is highly important if you have a chronic disease or allergies or take any medication. We will ask you all these questions following deciding to perform an operation, and additional tests and consultations can be requested depending on your situation.
Quitting smoking before your operation is very important both for your health and post-operation recovery and scar healing.
You usually stay a night at the hospital following the operation. You will not have too much pain after the operation, and the pain often respond to painkillers. You also usually need to use antibiotics and painkillers for a week after the operation. In the meantime, you will need a daily dressing for 1 or 2 weeks, and then it would be important to use scar treatment creams and tapes to ensure a better improvement in scars. Holes where the canullas enter into the body following a liposuction operation often leave a minor scar, or even a hard one to find over years in some patients.
You will be allowed to take shower a few days following the operation. We also recommend you to use a corset which we will provide for 3-4 weeks following your operation.
Our patients usually return to their daily activities in 2-3 days while it takes 7-10 days to get back to work. We do not recommend our patients who come from abroad or another city to return their home in the said time period.
About 3 weeks after the operation, sometimes we recommend treatments by medical massage devices both to accelerate recovery and mitigate and prevent any unsmooth look on the operation area.
Complications that may arise after the operation are usually similar to those that may occur after any operation and roughly include bleeding, infection, stitch reactions. Temporary bruising, swelling, loss of sense, sensitivity, pain or sense of burn can be seen on the operation area.
Fluid accumulation or excessive fluid or blood loss can develop in the body, and embolism and consequently coronary or lung failure may develop in case the fat under the skin moves to another part of the body. Injuries can be seen in internal organs or tissues under the operation area.
Skin injuries, infection, asymmetries in the operation area, fluctuations, skin wrinkles, collapses, or sagging, or pigmentation changes can be seen.
As in any operation, there are limitations to this operation too. I usually do not prefer liposuction more than 4-5 liters considering age, weight, and health condition of the patient. The more the fat amount to be sucked in one session is, the higher the risk of complications that may occur during the operation is. Remember that liposuction is a not an operation to lose weight but to correct contours. Taking liters of fat out of a patient at a time would not correct the contour but rather can lead to undesired outcomes. In this context, it should be noted that brachioplasty, abdomen lifting, thigh reduction, jowl or face lifting operations can also be needed following or during this operation.