The principle is based on the introduction of thin tubes to the inner layer subcutaneous fat, through small incisions in the skin. These tubes are hollow and have holes in their tips, which allows the fat to be sucked by the negative pressure applied. Despite the apparent simplicity of a procedure that leaves virtually no major scars, liposuction is a surgery that deserves attention and care by the medical team, which should be fully familiar with the technical aspects of implementation and post-operative care. The surgeons affiliated with the Brazilian Society of Plastic Surgery perform liposuction after completing two years of residency in General Surgery and three years of residency in Plastic Surgery, with constant use and theoretical evaluations of surgical skill. Is important to check the website www.cirurgiaplastica.org.br if the doctor belongs to this society. We call hidroliposuction an ineffective treatment for the abdomen and which has brought significant sequel, seen in our day to day basis, and based on that we do not use it nor recommend this technique. Liposuction may be an excellent ally in the quest for a more appropriate body contouring. Usually we use ultrasonic liposuction and vibroliposuction to improve our procedure. We tend to treat the abdomen in three dimensions, combining abdominal wall liposuction with the liposuction of the waistline and back, this type of technique has brought us excellent results with patients who may even decrease up to 2 sizes in their clothing.
To obtain an excellent result in liposuction should have realistic expectations about what benefits the procedure can bring. Liposuction is a procedure for men and women who have relatively normal weight but have localized fat deposits that do not respond to diet or exercise. The closer is the ideal weight and firmer skin the best results. Liposuction is recommended for areas where there are accumulations of fat, and for legal determination of the Federal Council of Medicine, is only possible to remove up to 7 wt% and 40% of body surface. For instance, in a 70 kg patient can remove about 5 liters of fat during the procedure and perform liposuction in the abdomen, waist, back, inner thighs, legs and arms if necessary. Age is not an impediment to this procedure, however we must warn that older patients tend to have less skin elasticity and may not achieve results as good as younger patients. There is no correct age, but the ideal opportunity which is determined by the appearance of the defect to be corrected, as well as favorable clinical conditions. Candidates of almost all ages can benefit from this procedure, since their skin is elastic enough to retract. Patient with sagging skin may have to undergo a combined procedure, which involves resection of skin. Patients with depression in the body can benefit from liposuction. Fat can be injected to improve the contour.
The objectives of liposuction / liposculpture basically consist of modifying the accumulation of fat in the treated areas making the treated area more beautiful and in harmony with the rest of the body. Can be used alone or in conjunction with other plastic surgery.
Incisions are often placed in difficult viewing and usually have a length of about 0.6 cm. All care will be taken that these incisions are placed in less visible area, and become discrete lines and virtually imperceptible over time.
Approximately 120 minutes.
Ambulatory 12-24 hours after the surgery.
Epidural with sedation.
Temporary pain is usually treated with simple analgesics. Swelling, temporary decrease of the sensitivity of abdominal skin and bruising.
Compressive garment used for two or three weeks, light physical exercises can be performed 5-7 days after the procedure and heavier exercises about 3-4 weeks after surgery. Patients usually complain of tenderness to the touch on the first day, this question is subject to wide variation, since the threshold of pain can vary significantly from one person to another. If there is any greater discomfort the conventional medications will be sufficient to solve the problem, always with the appropriate knowledge and doctor’s prescription. The swelling is usually intense during the first 2 weeks, when rest is essential. Red or purple stains usually settle around the operated areas, usually persisting for one to two weeks. The stitches are removed between the fifth and eighth days after the procedure. Edema improvement should occur within the first month, after which there will be a residual swelling with areas of rigity and irregularity, which may persist for some months, without preventing the patient to carry out its daily social activities. Techniques of lymphatic drainage and massage therapy as well as external ultrasound may be useful in this post-operative recovery.