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cosmetic_surgery by Edward Latimer-Sayer
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list of operations > suction lipectomy (Liposuction) camera before and after

Suction Lipectomy (Liposuction)



What does it try to accomplish?

The removal of unwanted, localised pads of fat in patients who are otherwise the shape and size they want to be. It is not a treatment for obesity. There is a limit to the amount of fat that can be removed at any one time. The result is dependant on the skin being elastic enough to take up the slack over the treated area. If the skin tone is poor the patient may well be unsuitable.

Ultrasonic lipectomy might be useful in such cases because it can help to shrink the skin. Irregularities in the area, such as typical of cellulite, are not generally improved by liposuction, and it can make them worse.


How is it done?

A long thin metal tube is pushed into the fat and powerful suction is applied to draw it away. With ultrasonic liposuction an ultrasonic (high frequency) sound wave is passed down the tube and helps break up the fat. This makes the procedure less traumatic and has the great benefit of increasing the skin retraction over the treated areas, thereby allowing the operation to be performed on patients who might be too old for conventional liposuction.


How long does the operation take?

About an hour or one and a half hours depending on the extent of the areas treated.


How long is the stay in the clinic?

Overnight, or day case if only a small amount of fat is removed.


What type of stitches are used?

 


How long are they left in?

 


What type of dressing is used?

Sticky tape dressing supported by some sort of elasticated garment.


How long is it left on?

Five days for the tape, up to four to six weeks for the elasticated garment (support tights).


Is there any bruising?

Can be very severe and dramatic but is usually not so.


Is there any swelling?

There is always some swelling - the amount is rather variable. Gross swelling is unusual.


What pain will there be?

This is not usually a painful procedure. There will be some discomfort.


Where are the scars and how bad are they?

There will be a series of small scars near to the treated areas. They are usually short and inconspicuous.


How long does it take to recover?

Most patients can go back to work at about ten days or so, and it is possible to generally see some benefit from the operation at about two weeks.


When is the final result seen?

The result can slowly improve for up to a year.


How long does it last?

Permanent. The fat cannot come back, but if the patient gains a lot of weight after the operation the treated area is likely to become lumpy and uneven.




Common Complications
Early: Severe bruising and/or collections of blood or fluid in the treated area can occur. Asymmetry and irregularities are common during the healing phase. The small scars may be obvious until they are mature.
Late: Dents, ripples and irregularities are occasionally seen.
   
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