Liposuction

Through most minimum incisions, is deed the bigger retreat of quantities of greasy tissue with less trauma, providing the bodybuilding , with quickness of recuperation. The best results are obtained when the patient presents fatness located, more commonly in the abdomen, waist, jodhpurs, submentual (neck).

The fatness is "sucked", using narrow tubes: pipes that pierced of caliber, with diameters between 2 and 6 mm., being to his tip in the similar, ogival format the tip of a finger, containing an or more holes in the its lateral one. With that form of narrow tube, reduces itself the risk of mischief to veins, nerves and organs.
Surgeries in big and extensive volume areas have bigger probability of leave irregularities, beyond systemic complications.

The difference between the Liposuction and Lipoescultura is that, in the second one, part of the fatness aspired is used for graft areas in that is been necessary a bigger filling (gluteal, furrows of the face, etc.). The Liposuction should be always treaty as all the surgeries, with all of the cares of sterilization and of anti-sepsia that surround a surgical act.

After anesthesia, small incisions are made (1 to 2 cm of stretch) that stayed hidden in the natural folds of the skin, near to the localities to be aspired.
A composed solution basically by physiological serum to the corporal temperature is infiltrated in the localities to be aspired.
The procedure is started with the introduction of the thin tubes through the small incisions and with they carrying out repeated movements of go and come. Those tubes stayed connected to a device that promotes the vacuum. Like this the thin tubes enter in the greasy tissue and aspire the fatness which way pass.
After aspiration of the quantity indicated, close itself the small incisions through points, the bandage is done (with girdles).

For persons with excess of greasy tissue located.
The liposuction can be carried out in persons that be above his ideal weight, but never in the design of thin them, but barely of withdraw greasy notorieties.

Habitually, the anesthesia is epidural with sedation (intravenous medications that provide the sleep), rarely generaler. Its duration is approximately the time of the surgery.

From 12 to 24 hours, according to the stretch of the sucked area.

Generally there is edema (swelling) and equimoses (purple spots), that finishes in 21 days. It is moderately aching, however controllable with painkillers and habitual anti-inflammatories.
It recommended the maintenance of relative rest by, on average, a week. And to use compressible girdles for 45 to 60 days.
During the 1th month the patient presents noticeable improvement of the swelling, when then passes to realize hardening in the operated area, resulting of the internal scarring.
This hardening improves progressively during the 2th and 3 th month, epoch in the which a bigger shrinkage occurs of the skin.

The complications are the wound, infection, irregularities, the necrosis of skin, the scars. The rates are very reduced, when observed all the prescribed post-operative cares.
The seroma, the most common complication in big liposuctions, is the accumulation of a clear liquid in the region operated, finalist as a "bag of water". In these cases proceeds to the emptying through punctures, with resolution of the problem and without damage of the result.
Graver complications exist, as abdominal drillings, thrombosis and pulmonary problems, anaesthetic complications. Those complications has been less and less frequent with the evolution of the techniques and of the medicine.

Around a month, occurs the reabsorption of big part of the swelling, giving a notion of how the operated area will be.
However, it still will have fibrose (internal scarring) that can leave the region aspired hardened and, sometimes, irregular. She will give up naturally ceasing completely around 4 months.
The utilization of post-operative lymphatic drainage (specialized massages) reduces the swelling, the formation of fibrose and hastens the post-operative recuperation.
The scars are only considered as definite after the 12th month.

1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet should be rich in fibers in small quantities to each meal, for avoid the gastric distension.

2. Positions:
The rest is relative, being bigger in the first day. Subsequently, are just necessary small walks inside home.
Upon sleeping: of belly for top, with a high pillow or cushion under the head and of the knees.
Upon raising itself: with help, avoiding effort (in the first week).
Do not it carry weights, in the first 15 days.

3. Baths:
The bandage surgical will not be able to be wet in the first 7 days, so that the bath in this period should be taken of little shower and with humid compresses.

4. Girdles and bodices:
Should be uninterruptedly used by, on average, 60 days. If necessary wash it, withdraw them in position laid down and like this remain, to that the they be found dry to be put again.

5. Medication:
They will be prescribed common painkillers, by a medium period of 5 days. In some cases, antibiotics can be needed.

6. Returns:
The returns are weekly for 30 days and monthly to the 4 th month.
Those frequencies can be altered according to the clinical need.