Frequent questions He asks the doctor Beginning  
LIPOSUCTION: PROCEDURE
PLANNING ANESTHETIZES SKILL COMPLICATIONS TO SEE TO CONSULT

PLANNING AND MARKING

With the standing patient it is necessary to mark, with a felt-tip, the areas to be taken control with concentric circles, as if it was a level map, from the areas of less to more accumulation of fat.

ANESTHESIA

Depending on the extension and volume of the liposuction it is possible to realize with local, regional or general anesthesia.

There are skills in which any or dry infiltration is not realized. Then there are several skills that infiltrate whey into major or minor quantity to replace the fat, up to the tumescent skill into which so many liters of solution infiltrate (with anesthetic and adrenaline) like liters of fat it thinks that they go to extract, until the textiles present an even big aspect.

This skill has a few advantages:

  • On having used adrenaline, it diminishes the bled one up to only 8 % of the inhaled volume.
  • The area remains anesthetized for some hours
  • It diminishes the need for wheys since the infiltrated liquid realizes this liquids restoration
  • The liquids infiltration facilitates the step of the cannula along cicatriciales textiles and areas fibrosadas.

    SKILL OF THE LIPOSUCTION

    After the anesthesia infiltration several small incisions are realized not to produce a vale effect with only one incision. With different cannulas bigger for aspiration of deep fat and more kidlings for the superficial fat, there is realized an aspiration and sweep of the area, controlling the inhaled volume that is balanced between both parts of the body, to obtain a symmetrical esthetic result.

    In the end the small incisions are sutured leaving or not a drainage in the area.

    After the intervention a compressive bandage puts itself with flexible blindfold.
    Between 4 and 8 days the bandage moves back, but there is suggested some way (averages or flexible strips) of supporting this compression of the area at least for 6 weeks.

    The final score owes to evaluate in this one 6th week, and the final scores will be seen at the age of 4-5 months.

    COMPLICATIONS

    • Inconveniences in the intervention area, it will be the normal thing more than a complication.
    • The infections that it is always a possibility in a surgery intervention.
    • Appearance of not infectious seroma, fascitis necrotizante, being able to come up to the end of the septic shock in very rare cases.
    • Hemorrhages. There will always be some haematoma for the break of capillaries, but they can be more of waited sometimes. Earlier it was considered that necessary transfundir should bleed if more than 2,5 liters of fat were inhaled, but with the skills of tumescent infiltration already not necessarily or major fat volumes can be extracted. The blood losses it is necessary to consider major if the inhaled area is major, more than only to be fixed in the volume.
    • Own of the anesthesia. Headache, proper cardiac and neurological alterations of the lidocaina.
    • Greasy embolism and the pulmonary tromboembolismo is infrequent but it is considered to be the first cause of mortality by liposuction, can be about 1 of every 5000 liposuctions

    As for the esthetic result, aberrations can appear in the area. It will always be better that they are for defect of sufficient aspiration that it is possible to correct than for excess, which will be of more difficult solution. The finishing touches in 10-15 % of the cases it is considered to be a normal index.

    TO SEE ALSO

    WHAT DOCTOR CAN TREAT ME?

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    • Writing: Medical equipment   Update: June, 2009
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