Kontakt
Praxis für UrologieDr. med. Aref El-Seweifi
Forum Zehlendorf
Teltower Dam 35
D-14169 Berlin
Deutschland
Tel.: +49 30 804 90 950
Fax: +49 30 804 90 951
info@masculine.de
| Liposuction |
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This means the suction of fat from the under the skin in the different localizations of the body. It is an art of body styling and it is not suitable for the reduction of weight. This is done through sports. Liposuction is performed to modulate certain regions and silhouettes of the body. That is why it is sometimes called liposculpturing. Cellulitis may be reduced through liposuction. Liposuction has been practiced in Italy for the first time. The technique has been developed since then in France and then the united States of America. The art of the anesthesia has been also changed from a routine local anesthesia to the so called the tumescent local anesthesia which is considered as an advantage for the outpatient surgery.
Who qualifies for the operation? Persons who have asymmetrical localizations of fat in their body are candidates for liposuction. The ideal patient is that who weighs 80 Kg, has small localizations, has a good healing power and good skin elasticity. How does the tumescent local anesthesia work? Tumescent local anesthesia is a new method of local anesthesia. It is injected through multiple fine needles mechanically or manually under the skin in a slow manner. It aims at abolishing pain, reduction of the possibility of infection, guarantee of a postoperative pain free interval and facilitates the suction of the fat during the operation. It contains the substance prilocain as an anesthesia, cortisone for the reduction of the local inflammation and epinephrine which constricts the small blood vessels to help the longevity of the anesthesia and bicarbonate which modulates the reaction of the solution to provide a pain free injection of the anesthesia. Tumescent local anesthesia reduces the loss of blood during and after the operation to a minimum. This allows the very early ambulation of the patient and permits to return to work and sport activity within 2 days of the procedure. How does the operation work? Liposuction is an outpatient procedure. The patient meets all the routine examinations for the preparation for an operation. The area to be sucked will be marked with a water proof pen to plan for the injection of anesthesia and the limits and extent of liposuction. This is done in standing position. The patient lies on the operation table. The tumescent solution of the anesthesia is infiltrated through different needles. Small incisions (5-10 mm) are done under several skin folds or in a hairy area. The fat is sucked in special lines. The amount of fluid sucked should not exceed 4-6 liters. The patient may be given a sedative in some cases. The incisions are closed. The patient is asked to stand by the side of the table to let the rest of the fluid flows outside the body through the incisions by gravity. If this becomes minimum, dressing of the wounds is applied and the patient is given a corset to wear for compression of the area over at least four weeks. Our skin contains elastic fibers. These may be influenced after the suction so that some touchups may be necessary or even skin reduction may be done in rare cases. The liposuction has its risks as any other operation. These are infection, bleeding, thrombosis, embolization, formation of cysts, the development of hard areas, fat embolization, allergic reactions, the development of irregularities, numbness or increased sensitivity of the skin over treated areas, objectionable scaring and dizziness.
Frequently asked questions? --
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