LIPOSUCTION

Medications for local anaesthesia are administered for the comfort of the patient during the procedure. The choices to undergo the anaesthesia can be best chosen by the surgeon. Liposuction is normally performed through small inconspicuous incisions. First of all, a diluted local anaesthesia is infused to reduce the bleeding and trauma. Next, a thin hollow tube or cannula is inserted through the incisions that loosen the excess fat by using a controlled back and forth motion. The loosened or dislodged fat is finally suctioned out of the body by using a surgical vacuum or syringe which is attached to the cannula. The incisions are then sutured up and finally bandaged with elastic bandages. Often the incisions are left open so that the anaesthetic fluid can drain out during the recovery period. Finally, at the end of the recovery period, an improved body contour may be apparent once the swelling and fluid retention slowly subsidises.

• Traditional Liposuction- In traditional liposuction the surgeon uses a thin tube called a cannula which is connected to a powerful suction pump. After the insertion of the cannula through a small incision, an anaesthetic fluid is injected and then the cannula is manipulated in a controlled back and forth motion and this loosens the fat cells which are then suctioned out of the body.
• Tumescent Liposuction- Tumescent Liposuction is quite similar to any Traditional liposuction but the difference is all about the medical solution that is being injected into the body. In this procedure, the doctor usually injects a special solution that is a mixture of salt solution, lidocaine and epinephrine into the layers of fat which reduces the chances of rising complication. The amount of the fluid is taken as three times the amount of fat to be removed. This solution swells up the fat cells and that makes it easier to isolate and remove. It also shrinks the blood vessels to lower the chances of complications.
• Ultrasonic Liposuction- This is another latest form of Liposuction that uses specialised cannula that emits ultrasound waves in the layers of fat. This vibration liquefies the fat cells and makes it easier to remove.by using ultrasound liposuction the larger and denser fat deposits can be removed. VASER liposuction is one of an ultrasound assisted liposuction technique that involves less discomfort and bruising than any other forms of liposuction.
• Power Assisted Liposuction- The power-assisted liposuction includes employing a cannula that has a vibrating tip that makes it easier to break the fat cells. This procedure involves making of even smaller incisions which make it a safe procedure and also involves the least recovery time.
• Laser Liposuction- In this Laser Liposuction advanced surgical lasers loosens the fat cells and makes it easier to remove the fat cells. However, laser liposuction is maximum expensive than any other liposuction techniques. But there are people who feel that these procedures are worth the extra cost as they can enjoy a less discomfort and faster recovery.

• Since Liposuction is not a weight loss procedure so it cannot be considered a treatment for obesity.
• Patients who already have a stable weight are considered as the ideal candidates for Liposuction.
• Liposuction is not responsible for removing the cellulite, dimples or stretch marks. It can only achieve a change in the body contour.
• Liposuction can remove the fat cells permanently and can also give the desired shape to the body but if the patient leads a healthy lifestyle after undergoing the procedure there is a chance for the remaining fat cells to grow bigger.
• A number of fat cells that have to removed must be done very carefully because of removing too much of the fat some lumpiness or dents may appear on the skin.
• Though Liposuction is a safe procedure still it includes some possible risks like infection, numbness, scarring.

• Traditional suction-assisted liposuction –
  This involves inserting a cannula (a long, thin tube) through a tiny incision to vacuum the fat cells. The surgeon moves the cannula back and forth through the fat layer to break it up, and then suction out the excess fat.
• Ultrasound-assisted liposuction –
  Here the surgeon inserts a special cannula through small “access” incisions. The cannula emits sound waves to help break up the fat, presumably making it easier to vacuum.
• VASER -assisted liposuction –
  is the cutting-edge, third-generation version of ultrasound liposuction technology. In a nutshell, the cannula used for VASER -assisted liposuction emits gentler sound waves (in a pulsed mode) to break up and then remove fat. These do not disturb blood vessels, nerves and connective tissue, resulting in less bruising, swelling and pain than traditional suction-assisted liposuction.
• Power-assisted liposuction –
  This uses a motorized cannula to break up fatty tissue that will then be vacuumed out. It is inserted through the same tiny incisions.
• Laser-assisted liposuction (SmartLipo and CoolLipo) –
  This involves a small incision and the insertion of a laser fibre probe that produces a burst of energy to liquefy the fat before it is removed. Proponents say that laser-assisted liposuction is the latest and greatest and may also tighten skin. But detractors say it adds nothing to the results of liposuction except for expense and for making the procedure more cumbersome for both the patient and surgeon. And, they say, it can add many hundreds of dollars to the cost of liposuction in mumbai without proven extra benefit.
• Body-jet / water assisted liposuction –
  Using a thin, fan-shaped jet that pulsates water, the surgeon loosens fat cells from connective tissue, while simultaneously vacuuming them out. As a result, water-assisted liposuction may be less traumatic than traditional liposuction methods. Body-Jet liposuction also uses lesser fluid than tumescent liposuction as it gets sucked out simultaneously. Being a recent innovation, more research is needed to determine the exact benefits and risks of water-assisted liposuction.

There are numerous best liposuction surgeons in Mumbai who performs Liposuction safely. But if it is all about getting the best of everything then Dr Sameer Karkhanis CCRS is worth mentioning. CCRS is one the best super speciality hospital for cosmetic surgery in Mumbai which maintains complete safety and hygiene. Not only these the trained staff and the implementation of the latest technologies added a star to its services.

• Before beginning with the procedure the patients are asked to undergo some health tests to ensure that they are suitable for the surgery. The surgeons ask the patients to stop taking aspirin or any other anti-inflammatory or contraceptive pills or drugs for at least 2 weeks before the surgery.
• During the liposuction procedure, general or local anaesthesia may be administered depending on the decision taken by your surgeon. For liposuction of smaller areas generally, local anaesthesia is preferred. The surgical procedure may last up to 1 to 4 hours. Various liposuction techniques may be used to address specific customised issues.

After the completion of the liposuction procedure the candidates must follow the post-op instructions to avoid complications:

1. Patients with general anaesthesia must spend the night in the hospital whereas those with local anaesthesia can leave hospital on the same day of undergoing the procedure.
2. The patients are usually fitted with elastic bandage on the area of treatment.
3. Surgeons may also suggest their patient some antibiotics and medications for pain immediately after the procedure.
4. If the incisions are sutured then the surgeon will choose to remove the stitches in the next follow-up appointments.
5. Bruising and numbness are common after undergoing the procedure but they will subside within 6 to 8 weeks.

How soon after surgery do I have to return for a post-operative check-up?
We recommend, patients return within a day or two after surgery and again a week later, for suture removal. Subsequent visits are planned as per the progress of the patient in the convalescence period.

How long do I remain in the surgical facility after liposuction?
When liposuction is done totally by local anesthesia, patients can usually depart from the surgical facility within 30 – 45 minutes of the completion of surgery. When general anesthesia or sedation is employed, then patients usually require 3 – 4 hours of post-anaesthesia observation before being discharged home.

How long until I see liposuction results?
The length of time until the post-operative swelling has decreased and the permanent results of liposuction in mumbai become visible depends from person to person, the technique used and the areas treated. Most patients can expect 90% of the swelling to resolve in about 8 to 10 weeks.

What is a seroma?
A seroma is a collection of serum (also known as lymph fluid) within a cavity inside the body. The serum is the yellowish liquid portion of blood that remains after the red blood cells (which transport oxygen to the body’s tissues), and white blood cells (which fight infections) have been removed. A seroma can occur after liposuction. It is generally a nuisance, but not a serious complication. Without treatment, a seroma will usually resolve slowly over several weeks to many months. To accelerate the disappearance of a seroma, the surgeon may remove the serum by inserting a needle and draining the seroma into a syringe. Seromas are a common adverse result of ultrasonic assisted liposuction (UAL).

How long before I can get out of bed and begin walking?
Ideally, one should never be confined to bed after liposuction. In order to avoid the risks of blood clot formation in the legs or lungs, most liposuction surgeons recommend immediate walking on the evening of surgery. The amount of liposuction attempted on a single day is probably excessive if the patient cannot get out of bed and walk around the house on the night of surgery, and walk around outside the house the day after surgery.

How long before I can go back to work?
Most patients should be able to return to normal desk-type work within 2 – 3 days after liposuction in mumbai. Although soreness and tenderness will limit the speed with which a patient can move about, patients should be reasonably comfortable while sitting at a desk or working at a computer.

The more areas treated by liposuction on a single day, the more soreness and disability the patient can expect. Patients, who have liposuction in only one or two areas, should usually be able to return to work in less than 24 to 48 hours. Thus, a patient who has liposuction on a total of 4 areas may not miss any time off from work if only two areas are treated at a time, and the two surgery days are at least one month apart. In contrast, after liposuction of four areas on a single day, a patient may require one week of bed rest and recuperation at home.

How long until I can exercise?
Within one to two days after surgery, all patients should be physically able to walk around inside the house and go for short walks around the neighbourhood. Remaining in bed and not walking increases the risk of blood clots in the legs and lungs. One of the reasons that excessive liposuction surgery on a single day is so dangerous, is that too much surgery may require pronged bed rest, which increases the risk of fatal blood clots in the lungs. Most patients can resume their routine exercising within a week after liposuction. Initially, patients should not attempt too much exercise. It is recommended that patients start out by doing about 25% of their usual amount of exercise, and thereafter increase their daily exercise as tolerated over a month time.

How long before I can fly in an airplane?
Unless the surgeon gives explicit instructions to avoid flying, most patients can fly on a commercial airline within 24 hours after liposuction. For many weeks after surgery, patients must avoid prolonged sitting in a car or aeroplane. Prolonged sedentary inactivity (such as sitting in an aeroplane for long intervals) increases the risk for deep-vein thrombosis (blood clots) in the legs and the risk that such a blood clot might travel from a leg to the lungs causing a pulmonary thromboembolus.

How long before I can have sex?
There are no restrictions regarding sexual activity after liposuction other than limitations imposed by postoperative soreness and tenderness of the treated areas. Otherwise, liposuction usually does not interfere with a patient having gentle sexual encounters.

How long will the bruising and swelling last?
The amount of bruising varies considerably among patients. Bruising is nearly absent one to two weeks after surgery in most patients. With appropriate compression garments, swelling is 90% resolved 6 – 8 weeks after liposuction. However, it may take longer in some patients.

If my liposuction surgery is divided into two or more surgeries performed on separate days, how much time should there be between surgeries?
There is no strict rule concerning the optimal amount of time between successive liposuction surgeries. Safety concerns are more important than is any consideration about convenience for the patient or surgeon. Experience has shown that performing sequential surgeries within 24 to 48 hours of each other is associated with increased risks of serious complications. Waiting approximately 3 to 4 weeks between sequential surgeries allows the body to recover sufficiently to minimize the risks of a subsequent procedure.

How long after liposuction will the soreness or tenderness persist?
During the two days immediately after liposuction, the amount of pain experienced depends on the type of anaesthesia used for liposuction. Local anaesthesia usually persists for more than 24 hours after surgery. Liposuction under general anaesthesia, without using local anaesthesia at the same time, is more painful and typically requires narcotic analgesia. During the days and weeks following liposuction, the degree of soreness and swelling is a function of the type of aftercare procedures employed. Soreness is usually the most intense 2 to 4 days after liposuction and then decreases steadily. The tenderness and soreness typically are quite bothersome for up to 4 weeks, but gradually subsides over the following next 4 to 8 weeks.

What is the quality of the pain after liposuction?
Immediately after liposuction in mumbai, the local anaesthesia persists for 12 to 24 hours, so that the only discomfort is described as soreness or tenderness. Beginning the day after liposuction totally by local anaesthesia, the quality of pain is similar to that of a sunburn and to muscle soreness that one might experience after having worked-out too vigorously.

Safety is a Relative Term It is impossible to prove that a surgical procedure is absolutely safe. On the other hand, it is realistic and appropriate to compare two procedures and conclude that one is relatively safer than the other. Prospective liposuction patients should strive to understand the options that are available and choose the safest procedure. A surgical complication is defined as any undesirable result of surgery. The most common complication of liposuction is a result that produces an unhappy patient. The most common cause of an unhappy patient is a patient’s unrealistic expectations before surgery. Avoiding unrealistic expectations requires careful and accurate communication between patient and surgeon.

What Factors Increase the Risks of Liposuction Complications in mumbai?

The greatest risks of liposuction are associated with the tendency of some surgeons to ignore the risks of doing too much surgery on the same day. The three types of excessive surgery include

• Removal of an excessive volume of fat by liposuction on a single day,
• Liposuction of an excessive number of body areas on the same day,
• Combinations of liposuction and other unrelated surgical procedures which involves excessive surgical trauma and prolonged exposure to general anesthesia.

Common & Minor Complications:

Common & minor complications are conditions that do not threaten a patient’s life, normal body functions or the ability to work. These include superficial irregularities of the skin, seromas, hematomas, focal skin necrosis, allergic reactions to drugs, visible or disfiguring scars, discoloration of the skin, fainting during or after surgery, temporary bruising, numbness or nerve injury, and temporary adverse drug reactions. Most of these complications can be considered minor, however, some may become quite serious. Post-liposuction syncope (fainting) the next morning at home, especially after urinating is not rare. This can be serious if the patient falls and experiences a head or neck injury.

Rare & Severe Complications:

Rare & severe complications associated with liposuction include problems with anesthesia, blood clots in the leg or lung, injury to the abdominal organs, excessive intravenous fluids, excessive blood loss, excessive loss of body heat (hypothermia), infections, allergic drug reactions, aspiration pneumonia (most likely under general anesthesia), cardiac arrest and potentially fatal cardiac arrhythmias, permanent nerve damage, brain damage due to lack of oxygen under general anesthesia, and seizures.

Drugs that increase bleeding, if taken by a patient soon before having liposuction, can cause liposuction complications such a hematoma (a large collection of blood trapped beneath the skin), or excessive bleeding that might require hospitalization. Among the more common drugs that can interfere with normal clotting of blood are aspirin, ibuprofen and warfarin. Even vitamin E, red wine, and some herbal remedies can cause prolonged bleeding.

Risks of Local Anesthesia:

Lidocaine is the safest of local anesthetics available for liposuction. At lidocaine concentrations in the blood exceeding 6 milligrams/ litre, patients might experience some toxicity. Blood concentrations of lidocaine in excess of 12 milligrams/ litre can produce serious cardiac toxicity. The maximum recommended dosage of lidocaine for tumescent liposuction is 50 mg/kg (50 milligrams/kilogram of patient weight). The most extraordinary aspect of the tumescent technique is its unprecedented safety record when used as directed. Most liposuction surgeons know that it can be dangerous to give a patient a dosage of tumescent lidocaine that exceeds 50 mg/kg. All liposuction-related deaths have been associated with either the use of general anesthesia, or IV sedation, or lidocaine doses in far in excess of 75 mg/kg. The tumescent technique is dangerous in the hands of surgeons or anesthesiologists who have not had specific training in the technique. There has never been a reported death associated with tumescent liposuction totally by local anesthesia.

Risks of General Anesthesia:

General anesthesia for liposuction can be considered safe when:

• The general anesthesia is administered by a board-certified anesthesiologist,
• Liposuction is not performed with other unrelated surgical procedures, and
• There is no excessive liposuction.

The most dangerous aspects of general anesthesia are respiratory depression and impairment of protective airway reflexes. The risks of general anesthesia include human error, unsuspected inherited hypersensitivity to anesthetic drugs, accidental overdose of anesthesia, any undetected airway disconnection or airway blockage. General anesthesia, which increases the risk of vomiting and impairs protective airway reflexes, can cause aspiration of stomach contents. Because general anesthesia impairs the ability to breathe when a complication does occur it can lead to disaster.

Preventing Complications:

Preventing complications should be the most important concern of both patients and liposuction surgeons in Mumbai. Surgeons can reduce the risk of complications by proper selection of patients. Surgeons should avoid patients who have 1) unrealistic medical expectations, 2) a history of significant medical problems.

Patients can reduce the risk of complications by 1) resisting the temptation to save time by attempting to do multiple unrelated surgical procedures along with liposuction, and 2) resisting the temptation to maximize the volume of fat removed on a single day. It is much safer to divide one very large liposuction procedure into two or more separate procedures done on separate days. Liposuction by general anesthesia can be considered safe, however, liposuction totally by local anesthesia is safer.

Surgical Facility Safety:

Liposuction can be performed in a doctor’s office, in an outpatient surgery centre, or in a hospital. A safe surgical facility for liposuction must be able to minimize the risks of surgical infections. Surgeries should be done in operating rooms that maintain high standards of cleanliness. All surgical instruments should be steam-sterilized. Cold sterilization of liposuction instruments is below the standard of care. A safe surgical facility should be well equipped and the staff should be well trained to diagnose and initiate treatment of surgical emergencies. A safe surgical facility should have well organized written policies and procedures designed to minimize the risks of complications.

How much blood loss occurs with liposuction?

There is virtually no significant blood loss associated with tumescent liposuction. This amazing fact is the result of the profound vasoconstriction produced by the epinephrine contained in the tumescent local anaesthetic solution. With tumescent liposuction totally by local anaesthesia, approximately one percent (1%) of the material that is removed by liposuction is blood. With tumescent liposuction under general anaesthesia approximately 4 to 8 percent of the aspirated material is blood.

Is a blood transfusion a common requirement after liposuction?

Blood transfusions are extremely rare with tumescent liposuction. However, excessive blood loss may occur 1) if the patient has taken aspirin or a nonsteroidal anti-inflammatory drug (NSAID) within a few days before surgery, 2) if the surgery involves an excessively large amount of liposuction such as total body liposuction or liposuction removes more than 5 litres of tissue.

Myth #1: Liposuction is a weight loss surgery.

The truth: Liposuction should not be regarded as a weight loss surgery, it is a BODY CONTOURING SURGERY, much like a tummy tuck in mumbai or an arm lift. It can effectively reduce excess & exercise-resistant fat in specific body areas, resulting in a more slender figure. Moreover, it can be combined with other body contouring procedures to optimize results.

Myth #2: Today, liposuction in mumbai is a “minor” or “lunchtime” procedure.

The truth: there are a variety of methods utilized today, however, all liposuction procedures which make a difference or give significant results require incisions, anesthesia, and an adequate post-operative recovery period. “Lunchtime lipo” and other fad procedures may be unsafe, as well as ineffective when compared with liposuction / liposelection by cannula – which should and are always be performed by a qualified plastic surgeon.

Myth #3: If areas of the body look disproportionate months later, the surgery was a “botched” liposuction.

In some cases, this is true. More often, though, liposuction irregularities are caused by a patient’s post-operative weight gain. How this happens: Liposuction in mumbai permanently removes fat cells from the targeted area, so any weight gained will accumulate in other body areas, resulting in a disproportionate appearance. For this reason, patients should keep weight gain at a minimum.

Myth #4: Fat Comes Back After Liposuction

When you are born you don’t produce any more fat cells. The fat cells you have just get bigger or smaller depending on your weight. Once the fat cells are removed they’re gone forever. If you gain weight it is going to be distributed more equally through all the fat cells. What we do in liposuction is reduce the number of fat cells in those areas that are genetically predetermined to have a lot of fat (eg. tummy, love handles, hips, thighs etc.) However, if you are not careful with eating a healthy, balanced diet, and instead are eating a lot of fats and carbohydrates – what you would call junk food – weight gain can occur. However, an adult does not produce more fat cells. Liposuction cannot replace the health benefits of regular exercise and a healthy diet. It is not a cure-all for poor dietary habits or inactivity but it definitely can contour the body, and motivate people to lose weight and remove areas that are resistant to weight loss.

Myth #5: Liposuction is a better choice than the tummy tuck.

Body contouring has to be customised. Liposuction in mumbai is the procedure to reduce the thickness of your abdominal fat, though it slightly tightens your skin, it is not able to remove any stretch marks. If your problem is extra fat it is a good choice, but if you are among women who besides the excess fat, also have the problem of loose skin, stretch marks, a loose inner girdle (also called fascia), or poor abdominal muscle tone it is of limited use. The best choice in such cases is a tummy tuck.

Myth #6: The liposuction procedure rids the body of cellulite Contrary to popular belief cellulite is not the result of being overweight, it is caused by damaged fatty tissue accumulating in an area of the body.

Plastic surgery that involves liposuction does not remove cellulite. In fact, in some cases, it can make it worse. If too much fat is removed during the liposuction procedure it may make the appearance of cellulite more noticeable. This liposuction myth is false.

Myth #7: Having the liposuction procedure can improve your health

This liposuction myth is actually true! It is an undisputed fact among medical practitioners that it is healthy to reduce your total percentage of body fat. While diet and exercise are the obvious recommendations from most family doctors when it comes to getting rid of excess body fat, the liposuction procedure can fast-track that process. Many people find that it is an excellent foundation for starting a healthier lifestyle. The reduction of body fat through any means can help reduce your cholesterol, your insulin requirements, and your risk of heart disease.

Myth # 8. “If I could just be motivated to diet and exercise,

I could lose this fat deposit on me …” A well-balanced diet is essential for building and maintaining overall health. Regular exercise is excellent for increasing muscle tone and improving cardiovascular health. Although diet can produce moderate weight loss results over an extended period of time, neither diet nor exercise is effective for spot reduction.

Myth # 9: Liposuction Can Be a Quick Fix for Obese People Fact:

Not only can removing great quantities of fat with liposuction be dangerous, the liposuction results may disappear unless a good diet and exercise regimen is adopted. If people continue with their old patterns, they will likely gain back the weight. People who are overweight, but have been at a stable weight for many years are a different story. These people may have particular problem areas of fat that will make them good candidates for liposuction. It makes sense for a very overweight person to use liposuction if their goal is to improve the contour of a particular body part, but not for weight loss reasons.