Liposuction


Liposuction

 

 

What Is Liposuction Surgery?

Liposuction surgery is a safe procedure which sculpts your body, eliminating unwanted pockets of stubborn fat.

Fat from the love handles, saddlebags, thighs, calves, ankles, buttocks, hips, breasts (including male breasts), back, arms and neck can now be a thing of the past. Body Contouring or Liposuction is often combined with other procedures to create a desired shape and is one of the most popular cosmetic procedures today.

 

 

The Procedure

Your surgeon will follow the surgical plan discussed with you before your operation. Once the operation has begun, he or she may decide to combine various techniques or change a technique to ensure the best result. It is important that you feel comfortable and trust your doctor to make these decisions.

General anesthesia is commonly used during this procedure. For your safety during the surgery, various monitors will be used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood. Your surgeon will follow the surgical plan discussed with you before surgery.

Liposuction removes fat from your body using suction.

During this procedure, small, thin, blunt-tipped tubes (cannula) are inserted through small incisions in the skin.

Your plastic surgeon moves these tubes under your skin to target fat deposits and then suction them out.

There are a variety of techniques that facilitate liposuction including:

  • Tumescent Liposuction describes a “wetting solution” with a local anesthetic and another medication in IV fluids, which is injected before surgery, causing blood vessels to shrink down or constrict. This allows liposuction to be performed with the patient under local anesthesia, minimizes blood loss and reduces postsurgical pain and bleeding.
  • Suction-Assisted Liposuction (SAL), the most traditional form of liposuction, draws fat out with a vacuum.
  • Power-Assisted Liposuction (PAL) is traditional SAL with the addition of a tool to increase the motion of the cannula, which speeds up fat removal.

The incisions are closed with sutures, drains are inserted, and a compression garment is worn following surgery.

Most liposuction procedures take ninety minutes or less to complete but may take longer depending on how much fat is removed and the number of liposuction sites. If multiple sites on both sides of the body are suctioned, the procedure could take over three hours.

Am I a candidate for surgery?

For certain individuals, diet and exercise will never get rid of stubborn pockets of fat. You are a candidate for Liposuction if:

  • You have a minimal amount of excess skin and good skin elasticity. Loss of skin elasticity with age can compromise liposuction results, but if your skin maintains elasticity, age alone is not a contraindication for liposuction surgery.
  • You have localized deposits of fat in your abdomen, arms, thighs and/or neck, which may be the result of.
  • You are physically fit, no more than 20 pounds overweight, and your weight is stable. If you are planning to lose a significant amount of weight or even gain weight (for example, due to pregnancy), this is not the time to undergo liposuction.

Keep in mind that liposuction does not remove cellulite and cannot tighten loose skin. Your surgeon will be able to recommend other procedures to improve those conditions.

If you are in good general health and have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Advantages of Surgery:

  • Can be done under sedation with less risks and shorter operating times than similar open body contouring procedures.
  • Uses small incisions, which result in smaller scars than open body contouring procedures.
  • Will make your clothes fit better and your body appear slimmer.

Disadvantages of Surgery:

  • Liposuction is not meant to improve the look of cellulite or loose skin.
  • Results may be affected by weight gain, aging and pregnancy.
  • You may need to lose weight to be a better candidate for liposuction.

Preparation for Surgery

Prior To Your Arrival

Before traveling to Cyprus, as part of your surgery preparation you will complete a detailed specific questionnaire and will submit a recent Chest X-Ray and photographic images of the problem areas which you wish to have treated.

Initial Consultation: Once the images have been received by us, we will schedule a consultation with your chosen surgeon, via Skype or telephone. This will allow you to ask any questions regarding the procedure and will also allow your chosen surgeon to assess your condition and determine your eligibility for your chosen procedure. 

During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your chosen surgeon will evaluate you as a candidate for surgery and clarify what procedure he can do for you. Understanding your goals and medical condition, both alternative and additional treatment options may be considered. You should be prepared to discuss your complete medical history. This will include information about:

  • Previous surgeries
  • Past and present medical conditions
  • Allergies and current medications
  • Medical treatments you have received
  • Medications you currently take

Your treatment plan

Depending on the quality of your skin, how much excess there is to remove, and your body shape, your surgeon will determine what options are open to you. If there is a large amount of skin to remove, you may consider having a lower body lift, which would help remove skin around the stomach, buttock, thighs, and hips. If removing the skin will result in a loss of volume to the buttock, a buttock augmentation might be appropriate following a buttock lift.

Based on your goals, physical characteristics, and the surgeon’s training and experience, your surgeon will share recommendations and information with you, at this point including:

  • Evaluate the elasticity of your skin and perform specific measurements to determine skin laxity. The ideal candidate for liposuction surgery has excellent skin tone/tissue elasticity with isolated areas of excess fat.
  • Discuss your ideal weight, realistic weight and current weight. He or she may suggest a weight loss program before surgery.
  • The outcomes that you can anticipate.
  • Associated risks and complications.
  • Options for anesthesia.
  • What is needed to prepare for the surgery.
  • What you can expect to experience after surgery.
  • Show before-and-after photos of cases that are similar to yours and answer any questions.

In advance of your procedure, your surgeon will ask you to:

  • Stop smoking at least six weeks before undergoing surgery to better promote healing.
  • Avoid taking aspirin and certain anti-inflammatory drugs that can increase bleeding.
  • Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
  • Practice good skincare.

Ten days prior to your arrival in Cyprus, you will receive all the necessary pre operative instructions, to prepare yourself both physically and mentally for your chosen cosmetic procedure.

Before your departure to come to Cyprus your records will be reviewed thoroughly by our surgeon. This includes Chest X-ray and a complete medical and surgical history.

Getting your house ready before your surgery

It is also important to get your house ready for after you come home from the hospital. At first it will be harder for you to move around, so arrange your furniture and household items ahead of time to make it easier for you during your rehabilitation.

Remove all your throw rugs or anything on the floor that may cause you to trip.

Move phone and electrical cords close to the walls.

Move necessary personal items you need to reach to shelves and tables that are above your waist level.

Preparation for the hospital

Here are a few things to keep in mind as you pack and prepare for the hospital and recuperation:

  • Clothing

Getting dressed in the morning helps you feel better, so be sure to bring some comfortable clothing to the hospital:

  • Loose tops or T-shirts
  • Underwear and socks
  • Short robe or pajamas
  • Toiletries

Upon Arrival

After traveling to Cyprus, a new set of blood tests, E.C.G and chest X-ray will be taken as well as an in person physical examination.

The surgeon and anesthetist will meet with you and go through your medical and surgical plan.

During this consultation, your surgeon will discuss your surgical procedure and answer any further questions. Your plastic surgeon will proceed to examine measure and photograph your face for your medical record.

Day before surgery

Your doctor or nurse will give you more instructions based on the type of prep.

You should not eat or drink anything after midnight the evening before your surgery.

 

Morning of surgery

Bring all your medicines, if any in their original containers with you to the hospital.

You will meet with the anesthesiologist. This doctor will talk to you about general anesthesia. This is a controlled sleep while the surgery is being done so you will not feel any pain or remember the surgery. You will have an IV or intravenous line put in to give you fluid and medicine during your surgery.

Your plastic surgeon shall consult with you once again for the proposed procedure.

Recovery after surgery

When you wake up after your surgery, you will be in the recovery room, where you will continue to be closely monitored. You will stay there until you are awake and your pain is under control. Most patients return to their room after a couple of hours.

The incisions where your surgeon inserted the cannula may drain fluids for several days. Drainage tubes are inserted to channel this fluid away from the wound.

You will be placed in a surgical dressing that includes a support or compression garment. You will wear the special tight garments to keep your treated area compressed for a few weeks.

You will also have some swelling after the surgery. In some cases, this swelling will remain for weeks or even months.

The first 48 hours after surgery, you will experience varying degrees of swelling and bruising. The swelling is maximal at 48 hours after surgery and mostly disappears within two to three weeks, but there may be slight residual swelling for up to four months. Bruising is normal and typically disappears within seven to ten days.

Hospital discharge and home instructions

The recovery period is slightly longer and more painful in the buttock area, because this body region is used for physical activities such as walking, running, and even standing.

On the first day after surgery, you may be instructed to stay in bed with the compression garment on and to periodically move your hands and feet to maintain good circulation. You will be able to get up and walk after the second postoperative day.

Your diet is slowly increased from ice chips to liquids to solid foods as your intestines start functioning.

Before leaving the hospital, our surgeon and staff will help you adjust to recovery in every way possible. You will receive specific instructions and precautions from your surgeon and nursing staff and they will show you safe techniques of simple activities like getting in and out of bed, bathing, going to the bathroom, managing steps at home and getting in and out of a car.

You will be able to leave the hospital when you are:

  • Able to eat a regular diet and drink fluids
  • Passing gas or you have had a bowel movement
  • Passing urine
  • Not having a fever or other signs of infection
  • Walk for short distances

Most people are able to go home a day aftertheir surgery; however recovery time after the procedure and the length of your hospital stay depend on your overall health and the type of procedure performed.

Life After Surgery

These guidelines give you an overview of what you may expect as part of your care after you leave the hospital. Be sure to follow your doctor’s discharge instructions if they are different from what is listed here. This will include information about wearing compression garments, taking an antibiotic if prescribed and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

Do not smoke after your liposuction surgery to prevent coughing and bleeding.

Do not drink alcohol for five days after surgery or while you are taking pain medication.

Pain medication will be prescribed for the pain.

Drains will be in place for 7 days postoperatively to eliminate fluid buildup and oozing from your incisions.

You must wear a body garment for six to eight weeks.

You should wait a minimum of six weeks before exposure to sun and heat, including sunbathing, because of the possibility of swelling.

You will require 2-3 weeks before you can resume normal activities.

Full healing will take several months.

Your Activity                                                                                                                                                         

It is fairly common to feel weak and tired immediately after discharge from the hospital. The body needs time to recover from the stress of surgery.

Walking is permitted and encouraged beginning the second day after surgery. At home, start short, daily walks and gradually increase the distance you walk.

Going up and down stairs is permitted. Initially, have someone assist you.

Driving is not permitted for at least 2 weeks after surgery or your first follow-up visit with your surgeon. If you are taking prescription pain medications or narcotics, DO NOT DRIVE.

Sexual intercourse may be resumed for at least 2 weeks after surgery.

Do not go swimming, diving, water skiing, or participate in strenuous athletic activity for at least one month after surgery.

Your bowel habits

You may have different bowel habits after your surgery. Loose stools are common for the first week or two after surgery. If you have watery diarrhea, call your surgeon. This may be a sign of a bowel infection. Severe constipation should be avoided. See the section below on medicines for constipation.

Your diet

There are generally no dietary restrictions following cosmetic surgery. Avoid foods that cause diarrhea or digestive discomfort. You will eventually be able to resume your regular diet. A dietary supplement or drink can be used.

Medications

Your medicines: Take the medicines you were taking before surgery, unless your surgeon has made a change.

  • For pain

Your surgeon will order a prescription pain medicine for you after surgery. As your pain lessens, over the counter pain medicines such as acetaminophen or ibuprofen can be used. They can also be used instead of your prescription for mild pain.

  • For constipation

Prescription pain medicines can cause constipation. Your doctor may order a stool softener to prevent this. You should be back to your normal bowel routine in about 2 weeks. If the stool softener does not work, take Milk of Magnesia. If you still are not getting relief, call your surgeon.

Call your surgeon right away if you have:

  • Diarrhea that lasts more than three days
  • Nausea and vomiting that will not go away
  • Pain in your abdomen that gets worse or isn’t eased by the pain medicine
  • Pus drainage or redness around your incision
  • Fever with a temperature of 100.5 or higher

Long-term

The healing process is gradual and so you should expect to wait at least several months to get an accurate picture of the results of your surgery. The small incisions used for access will fade over a number of months, usually becoming barely visible.

How Long Will the Results Last?

Results from this procedure are very long-lasting. However, as with most surgery, weight fluctuations, pregnancy, and aging will take a toll on the body and the results of your surgery.

If you maintain a healthy lifestyle and avoid stretching the skin by weight gain, you can enjoy a youthful contour for a long time.

Follow-Up

Follow-up after surgery is extremely important and our surgeons at Salus are committed to providing all the post surgical care you need. For safety, as well as the most beautiful and healthy outcome, whenever you notice any unexpected changes do not hesitate to contact your surgeon. In order to identify and treat any complications as they may arise, close, lifetime follow-up is essential.