Indications for liposuction
There are no special medical indications for the mechanical removal of fat from the body. The only indicator is
the
patient`s desire to become slimmer and more attractive. Of course, it`s better not to get fat. But if this has
happened, and there is no desire (or time) to gradually lose weight in the gym, then the shortest way is to a
plastic surgeon.
With the help of liposuction , it is removed:
- cellulite;
- gynecomastia;
- subcutaneous lipomas;
- bryli and the "second" chin;
- local fat deposits on the buttocks, abdomen, sides, arms and thighs.
However, not every fat can be removed with liposuction. There are several types of obesity.
-
Subcutaneous fat. It is also called superficial. It spoils the shape of the figure, is localized in women on
the
hips, buttocks, around the waist and on the tummy. It is not difficult to remove such fat. Operations have
been
performed all over the world for a long time and without complications.
-
A deep layer of fat. It is located under the muscle tissues and is most often not operable. The way out is
strict
nutrition and sports training.
-
Internal fat. If you`ve ever butchered a chicken, you`ve probably met dense lumps around the liver, stomach,
and
lower abdomen. A classic example of internal fat is the "beer" belly in men. It is possible to "get" the
problem
only operationally during a serious abdominal operation.
-
Morbid obesity should be singled out separately. This is a life-threatening phenomenon, most often
associated with
hereditary dyslipidemia. In morbid obesity, body weight is increased by more than 50% compared to its ideal
values.
Items from the second to the fourth are the subject of a separate analysis and are not treated with liposuction.
Our
article is about the first type of fat and ways to get rid of it quickly.
For the record. Liposuction is not included in the list of free operations under the CHI policy. This means that
it
can only be done on a paid basis. However, for the severe stage of obesity, which is a consequence of type 2
diabetes mellitus, as well as for people with morbid obesity, when the body mass index (BMI) is ≥40 kg/m2, the
state
medical insurance fund guarantees payment for bariatric operations.
Liposuction. Resolution: "Refuse"
Let`s make a reservation right away that not everyone, even with the first type of obesity, is shown
liposuction. If
the patient has become fat against the background of diabetes mellitus, hypothyroidism or other diseases of the
endocrine system, no doctor will undertake the operation.
What else is a contraindication:
- vascular diseases;
- heart failure and other heart defects;
- high blood pressure (hypertension);
- non-coagulability of blood;
- chronic liver and kidney diseases;
- pregnancy, breastfeeding;
- the presence of a pacemaker;
- oncology has been diagnosed.
Liposuction is contraindicated for young people under 18 years of age. At this age, the body is still being
formed,
the hormonal background is unstable, the metabolic processes are adjusted and fat deposits can be eliminated
with
the help of a diet and a gym.
It is impossible to undergo fat pumping operations and some areas on the body. Due to the density of blood
vessels
and nerve nodes located in them, the front part of the thighs, lower leg, back to the lower back are not
suitable
for lipomodeling.
Liposuction is an operation for local correction of body lines, removal of excessive fat. Most often, the
abdomen,
thighs, shoulders, and neck liposuction.
Let`s list the currently known species.
The main difference between the surgical methods of removing fat deposits is the method of destruction of
adipocytes
(fat cells).
Classical liposuction
The principle of this medical procedure is a simple suction of deposits from under the skin by vacuum. An
incision
is made over the local fat deposit, a cannula is inserted into it and a vacuum device is turned on. The doctor`s
movements resemble cleaning with a vacuum cleaner. The doctor fan-shaped manipulator drives, instead of dust and
debris – fat.
The operation is painful and is performed under general anesthesia. Internal tissues are seriously damaged. The
rehabilitation period is 7-10 days. Bruises and swelling after surgery are normal. A complication is considered
to
be local seroma (accumulation of fluid), the formation of a bruise or cyst, increased hyperesthesia. A serious,
but
extremely rare (1 case per 5 thousand operations) complication is considered to be a fat embolism, when the fat
destroyed under the skin of the patient enters the circulatory system.
Tumescent liposuction
It is considered a kind of classic. However, there is one caveat. Klein`s solution (saline + lidocaine +
adrenaline)
is injected into the local fat layer. The liquid is named after its inventor Jeffrey Klein (an American
dermatologist). Under the action of the drug, fat undergoes destruction and is more easily sucked out by vacuum.
Doctors assure that tumescent liposuction is less traumatic than classical.
Syringe liposuction
The same type of vacuum, but instead of the device, a syringe with a cannula is used. The volume of pumped fat
during syringe liposuction is significantly less. This method is most often used for cervical liposuction,
correction of the second chin or on the face.
Ultrasound liposuction
Fat is still removed by a vacuum device through incisions with an inserted cannula, but its preliminary
destruction
under the skin occurs with the help of an ultrasonic wave. The technique is not applicable when removing belly
fat
in nulliparous women.
Radiofrequency liposuction
RF liposuction (RFAL) is a minimally invasive method of getting rid of local fat deposits. Another incision,
another
cannula. Destruction of adipocytes occurs under the influence of a closed thermal field. The RF wave is fed from
a
special manipulator through the surface of the skin. A special gel is used to avoid burns. Radiofrequency
liposuction is an alternative to ultrasound if it is contraindicated for some reason.
Vibration liposuction
The main difference between the vibration technique and the others is that the suction arm moves automatically,
almost without the efforts of a doctor who only sets the direction. The vibration frequency of 6 thousand
translational movements per minute is inaccessible to human capabilities, but the device does an excellent job:
it
breaks down fat deposits and brings them out. The technique is best suited for working in large areas. For
example,
liposuction of the abdomen, how much fat can be removed as much as possible? The answer is impressive – up to
five
liters per session.
Laser liposuction
The destruction of fat cells occurs under the influence of a laser. A thin probe is inserted into a small
incision
on the body, through which a directed beam of light destroys fat cells. Emulsified fat (aspirate) is excreted
through a cannula.
Comparative table of pros and cons of operating techniques
Types of liposuction |
Positive |
Minuses |
Classic |
The maximum possible removal of fat in one operation is up to 10 liters
Relatively inexpensive price
|
It is considered one of the most traumatic liposuction
Use of general anesthesia
Long recovery period
|
Tumescent |
The ability to remove up to 5 liters of fat
Relatively short recovery period
Inexpensive price
|
Quite traumatic, although less so than the classic
Complications in the form of bruises, bruises and bruises
|
Syringe |
The possibility of spot work on a small area
Blood vessels are not damaged
Performing surgery under local anesthesia
Suitable for people with thin skin
The possibility of instant use of the patient`s own fat to correct local cosmetic deficiencies
|
No more than 0.5 liters of fat is pumped out as much as possible
Is a narrowly focused operation
It requires high precision and skill of a plastic surgeon
|
Ultrasonic |
Up to 5 liters of aspirate is pumped out
Lower risk of bleeding, swelling and hematomas
Lack of general anesthesia
|
It is not used on the abdomen of unborn women, and also requires a comprehensive examination of internal
organs |
Radio frequency |
Minor risk of bleeding
Lack of general anesthesia
|
No more than 4 liters of fat is pumped out per session
Significant heating of the skin, burns are possible
|
Vibration |
Up to 5 liters per session
The surgeon puts less physical effort, concentrating on controlling the passage of the operation
Fast healing
|
Unacceptable for work in the face area
Noticeable irritating vibration
A significant price tag for the procedure associated with the cost of a large, complex and expensive
device
|
Laser |
Impact accuracy
Quick result
Low traumatism, absence of hematomas and bruises due to "sealing" (cauterization) of blood vessels
during
surgery
Reduced rehabilitation period
|
The maximum amount of fat removed is not more than 500 ml
The high cost of the equipment, which affects the price of the procedure
Strong dependence on the qualifications of the surgeon
|
Of course, the choice of one or another operation should be made only after a comprehensive examination of the
body,
and the doctor`s opinion should be decisive.
Summing up the analysis of operations to get rid of fat, it should be added that the most effective liposuction
will
be the one that is at the junction of techniques. For example, laser combined with vibration or vibration
combined
with tumescent. Binary and complex methods allow you to remove up to 30% more fat.
And one more important circumstance that should be taken into account. Often the extracted fat can be used for
lipomodeling and lipofilling. That is, by removing something superfluous in one place, you can use natural
material
to correct the missing. The patient`s own fat, unlike filers, is not rejected by the body.
Non-surgical types of liposuction
The story about liposuction will be incomplete if we do not briefly dwell on non-surgical techniques. Agree, not
everyone is ready to lie down on the surgeon`s table for the sake of ten extra pounds. Start.
-
Ultrasonic. Not to be confused with the operating room! The protocol of the procedure also includes the use
of an
ultrasonic wave, but everything goes without disturbing the skin. A high-temperature ultrasonic pulse is
applied to
a depth of up to 15 mm. On the square of the body, limited by the size of the head of the apparatus, fat
cells are
destroyed, breaking up into water, ammonia, etc. Subsequently, all this is excreted by the body in a natural
way.
-
Injection. A lipolytic cocktail is injected under the patient`s skin using a mesoinjector or a conventional
syringe.
It contains substances that have a fatal effect on the cell membranes of adipocytes. For example, sodium
deoxycholate. The fat cell is broken down into its component parts and is excreted by the body in the usual
way.
Injectable liposuction can only be entrusted to an experienced doctor, who must inject the cocktail
exclusively to a
given depth and exclusively into the local fat deposit.
-
LPG massage. The widely known technique of vacuum roller massage, invented by the French doctor Louis Paul
Gitel and
named by his initials. The device of the same name is a vacuum installation with multidirectional
manipulators that
"capture" a skin area with signs of obesity and mechanically "crush" subcutaneous fat. The destroyed fat is
excreted
from the body independently. The disadvantages of the method include some swelling of the skin immediately
after
mechanical action.
Interesting facts. LPG is actively used as an additional procedure in the rehabilitation process after surgical
liposuction. The technique is also actively used in sports rehabilitation medicine.
Sociocultural phenomenon
Society aggressively dictates beauty standards to us, bringing forward the thin and slender. Meanwhile, the
attitude
towards people who strive for the set standards and have gone through the liposuction procedure is skeptical.
"He`s
divorced, he can`t restrain himself," some will say. "It would be better to go to the gym," others will quip. It
is
because of this attitude that people who have decided on a fat pumping operation try to hide this fact. A
suddenly
built-up body is presented as a result of a trip "to the seas".
With the development of medical tourism, it became possible to really go on vacation, combining business with
pleasure. Moreover, the price tag, which includes, in addition to medical care, a week-long recovery period,
will be
quite humane. Type in the search engine "liposuction of the sides price" or "liposuction of the abdomen price"
and
you will see a lot of offers from countries where such operations are put on stream. In particular, in Turkey,
customers are offered not only women`s, but also men`s liposuction, the price of which is one of the most
competitive in the world.
Therefore, do not postpone your desires for later!
You can find out how much is stomach lipo in Turkey, as well as apply for a consultation on the
website
https://plasticsurgeryturkey-group.com
Question - answer
- What is the full recovery period after liposuction?
The recovery period depends on the method of fat removal and its amount. In addition, the recovery period can be
strongly influenced by the age and physical condition of the patient. On average, bruises and bruises go away
within
a week to a month. All this time it is necessary to wear compression underwear and follow the recommendations
for
the care of damaged tissues.
- What is the maximum amount of fat that can be pumped out in one operation?
It depends on the weight and height of the patient. On average, 2 to 4 liters are pumped out in one operation.
The
maximum recommended volume is 5 liters.
- What should I do if the volume of fat is much larger than that recommended for removal in one operation?
It is necessary to understand that liposuction is, first of all, an operation to correct the shortcomings of the
figure. The so-called fat traps are removed - local deposits. It is not recommended to exceed the volume of 5
liters. It is better to do a series of operations with an interval of six months.