At your first consultation we evaluate your overall health, existing fat deposits, tone and firmness of the skin; as well as alternative methods to improve body contour, such as abdominoplasty. You will be indicated laboratory studies, preoperative cardiovascular assessment, as well as the removal of certain medications, such as aspirin two weeks before, certain vitamins, tobacco and alcohol. You will be given instructions prior to surgery, such as food and liquid diet, intake of specific vitamins, and iron supplements.
Liposuction or liposculpture, depending on volumes of extracted fat, can be performed on an outpatient basis or hospitalized for one or two days, with local or regional anesthesia assisted by sedation.
The intervention consists in destroying and sucking the excess fat in localized areas of the body to be treated through a few small incisions in barely visible areas. We often use the tumescent method, which consists in introducing vasoconstrictor solutions into the fat that remove it easily and decreases the chance of blood loss in the treated area. We introduce a thin tube through these cuts which binds to a vacuum-producing machine, and through specific and properly directed subtle movements between fat deposits beneath the skin, we initiate deep volume lipoaspiration and thereafter superficial lipoaspiration that allows skin retraction, obtaining a harmonic body molding.
There are several methods of liposuction or liposculpture as required by every body; the most used are: Vaser ultrasonic system consisting of denaturing fat through ultrasound keeping in the area the connective tissue with blood vessels and nerves and then extracting the fat by the traditional method.
Laser system: through a laser light source produces thermal and mechanical effect, degrading the fat in an oil emulsion that is extracted with the conventional method. This system reduces bleeding by coagulation of small blood vessels, while at the same time contact with the deep dermis produces greater retraction of the treated tissue. The only drawback to this method is that it is only indicated for removal of small clusters of very well defined fat; its advantage is that it is an outpatient procedure performed under local anesthesia and sedation.
Finally, the tumescent method, which consists in infiltrating in the fat volumes of liquids with vasoconstrictor solutions and extracting fat by layers with minimal blood loss through thin cannulas connected to a liposuction machine to produce a vacuum.
At the end of the process we conduct fluid drainage of the treated areas, closure of small incisions, placement of antibiotic dressings and polyurethane foam sheets coated by silicone quilts that allows attachment of the skin to the deep planes, and a semi-compressive belt over the treated area.
Currently, the recovery of a liposuction is relatively quick, hematomas are only 5 to 10%. Requires use of belt for 1-2 months.
The aesthetic results will be seen 80% within the first 3 months and 20% between 6-8 months.
We will indicate specialized diets, liquids, vitamin supplements and iron in the postoperative medical supervision of the specialist that will help your speedy recovery.
In conclusion, liposuction is a very effective technique to restore the body’s nice, shapely contour with minimal scarring.
The results can be permanent as long as you maintain a proper diet.