LIPOLISIS, J PLASMA, LIPOESCULTURA AND LIPOSUCCION
What does liposuction mean?
It consists of eliminating fat from the body through a suction cannula by means of a device that aspirates with negative pressure (liposuctor). The surgical procedure will be performed by the plastic and cosmetic surgeon César Fernández since he has experience performing this procedure.
Description
Liposuction is a plastic surgery (or also popularly called cosmetic surgery). The plastic and cosmetic surgeon César Fernández removes excess fat from the tissue to reduce the volume and thus have a better body shape and also improves the irregular contours of the leather. Also called body contouring.
Liposuction is used to mold and decrease the volume of body areas. The plastic and cosmetic surgeon César Fernández performs a liposuction in areas such as the double chin, cheeks, arms, breasts, abdomen, buttocks, hips, thighs, knees. It is also possible to perform an HD (high definition) or FHD (full high definition) liposuction that marks the grooves and shadows of the abdomen.
Liposuction is a surgical procedure that has risks and generates pain in the postoperative period.In liposuction there may be serious complications or in rare fatal cases. You should always have a voluntary consent of the patient to undergo this surgery.
What are the types of procedures for liposuction?
Tumescent liposuction (liquid injection): it is the most performed type. The plastic and cosmetic surgeon César Fernández injects a good amount of saline solution with lidocaine or epinephrine into the liposuction areas before removing the fat. This decreases pain and bleeding, reducing risks and complications. Lidocaine helps numb the tissue during and after the operation.Adrenaline reduces blood loss, bruising and edema. The tumescent solution allows to extract fat safely. It is extracted along with the fat. Then, the plastic surgeon César Fernández performs a liposuction, which can last from 1 to 4 hours. Surgery time may increase if it is associated with other procedures.
The super wet technique is similar to tumescent liposuction. The difference is that very little tumescent fluid is used in surgery. The amount of liquid that is injected is equal to the amount of fat that will be extracted. This technique is shorter. They may bleed more or have more pain after surgery.
Ultrasound-assisted liposuction (LAU) uses ultrasound that generates energy to destroy fat cells in the liquid. After passing the ultrasound, the fat can be liposuctioned. This surgery can be performed in two ways: external (on the skin) or internal (within the skin tissue, with the help of a small cannula that emits energy). The plastic and cosmetic surgeon César Fernández uses this technique in very fibrotic areas or patients with a history of liposuction, also in the back or gynecomastia in men. This technique is often used in combination with the tumescent technique. This procedure may take more surgical time because it is necessary to perform the ultrasound before, the surgery lasts from 2 hours to 5 hours.
Laser-assisted liposuction (LAL) uses laser energy to liquefy fat. Once the cells are liquefied, they can be lipoaspirated. This surgery is performed in 2 surgical times, the laser is first performed and then lipoaspirated with a cannula. The plastic and cosmetic surgeon César Fernández uses them in patients with fibrosis or who have had previous liposuctions. It can be used anywhere on the body. One of the advantages of using the laser is that it stimulates the production of collagen, thickens the dermis and retracts the skin.
Liposuction combined with Jay Plasma (J plasma): it consists of a conventional liposuction and then uses J-Plasma ® to generate a greater amount of skin retraction, it is an advanced energy modality that combines the unique properties of the helium plasma it generates patented radio frequency waves. This allows to obtain a greater contour of the body and in a few weeks you can see the results of liposuction.
How is liposuction performed?
- It requires a liposuctor that generates negative pressure and cannulas.
- An aseptic and antisepsis is required before in an operating room. The plastic and cosmetic surgeon César Fernández prepares the areas of his body that will be operated, marks the areas that require liposuction.
- The anesthesiologist will know your clinical case in a prior consultation, he will know your medical history, history of allergies and medications you are taking. You will receive general anesthesia.Always open a prepared anesthetic and a trained surgical team. Safety and excellent planning is the most important for the plastic and cosmetic surgeon.
- Through a small incision in the skin, a cannula is introduced to perform the injection of the tumescent solution. After a waiting period, the suction cannula is inserted and all the fat deposits are removed and a full fat sweep is made throughout the area so that there is a uniform liposuction.
- Several sites of entry to the skin may be needed to treat large areas such as the back and abdomen. The plastic and cosmetic surgeon César Fernández can approach the areas of the body from several different directions to achieve the best silhouette.
- After removing the fat, it is collected in vacuum containers that have the fat isolated for later lipoinjection. After finishing the liposuction, small drains can be left at the incision sites to extract the serohematic tumescent fluid and fluid that occur the first 1 to 5 days after liposuction. The plastic and cosmetic surgeon César Fernández complements the drainage with lymphatic drainage and massage taught to the patient.
- The operating room anesthesiologist and the plastic and cosmetic surgeon César Fernández are always aware of their vital signs and their resuscitation with intravenous fluids, in case of heavy bleeding during surgery, they may need a fluid replacement (intravenously). Very rarely, a blood transfusion may be necessary.
- A girdle will be placed before leaving the operating room so that the swelling does not increase after surgery. If a mammoplasty is performed, a bra is also required. Use it as directed by the plastic surgeon.
Why is liposuction performed?
What are the indications of liposuction?
The following are some of the uses for liposuction:
- Cosmetic reasons, such as excess fat on the waist «tires», deposits on the hips «rabbit», fat deposits on the jowls.
- Improving self-esteem and sexual function, by reducing the excess of abnormal fat located in the inner part of the thighs, provides thinner legs, reduces friction and itching between the thighs, and improves sexuality by being thinner.
- Body shaping for people who are dissatisfied with their body, in those people who have not been able to decrease in size.
Liposuction is not used:
- To replace exercise and diet, or as the only treatment for obesity. It can be used as a complementary treatment to remove fat from isolated areas in different regions. It is common in postbariatric patients to use them as a complementary method of lipectomy.
- For the treatment of cellulite, liposuction does not eliminate cellulite, only a tummy tuck does. It does not allow to eliminate the irregular and dimpled appearance of the skin on hips, thighs and buttocks or excess skin. Liposuction can generate more sagging by eliminating fat and leaving excess skin. The plastic and cosmetic surgeon César Fernández will determine if it requires liposuction or a tummy tuck.
- On the legs, forearms, hands because it generates lymphedema.
There are many alternative treatments instead of liposuction, such as tummy tuck, lipoma resection, mammoplasty or a combination of plastic surgery methods. The plastic and cosmetic surgeon César Fernández will define who is your best option.
What are the risks of liposuction?
- You must control and control certain pre-existing conditions before liposuction, which include:
- History of heart disease (high blood pressure, heart attack or heart attack)
- Having thyroid diseases or diabetes.
- Use of drugs: it is recommended to suspend aspirin ten days before, any anti-inflammatory (ibuprofen, naproxen, nimesulide, dipyrone) suspend it 10 days before, avoid taking oral contraceptives at least 30 days before surgery.
- Do not take Ginkgo Biloba, vitamin E and vitamin C for at least 10 days before the intervention.
- Allergic reactions to medications should be reported to your plastic surgeon.
- Lung problems (asthma, COPD, pulmonary thromboembolism).
- Cigarette, alcohol, cocaine, marijuana should be suspended 30 days before.
There are also risks associated with liposuction, such as:
- Travel by plane: for travelers traveling by plane on flights of more than 6 hours, there is an increased risk of TVP and PET in the postoperative period, the Plastic and Aesthetic Surgeon César Fernández recommends that during the trip he travels the plane every hour through the Hall. It is also recommended to use medium pressure venous compression stockings on the legs (with a compression force of 15 to 30 mm Hg).
- Shock: it is recommended to consume fluids every time you are thirsty. Avoid physical exercise the day before liposuction. Avoid the tanning chamber, sauna and Turkish 3 days before.
- Excess fluid (usually produced by the procedure and fluids given in anesthesia)
- Infections of the skin and soft tissues such as cellulite, in rare cases sepsis.
- Bleeding, blood clots.
- Fat thrombi that ends in fat embolism by altering organs such as the lung or heart.
- Skin anesthesia, skin ulcers, abdominal organ injuries, artery or vein injuries or burns.
- Asymmetry of the body.
- Contour alterations due to excess liposuction or lack of liposuction.
- Reactions to medications used in surgery.
- Bad scarring, irregular, fibrotic and flaccid skin, especially in the elderly or very obese.
What measures are taken before liposuction?
How is the pre-surgical liposuction?
Before the procedure
Before the surgery, a good medical history, your reasons for surgery, a physical exam and taking measurements of your body will be done in the office. The doctor will explain the procedure, its risks and the possible risks of liposuction. After making a voluntary decision to undergo surgery, you will sign an informed voluntary consent for liposuction and make full payment for the surgery before surgery. It may be necessary to take someone, as your partner, as a witness.
Feel free to ask all the questions you want. Always make sure you understand the answers provided. You should understand well the indications before surgery, liposuction and care after surgery. Understand that liposuction can improve your appearance and self-esteem, but it probably won’t provide you with an ideal body. After liposuction, you may need diet or exercise to maintain what you achieved in the surgical room.
Before consulting with the anesthesiologist, it may be necessary to perform partial urine, blood count, pregnancy test, or other pre-surgical tests, and allow the medical team to rule out diseases that can complicate your surgery and your postoperative period.
Always go to the operating room accompanied, you will need someone to take you home after surgery.
How is the postoperative period of liposuction?
Indications after liposuction?
After the procedure
Liposuction may or may not require hospitalization, depending on the amount of fat removed, the time of surgery and estimated bleeding, or any other complications that have arisen in the procedure. Liposuction should be performed in a properly accredited operating room and with trained, qualified and trained personnel to perform the surgery.
After liposuction, bandages and girdles are applied to maintain pressure in the area to decrease swelling (edema) and stop any bleeding, as well as to help preserve the shape acquired in the operating room. The girdle is used for several weeks.
Does liposuction leave scars?
Leave a very small scar where the cannula is inserted.
Does liposuction generate pain?
- If it generates pain, which will last up to 5 to 7 days. This will decrease until 14 days.
- You may have swelling, bruising, numbness and pain.
- The edema (swelling) will get worse in the first 5 days and then gradually improve, it may take up to 3 months to completely eliminate the edema. Bruises may take up to 4 weeks to resolve. The pain can last up to 14 days. The numbness can last several months until it disappears.
What indications does the plastic surgeon give you?
- Sutures will be removed in 7 to 14 days. Antibiotics will be prescribed to prevent an infection.
- Walk as soon as possible after surgery to prevent blood clots from forming on your legs. In general, most women can go to the bathroom 4 to 6 hours after the procedure.
- After 6 hours you can eat liquid or soft foods. You may experience vomiting during your first meal due to anesthesia.
- You may need a disability for 7 to 15 days.
- Avoid exercising or lifting weights for 30 days after surgery.
- You will begin to feel good after 1 or 2 weeks. Most women relieve their pain after 5 days, some may persist for up to 2 weeks. You can return to work a few days after liposuction.
- The doctor will perform a checkup the day after your surgery, you can call her several times a day, you can call her to be informed of her healing process. The plastic and cosmetic surgeon César Fernández will tell you which days you will attend a clinical follow-up during your next weeks.
What are the expectations of liposuction?
Liposuction prognosis
Expectations (prognosis)
Many people are satisfied and grateful for the results of the surgery performed by the plastic and cosmetic surgeon.
Your new body image will begin to be noticed during the first or second week after surgery. The improvement will be more visible in four to six weeks after surgery. The swelling will disappear completely in most patients 3 months after surgery. You must exercise and diet to maintain your new figure.
Where do the patients we operate come from?
The majority come from Colombia, Bogota, Medellín Cali, Barranquilla, Bucaramanga, Cartagena, Pereira, Armenia, Manizales, Quindio, Valledupar, Santamarta, Pasto, Popayan, Yopal, Cúcuta, Arauca and Tunja.
Patients from abroad come from the United States, Ecuador, Aruba, Puerto Rico, Costa Rica, Panama, Chile, Brazil, Spain, France, England, Germany, Russia.
recommendations
The pre and post-surgical recommendations of liposuction will be administered by the plastic and cosmetic surgeon César Fernández in Bucaramanga – Colombia , who will answer all your questions, will tell you what is the expected surgical time, the exams to be performed, the type of anesthesia you need, the value in pesos or dollars of liposuction, and if it requires laser lipolysis, J Plasma during liposuction. I wait for you.
