Fat Removal
Liposuction, also known as lipoplasty, fat removal, liposuction or fat pulling, is performed on various parts of your body (abdomen, hips, inner knees, waist, neck). , face etc.)It is based on the principle of sucking and draining excess fat units with the help of special cannulas. The technique was described in the early 1980s and began to be widely used in the 90s, and in the 2000s it began to be performed completely and safely by experienced plastic surgeons. Liposuction has been presented under different names such as liposhaping and liposculpturing to attract the attention of patients. All of these terms describe the standard liposuction process. It is used to give form or shape. These localized fat deposits are specific to men and women and differ. In women, there is a disproportionate excess fat accumulation in areas such as below the belly, on the sides, in the hips, inside the thighs, and inside the knees. In men, there is more male-specific fat accumulation in the belly and waist area (love handle) and in the breasts (gynecomastia). This abnormal fat accumulation is often inherited and is typically caused by diet. and do not respond to exercise. Liposuction is often the only way to get rid of them.
- Are you a good candidate for Liposuction...?
• Abdomen and waist area
• Back area
• Hips, inner thighs, inside knees
• Calves and ankles
• Face, chin, neck
• Upper arms part
• Breasts and their surroundings (armpit area)
• Breast (gynecomastia)
If you have regional fat that distorts your body lines in one or more of the body parts mentioned above, you are a good candidate for liposuction.
Liposuction is a method that can be applied at all ages.
- Preoperative interview…
If you are considering liposuction surgery, the first thing you should do is to meet with an experienced aesthetic plastic surgeon. In this meeting, your current complaints and post-operative expectations should be expressed sincerely.
During this meeting, your doctor will examine you. In this interview, you will first be asked to indicate the areas where you are uncomfortable. Your doctor will then mark and show you the areas that need liposuction. These regions will be decided by taking your opinion. Your current body structure, the elasticity of your skin will be evaluated and the amount and areas of fat to be removed will be shared with you to achieve the best result. This is important for a successful liposuction.
During this meeting, your health status will be questioned; It will be evaluated whether you have diseases such as diabetes, high blood pressure or heart disease, and information will be obtained about the medications you regularly use. Your doctor will want to know about any previous surgeries, medical treatments, and medications you currently take. Providing complete information is very important to you. How much you weigh now and whether you plan to gain or lose weight in the future will be factors to be evaluated for liposuction.
During the meeting, your doctor will discuss the surgical technique, anesthesia, and where the surgery will be performed. He will give information about the procedure and preparations for surgery. It will enlighten you about the possible risks and complications of the surgery. Before you decide on liposuction surgery, ask and get answers to all the questions you have about this subject. Listen to them carefully and ask again about anything you do not understand. You can get information about the cost of surgery during the interview. After this meeting, you will be given time to make your own evaluation.
When you decide to have surgery, you will be asked to have examinations in preparation for the surgery. If the results of these examinations are within normal limits, it is evaluated that you are suitable for the surgery and the day and time of the surgery are decided.
- How should I prepare for the surgery, should I pay attention to the food?
Since aspirin and some anti-inflammatory drugs can cause increased bleeding, you should stop taking these medications a certain time before surgery. Your surgeon will give you additional information before surgery. It is recommended that fruits and vegetables such as almonds, apricots, strawberries, cherries, grapes, plums, garlic, tomatoes and cucumbers be consumed sparingly for 2 weeks before surgery because they contain salicylate, the active ingredient of aspirin. In addition, the consumption of herbal medicines and vitamins should be limited.
- What will the day of surgery be like?
Following your admission to the hospital, you will be taken to your room. Your doctor visits you in your room and plans your surgery. It draws and marks the areas where fat will be removed by the previously decided liposuction method. Following this, the anesthesiologist will give you information and ask questions about anesthesia. You will be given a sedative injection before going into the operating room. This will reduce your excitement and anxiety that may occur due to surgery, calm you down and encourage you.
Anesthesia will be applied after landing in the operating room. Liposuction can be performed under local or general anesthesia. However, it is often performed under general anesthesia. If general anesthesia will be applied, you will sleep throughout the operation. Your doctor will offer the most suitable option for you.
- How is liposuction performed?
Liposuction is based on the principle of entering through small incisions and absorbing fat with the help of cannulas. . The cannula is connected to a device that creates vacuum at a pressure of approximately 760 mmHg through a plastic tube. This pressure allows the oil to become liquid and be absorbed. The incisions made for the entry points of the cannulas are smaller than 1 cm and are made within the skin folds and natural body lines as much as possible. By entering through these incisions, special fluid is given to the area where liposuction will be performed and waited for a while (15-20 minutes). This solution facilitates the breakdown of fat and prevents bleeding by causing small blood vessels to constrict. Then, the planned amount of fat is sucked out with the help of cannulas connected to the vacuum device. It is very important that the amount of fat to be removed is balanced in a successful liposuction. Ultimately, the amount of fat remaining in the body is also important. Therefore, in order to avoid problems in liposuction applications, the basic principle is "it is not important how much fat you take, but what you leave behind". When this basic principle is in the surgeon's mind, a proportionate and trouble-free liposuction can be performed. After the liposuction procedure is completed, the surgery is terminated by wearing a special corset.
- What are the differences between common liposuction techniques?
In ultrasound-assisted liposuction(UAL), Dissolution of fat by giving ultrasonic energy to the fat tissue and standard liposuctio It is based on the principle of pulling with the n technique. The technique, which started to be used in Europe in the 1990s, started to be used in America in 1997, but it has a high risk of complications (Maxwell GP. Ultrasound-assisted lipoplasty: a clinical study of 250 consecutive patients. Plastic Reconstr. Surg. 101:-189-202,1998). Due to this reason, its use has decreased by American liposuction surgeons. An ultrasonic liposuction device called the third generation Vaser Liposelection device has been developed. It is reported that while the Vaser device breaks down fat tissues with ultrasound waves, it causes less damage to nerves and vessels. In recent years, Laser liposuction devices called Slimlipo or Smart lipo have been developed. In this system, laser light of different wavelengths is used to break down the membranes of fat cells and liquefy the fat. When this technique is performed in small areas, it is expected that this fluid will not be absorbed by the body. However, in large or wide areas, the fat content liquefied with laser light must be removed with standard liposuction technique.
Although both Ultrasonic and Laser liposuction are considered to have some healing benefits, standard liposuction requires application when applied to large areas. The advantages, advantages and disadvantages of these techniques over each other are debatable.
For this reason, as Dr. Yves-Gerard Illouz, the pioneer of the Liposuction technique, wrote: "New does not mean better, standard or classic does not mean worthless." . Each technique has advantages and disadvantages. Considering these, we believe that you can reach the healthiest decision in your meeting with your doctor.
- The first days after the surgery…
After fully waking up from the surgery. You will be taken to your room. Follow-up will be done here. You will be examined and the necessary antibiotics and painkillers will be administered. You can first have liquid food a few hours after the surgery. Following this, you can get out of bed for short periods. Depending on the situation, you may be discharged from the hospital on the same day or the next day. Depending on your body structure, you will notice the positive change in your body lines immediately after the surgery. After a few days, you can move more easily. You should avoid exerting great effort, bending over and lifting heavy loads. Spending the first few days resting will help the recovery period to complete quickly. You will be asked to wear your corset regularly, this will reduce edema and pain and also contribute to your body getting in shape. However, there will be edema, or swelling, in the areas where liposuction is applied. This swelling reaches its maximum in the first 3 days and begins to decrease rapidly thereafter. You realize that you are getting better every day. When the basic principles of liposuction are followed, bruising is rarely encountered. If there is bruising, it may take 1 week to 10 days for it to disappear. Everyone's healing process varies individually and the duration may vary accordingly. If there is pain, using the painkillers prescribed to you will help you relieve your pain.
The dressings on your cannula entry sites can be renewed 2 or 3 days after the surgery. After this period, you are allowed to take a shower.
- When will I be able to return to my normal activities?
You can return to work in just a few days. In most cases, you can return to most of your normal activities within a week or two and then begin some exercise. The duration of recovery depends on the extent of the surgery.
- When will the results of Liposuction appear and when will the swelling disappear?
Body Depending on your t-structure, you will immediately notice the positive change and slimming of your body lines immediately after the surgery. However, there will be edema, or swelling, in the areas where liposuction is applied. This swelling reaches its maximum in the first 3 days and begins to decrease rapidly thereafter. As a rule, 50% of the edema that occurs in all liposuction techniques disappears in the first month, 25% in the 2nd month and the last 25% in the 3rd month. The final result appears in 3 months. During this process, you should be patient and pay attention to diet and exercise.
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