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TECHNIQUE OF LIPOSUCTION

TYPES OF LIPOSUCTION

There are people who lose fat with exercising and diet and then there are those who are not able to let it loose even after exercising and trying every day possible to get rid of excess fat.  Modern science and medical technologies now-a-days help to get rid of the stubborn fat by cosmetic surgeries.  The kind of surgery specifically designed to target this goal is famously known as LIPOSUCTION.

  • Liposuction is famously also called as 'fat modeling', 'liposculpture'.
  • Liposuction does not treat obesity, loose saggy skin or cellulite. Liposuction removes fat cells from the areas affected by excess fatty deposit and the excess cells once removed cannot come back, migrate or multiply.
  • Liposuction can treat thighs, hips and buttocks, inner knee, calves and ankles, chest area, upper arms, abdomen, waist, chest, cheeks, chin and neck.
  • Only local anesthesia and no IV at all is used for liposuction of limited area such as under chin, inner thighs etc. Oral medications or mild sedation is given for relaxation.

The VASER liposuction in Mumbai method is evolving with the help of science to ease out your experience with it. To make it less painful with faster recovery period. In the time period many newer technologies have been incorporated in the VASER Liposuction in Mumbai. Now, there are very many types of liposuction, out of which one can be opted by the doctors according to the patients concern. The techniques are such as, laser liposuction (SmartLipo), Power Assisted Liposuction (PAL), Suction Assisted Liposuction (SAL) , Twin Cannula Assisted Liposuction and Tumescent Liposuction.These all fall under the category of NON SURGICAL LIPOSUCTION procedures. These technologies require aspiration or suction of fat after they are used with prior injection of wetting solution.

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LASER ASSISTED LIPOSUCTION

Laser liposuction  is well renowned for its successful outcome. The advancement in the technique have made this procedure safe, less painful and easier. Other popular brands include:

  • SmartLipo
  • SlimLipo
  • SmoothLipo
  • Lipotherme
  • LipoLite
  • CoolLipo
  • ProLipo

In this process low level laser light is used to reduce the stability of fat cells also called adipocytes, allowing cells to release excess of fat into the extracellular space, because of the reason said, cardio based exercise is promoted which help increase lymph flow and also promotes use of lipid as an energy source, after the procedure. To help in fat metabolism and excretion, enough hydration is encouraged.

Also known as “laser-guided lipo”, this process requires the use of tumescent fluid. It is a less bloody and invasive procedure for removing fat than the traditional Liposuction. A small tube is inserted through a small incision to deliver laser energy and heat into the fat that is under the skin. Once the operation is over the surgeon may leave the incisions open so that the excess blood and fluid can drain from the body. Laser liposuction is performed under local anaesthesia. This is the performed by best liposuction surgeon in Mumbai.

According to the study done by Journal of Clinical and Aesthetic Dermatology, several clinicians have been reluctant to accept laser lipolysis, citing increased risk of adverse reactions, longer procedural times and lack of evidence supporting superiority over traditional liposuction. There are also some noticed hazards of this process over traditional method. However it seems like a great option on surface.

* In traditional lipo method where doctors use a vacuum attached to a thin cannula (metal tubing) in the procedure to remove fat, on the other hand, laser lipo melts the fat through high temperatures. Because heat is absorbed differently by different tissues. This results in post operative uneven texture of subcutaneous fat and connective tissues and also leaves with charred tissue.
* There is a greater risk of third degree burns due to the heat used to melt down that fat and also for infections, compared when the traditional method seems to have rare infections and burns.

When the technique was first studied and introduced in the early 1990s, there was no real benefit shown and laser Lipo did not gained FDA approval. In early 2000s saw new lasers introduced that subsequently gained FDA approval. It is the tightening of the skin that may take the longest to heal, as the removal of fat often requires skin to become tighter. This means that the result of laser lipo will both look excellent, and only get better as time passes.Understanding the Benefits of Laser Lipo. The unique nature of the laser liposuction procedure produces exclusive benefits for patients who undergo it. These benefits include:

  • A reduction in excess fat at the site of treatment – Laser liposuction effectively breaks down fatty tissue, and removes it. This allows for patients to see immediate results that only become better as time progresses.
  • Less discomfort – Compared to traditional liposuction procedures, laser liposuction produces minimal discomfort. Patients are given a mild anesthesia to help further ease any discomfort that may occur.
  • In Laser liposuction a laser-tipped probe is used which allows it to cleanly remove fatty tissue. This helps in giving a natural look. The laser also tends to help foster a faster recovery, which in turn leads to better overall results.
  • Heightened safety – The last major benefit of laser liposuction is the increased safety present for patients. The minimally-invasive nature of laser lipo combines with the laser technology to reduce the risk of infection while effectively removing fat cells

POWER ASSISTED LIPOSUCTION

Power- Assisted Liposuction may be ideal for the patients who are interested to achieve more trimmer, sculpted body. Power Assisted Liposuction is also called as “Powered Liposuction “. This technique uses a specialised cannula with a mechanised system in which the cannula moves back and forth rapidly, the vibratory movement this help break up the fat tissue allowing the best liposuction surgeon in Mumbai to pull out fat more easily. The cannula used here is the same device which is used suction fat out during any liposuction Procedure. This vibration actually makes liposuction gentler on the body’s tissues because it loosens fat cells and allows them to be easily suctioned away. This specialized vibrating cannula allows for reduced recovery time and smaller incisions compared with other liposuction techniques. The vibrating tip of cannula used in PAS allows for safer liposuction because of its small, precise motions. Surgeons can target specific areas without damaging surrounding tissue.

Recovery after power-assisted liposuction is similar to other liposuction procedures. As previously noted, there is typically less bruising with this technique. Still, you will likely have some soreness and swelling after your procedure. Compression garments may be used to keep your new contour in shape, and anti-inflammatory medications can help with the swelling and any discomfort you may have. You should be able to resume normal, non-strenuous activities within a week. Although your new shape will be immediately apparent, you may not see the final result of your procedure for six months. Our liposuction doctors in Mumbai will be on hand to check your condition and advise you throughout the recovery process.  Provided if you maintain a sensible diet and exercise regularly the results of your power assisted liposuction.

SUCTION ASSISTED LIPOSUCTION

Today there is more than one type of liposuction invented and modified by science targeting human betterment but no one can ignore the advantage of the original procedure. Suction assisted liposuction (SAL) was the first method introduced. Today suction assisted liposuction is among the top choices for body contouring. In addition, it has served to be the starting point for some newer types of liposuction. All sort of liposuction is anyways essentially suction-assisted lipectomy (SAL) because of the assistance of some form of suction the removal of fat from the body is done. Fat removal involves the use of a thin hollow tube that is inserted below the skin called cannula to manually loosen fat.

 

Suction is applied through the cannula to remove the fat from the body, suction with specialized vacuum powered equipment. To harvest fat for grafting or for small localised areas such as the face, suction may be manual, using a large syringe attached to the cannula. Improvements in Suction assisted liposuction leads to smaller incisions and more precisely sculpted contours due to the ability to use smaller cannulas.The effects are enhanced and made more effective when suction assisted liposuction is accompanied with specialized techniques, mainly tumescent and ultrasound assistance.

Advantages of Suction Assisted Liposuction:

  • This method of liposuction is the least expensive to perform and yet one of the most widely used procedures. Making it the first choice for patients planning to undergo liposuction procedure.
    * The diameter of the device used is large enough to remove huge fat masses in short time. This is the reason why Suction Assisted Liposuction is used in correction of large body areas such as buttock, back or abdomen.

Disadvantages of Suction Assisted Liposuction include:

  • It causes post-operative damage to the blood vessels which can be hazardous
  • The procedure is also found to create more damage to the lymphatic vessels and nerves which can be problematic later to the patient and might interfere with normal behaviour.
  • This procedure also causes post-operative sagging of skin.
  • Suction assisted liposuction does not impair the regenerative potential of adipose derived stem cells.

TWIN CANNULA ASSISTED LIPOSUCTION

This is a variation of Power Assisted Liposuction. A twin cannula is a hollow tube having another tube within it so that the cannula which is responsible for the removal of fat, does not impact the mechanically reciprocated inner cannula which stimulates your plastic surgeon’s stroke. This successfully removes most of the work involved in liposuction surgery. The result is less burning and scarring for superficial or subdermal liposuction because the process is done without the cannulas getting hot due to the spacing effect of the other cannulas. Liposuction Surgery is usually performed under local or general anesthesia after which in the anaesthetised part  a small incision is made to insert the suction cannula. The fat deposits underneath the skin can be removed by this method. After the surgery, a tight compression belt has to be worn, for approximately 6 to 8 weeks. Though the process is risk-free but still post-surgical infection, bleeding, loose skin and nerve damage etc. may occur.

Tools used in Twin Cannula Assisted Liposuction Surgery

Twin cannulas can stimulate a surgeon’s stroke of up to 5 cm (2 inches) which is significantly more than just a merely vibrating 1-2 mm (1/4 inch) s do the other power-assisted devices. This is a cannula inside a hollow cannula – both of which interact together, but perform different movements–one extracts and one probes.The inner part of the cannula is used to suction out the fat cells, whereas the outer part is used to replicate the movements of a surgeon, in breaking away the fat cells.

  • Do not engage in heavy exhausting physical activity for the first few days that follow the surgery. You can slowly begin your exercise routine 4 days after that too is recommended under guidance.
  • Antibiotics and other prescribed medication by doctor must be strictly taken according to after care instructions.
  • The patient is asked to keep the incisions clean by washing them with soap and water and showering daily. The cleanliness of incision is very important to prevent infection.
  • Application of heating pads, ice packs and bandages is not allowed on the treated areas during the recovery stages.
  • He/ She can resume his usual diet almost immediately, if the patient has undergone the surgery with local anaesthesia
  • A well-balanced diet rich in carbohydrates, proteins and nutrients is highly recommended
  • Fruits and vegetables are a must as they are highly nutritious and contain all the important vitamins and antioxidants
  • To lessen edema (fluid build-up) in the body, lessening of sodium or salt in food after the procedure is advised
  • The patient must drink plenty of water and stay off soft drinks as it is important to stay hydrated.
  • Alcoholic beverages should not be consumed and neither are recommended by doctors for at least 48 hours before and after the surgery
  • Prescribed medication should definitely and strictly be followed by him/her

TUMESCENT LIPOSUCTION

This is the most popular form of liposuction. The process starts with consultation program to decide which suitable is well according to the patient. . If the patient is deemed a good candidate for tumescent liposuction, they then will be scheduled for a pre-liposuction evaluation.
On the day of the procedure, If tumescent liposuction is planned, the patient will be given an oral mild sedative pill and is taken to the operating room. In the operating room, a nurse will then inject approximately four to 20 tiny areas with numbing solution and start to inject the tumescent fluid with a small needle. If and when the surgeon is performing the other methods which are non Tumescent, all those method in which injecting the solution into the area to be suctioned is not practised, for such procedures anesthesia ranging from intramuscular-only to general anesthesia may be given. Tumescent liposuction yields excellent results. The tumescent fluid is Lidocaine given along with a vessel constrictor such as epinephrine.


In the traditional method, many areas are typically able to be suctioned at once while in tumescent liposuction only few areas can be suctioned at once, as the area contains lidocaine and several other ingredients. The total amount that can be used is based on the weight of the patient. Typically, this means that no more than one large area or two smaller areas can be done at one time except in unusual cases.


Post-Operative

If the tumescent liposuction method is performed, most liposuction doctors in Mumbai will not need to suture the area closed (studies have shown that suturing the area closed prolongs recovery and leads to more scarring at the cannula entrances). A visit is necessary to remove the sutures Incase the surgeon sutures the area.
One point to note is that with the tumescent liposuction method, the patient may have swelling initially, and the fluid used to anesthetize the area will leak out over the next day or so after surgery, appearing bloody. This is entirely normal in this procedure,

Recovery

The recovery time varies from a few days with the tumescent liposuction method.The recovery is a lot easier to withstand than most other surgeries because Tumescent Liposuction is not a major surgery. However, there are guidelines which need to be followed to ensure positive outcome as well as patient’s safety. The recovery time varies from two weeks with the traditional procedure to few days with the tumescent Liposuction. The surgeon can estimate the recovery period and let the patient know about it.

 

Results can vary from minor to significant improvement. The type of improvement varies with the overall laxity of the area before the surgery. It is worthy to note that surgeon’s skills vary greatly, and it is always best to look at pictures of previous patients, ask for references from previous patients who might be willing to discuss their experience if necessary and to check how many of these procedures your surgeon has performed.

One can expect to walk around and move  shortly after surgery. This also minimises risks due to poor circulation. To keep the blood flowing for proper circulation you will wear an elastic band on the treated area to compress your new shape . Most patients are back to work within the week. One can probably also experience some temporary numbness, bruising. Results will continue to refine over 4 to 6 weeks although the the major results will be immediate. It is important to keep the incisions clean.

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Dr. Vikas Kumar Varma, MS

Board-Certified Plastic Surgeon

Dr. Vikas established Sparkle Plastic Surgery as a boutique practice to offer world-class, personalized service to women and men throughout the Southeast. Dr. Vikas compassion and talent are complemented by his elite training with some of the nation’s finest plastic surgeons.

Dr. Vikas Kumar Varma, MS

Board-Certified Plastic Surgeon

Dr. Vikas established Sparkle Plastic Surgery as a boutique practice to offer world-class, personalized service to women and men throughout the Southeast. Dr. Vikas compassion and talent are complemented by his elite training with some of the nation’s finest plastic surgeons.

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