LIPOSUCTION/LIPOSCULPTURE... CAN IT BE USED INSTEAD OF GOING ON A DIET?? ARTICLE 2 OF 5

Angelina Cooper, The well know Cosmetic Surgery Consultant providing answers about Liposuction Surgery. Find all you need here.

ARTICLE 2 OF A 5 ARTICLES SERIE

21)       Can Liposuction/Liposculpture be used instead of going on a diet?

Liposuction/Liposculpture is not a procedure for loosing weight, but is used for remodeling the body, eliminating accumulations of fat. The fat does not weigh very much and after a considerable aspiration you only lose a few kilograms.

22)       Is it better to go on a diet before having Liposuction/Liposculpture?

It is useless to go on an extenuating diet before having Liposuction, and then in the following months to put on weight. We recommend that our clients have the surgery when they think they have reached the weight they can maintain. In most cases, however, after Liposuction, a series of psychological mechanisms are set in motion which lead clients to be more careful about the way they eat and in taking care of their bodies, so that in the months after surgery, they often experience weight loss and an improvement in their physical condition. These conditions boost the effect of the modeling and firming up of the tissue of the superficial Liposculpture, giving a result which is often greater than expectations.

23) Can Mesotherapy eliminate cushions of fat?

Mesotherapy does not usually have any effect on cushions of fat. This type of treatment is none other than a way to convey thropic-effect medicines to fatty. It may also have some effect on lipodstrophy, but the therapy has to be followed with perseverance – it is never definitive. Generally, it is not recommended. For some reason, Mesotherapy changes the texture of the fat deposits making its removal through Liposuction a much harder task.

24)   Many argue that a local anesthetic is safer than a general (or total) anesthetic. Why?

Local anesthetic is safe if the dosage is not excessive. When the area to aspirate is extensive, the high doses of local anesthetic required are toxic and may cause serious complications. In these cases, a general anesthetic (by inhalation) guarantees the best results, reducing risks to a minimum. In any case now the client can return home after the surgery.

25)       On what basis is the decision made to operate under local or general anesthetic?

The decision depends mainly on the number of areas to be operated on, the amount of fat to be removed from each single area, and on the weight of the client. The dose of anaesthetic varies according to each case. Most procedures (of a small or medium entity) can, nevertheless, be performed in a hospital under local anaesthetic with sedation. If the fat to be removed is over 2.5 liters, the advisability of operating under general anaesthetic will be considered.

26)       Some argue that to obtain good results, Liposuction/Liposculpture should be performed under local anesthetic with the client in a standing position so that the fat cells to be removed can be seen better. Is this true?

The cosmetic surgeons in most clinics do not agree. With Liposuction/Liposculpture, it is not always possible to keep a client standing up: blood pressure tends to go down and they could faint. The surgeon must evaluate this. Furthermore, with advanced techniques like superficial Liposculpture, after the fat has been removed – and if you are still on your feet – the skin appears to be sagging. The result looks terrible and completely different from the final outcome of the modeling and compressive medication carried out by the surgeon.

27)       What is a local anaesthetic with sedation?

Local anaesthetic with sedation involves the intravenous administration of drugs which diminish or nullify the discomfort related to surgery. It involves substances that are anxiolytic (for reducing tension), hypnotic (for making you sleepy), analgesic (for killing pain). Finally, some substances induce amnesia (you do not remember almost anything about the surgery). If the client so wishes, it is, nonetheless, possible not to have any sedation.

28)       What are the possibilities of having Liposculpture on the calves and ankles?

Lipoaspiration of the calves and ankles is possible and, if the conditions are right, you can achieve good results. If the volume of the calves is caused by muscles and tendons or bones, very little can be done. Water retention is not a contraindication but, after the procedure, it may continue and, therefore, affect the validity of the end result. In this region, post-operative swelling lasts much longer than in the other areas (6 months to a year). For this reason, it is advisable to have the surgery in the winter months and then have Lymphodrainage treatments.

29)         If you have problems with your circulation, can you still have Liposuction / Liposculpture?

Yes, the surgery can be performed in most cases with a good outcome, both aesthetically and physically. The type of surgery must, however, be analyzed during the course of the consultation.

30)       Is it necessary to stop taking the pill before Liposuction?

It is advisable but not obligatory. Women who take the pill need to take a course of anticoagulant drugs (deriving from heparin), as preventive medicine, both before and after surgery.

31)          What is the degree of risk with Liposuction/Liposculpture? Is it true that they are now considerably less?

The risks of Liposuction/Liposculpture in healthy people are those common to all surgical procedures (reactions to the anesthetic, infections, etc.), but complications are very rare. It is, however, necessary to operate with the proper precautions: suitable clinics, assistance with the anesthetic even in procedures performed under local anesthetic, and the use of a general anesthetic in more extensive Liposuctions (giving too much anesthetic risks being toxic). The swelling technique and the use of fine cannulas guarantee the best results with very little bleeding.

32)       Isn’t there the risk that, where the fat has been removed, the excess skin will sag?

Yes, there is the risk that, where the fat has been removed, the excess skin will sag. However, for this reason, the Cosmetic Surgeon in many clinics prefers Superficial Liposculpture, which – apart from reducing the cushion of fat – increases the skin tone. Moreover, the surgeon has to take into account, at least generally, whether the skin will be elastic enough to adapt to its new condition. Many plastic surgeons prefer thick cannulas because they can remove the fat with less effort. However, many cases have demonstrated that better results are attained with fine cannulas. Additionally, using fine cannulas also assures for less bleeding.

33)          What is Lymphodrainage?

Lymphodrainage (LPG) is a special massage which aids in the re-absorption of pre- and post-operative swelling, thereby speeding up recovery. It can also be performed – with a great many advantages – with the LPG-Endermologie method. It must be done by expert personnel who have taken special courses.

34)          After Liposuction/Liposculpture, is it indispensable to have Lymphodrainage?

Lymphodrainage speeds up recovery and the swelling goes down much sooner. It is not indispensable, but it is, nonetheless, fundamental. Lymphatic Drainage is strongly recommended for all types of Liposuctions and Abdominoplasty procedures (tummy tuck); it makes a big difference.

35)          How long after the Liposuction procedure can I return to the gym?

The pain is usually bearable and can be alleviated with analgesics (pain killers). It is subjective and varies according to the individual and the extent of the surgery. You can start walking immediately and resume sporting activities after 3 weeks according to your case and the type of sport involved.

36)         How long after giving birth can you undergo Cosmetic Surgery?

The time that should pass after a birth before undergoing Cosmetic Surgery varies and depends on both, the kind of surgery and the general condition of the client which may be different according to the case. With regard to Liposuction, the procedure can be performed after 3 months if you are not breast feeding.

37)         In what period of the year is it best to have Liposculpture?

Even though the surgery can be performed at any time during the year, it’s preferable the procedure is performed during the cold months because the client should not be exposed to the sun for at least a month post surgery. Also, when it is hot, it is uncomfortable to wear a compression garment. If these factors cause no problems, Liposuction/Liposculpture can also be performed during the summer.

FACIAL LIPOSUCTION

38)       What is a Facial Liposuction?

Facial Liposuction removes fatty deposits from specific areas of the face such as the under chin, neck, and jowls. Facial Liposuction rids patients of these excess fat deposits that make them look and feel older. A safe procedure with dramatic results, Facial Liposuction has helped thousands of people look and feel younger and more attractive.

39)       How is face, neck or under chin Liposuction performed?

Facial Liposuction is most often performed with a micro-cannula using a Tumescent technique that involves injecting fluid into the targeted area while suctioning the fat out. In some cases, Liposuction of the chin, neck, and jowls, as well as other facial Liposuction procedures, can have better results in these problem areas than other surgical techniques. Facial Liposuction can also be more desirable because it minimizes scarring when compared to other surgical techniques. Facial Liposuction is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.

40)       Who is a good candidate for Facial Liposuction?

The best candidate for Facial Liposuction is someone who wishes to remove bothersome pockets of fat, but is within 30 percent of their ideal body weight. Age is not a major consideration in Facial Liposuction procedures, but those with more elastic qualities in their skin can expect to experience better results. For those who do not have elastic skin, other procedures such as a Face Lift can tighten the skin after fat has been removed using Liposuction techniques. The best way to determine if you are a candidate for chin, neck, jowl, or any other type of facial liposculture procedure is to speak with an experienced cosmetic surgeon.

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