MUDr. Pavel Holuša
MUDr. Ivo Menšík
MUDr. Hana Zimovčáková
MUDr. Zdeněk Herzan

 

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Liposuction

The very popular plastic surgery, liposuction, is performed for the purpose of removal of excessive fat from some parts of the body and achievement of harmonic contour of the body area.

The intervention is limited by skin elasticity related to age, inherited disposition, smoking, sunbathing and other factors. Liposuction is suitable for males and females alike.

The most frequently treated areas include hips, thighs, belly and buttocks. Liposuction of knees, back, arms or double chin is also possible. This is by no means an appropriate method of body weight reduction in the case of obesity. Liposuction is only designed for body shape improvement.

Recently a lot of new and "proven" non-invasive or mini-invasive methods have emerged (like for example radio frequency lipolysis, ultrasonic lipolysis, laser assisted liposuction and more). Their efficiency keeps to be discussed, though.

Our clinic offers tumescent liposuction. This means that the given area is filled with liposuction solution before the actual liposuction. The purpose is increase of volume before suction, tensioning of the fat grains and their fragility increase. This allows for uniform suction and considerably reduced bleeding. The liposuction solution contains a vein contracting component. The solution further includes anaesthetics and so the liposuction is painless.

After filling the treated area with the solution a puncture several mm wide is made in the area in question and a thin liposuction cannula is inserted for the fat suction under under-pressure by spiral movement of the cannula in the subcutaneous area. There is a trend of ever thinner cannula for the purpose of most uniform suction and minimum injury of the subcutaneous tissue. Usual cannula diameter is mere 2-4 mm.

Advantages of liposuction under local anaesthesia

  • Body forming where this is not possible by diet or exercise.
  • In the course of the operation you are conscious, can communicate with the surgeon, recovery is very quick and you can return to work on the second or third post-operative day.
  • The effect of liposuction is permanent if you keep healthy lifestyle and prevent excessive weight gain. Liposuction of large areas can reduce body size by up to several clothing sizes.

Liposuction: your surgery

Immediately before the surgery the surgeon draws the area where the intervention will be implemented and takes photo documentation.

Liposuction is usually performed in our outpatient surgery and does not require hospitalisation. The operation usually takes about 1-3 hours, depending on the number and scope of the treated area.

In the case of large-scale liposuction the intervention is performed under overall anaesthesia with one-day hospitalisation.

In both cases accompanied transport home is recommended. It is absolutely inappropriate for the patient to drive home or travel alone by means of mass transport.

Liposuction: recovery

Immediately after surgery the treated areas are compressed with elastic liposuction sleeves. Elastic post-operative compression underwear must be worn virtually 24 hours a day, except for personal hygiene, for several weeks. Take the first shower one day after the intervention. Never use hot water but only a short lukewarm shower. Heat increases the chances for swells.

Rest regime is recommended until the first post-intervention visit at the clinic in one or two weeks. Sporting activities should only be resumed after a couple of weeks. Following recommendation of the surgeon massage the treated areas by finger pressure or by a special massaging device available at the reception of our clinic. Definite result of the intervention may only be evaluated after 3-4 months. The small scars after skin incisions must be protected against UV radiation. We also provide scar treatment for improvement of their appearance in 2-3 months after operation with the use of laser (link to laser).

Liposuction: possible risks

Like all operations, liposuction is associated with certain risks which you must be aware of. These are general operation-related risks connected with the total anaesthesia (bleeding - hematoma, infection, pulmonary embolism, poor healing, operation wound splitting, development of colloid scars etc.) plus intervention-specific risks.

Possible liposuction-related risks

Like all operations, liposuction is associated with certain risks which you must be aware of. These are:

  • Minor differences in the size and shape of pair body parts.Irregularities of skin surface of the treated areas – the more radical the intervention (he more fat is removed), the bigger the risk. The risk has been reduced by introduction of tumescence and smaller-diameter cannula.
  • The risk of loose skin over the treated area increases with age, radicalism of the intervention, non-adequate post-operative care without elastic underwear wearing and poor skin elasticity.
  • Another less frequent complication includes visible hard scars after the small skin incisions. These scars result from poor healing of the tissues of the given individual and cannot be predicted (their appearance may bee additionally improved by laser)
  • Temporary changes of skin pigmentation may occur – darker maps – mostly after absorption of large hematomas. Rare complications include temporary or permanent reduction of sensitivity of the skin over the treated areas. This more often occurs after radical interventions in close proximity to the skin.
  • Very rare but possible complications include fat embolism. This may be a life threatening condition. Increased risk is reported after large interferences into large body areas. Introduction of the very thin cannula this risk has been nearly eliminated.
  • If the surgeon makes a mistake or if the skin is too contused by the cannula or if a dramatic inflammation or infection occurs part of the skin can become necrotic. This complication is also very rare, though.
  • Literature also reports other rare life.-threatening complications such as intestine perforation by belly liposuction in the case of uncompensated hernia.
  • Liposuction may improve or worsen cellulite of the treated area. This phenomenon is not considered a complication but an accompanying negative phenomenon following from the essence of the intervention. Corrective surgery may be required by some of the complications.
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