Liposuction

Liposuction consists of reduction, removal of persistent fat pads which remain on the body even after dieting and exercising. Most common regions of the body that are subjected to this procedure are the abdomen, flanks, thighs, knees, double chin, arms…

Synonyms: Liposculpture

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Who is a candidate?

A candidate for liposuction is any person who suffers from localized excess fat, which has been non-reactive (resistant) to previous dieting and/or exercising. This is the procedure of choice, especially in cases when the skin is still elastic enough and there is no need to remove excess skin.

What needs to be known before deciding on the procedure?

You should definitely inform Yourself before deciding in this procedure, because, as simple and as safe as it sounds, it is an esthetic procedure involving risk, even more so when accompanied with some pre-existing medical conditions.

Do not take this the wrong way, liposuction can be completely safe, but only when done to a supposed extent and indications and with precaution measures.

General risks of the procedure

Fat embolism can be life threatening if it develops. For that reason a limit on removing more than 4.5 kg (10 lbs) has been set, and in cases of touching the limit, the procedure is approached in a special manner.

What does the procedure look like?

Near the location from where the excess fat deposit will be removed, a small incision is made. A saline solution mixed with local anesthetic will be injected in the subcutaneous tissue, in order to reduce post op swelling and bruising and to facilitate extraction of fat. A small tube attached to a vacuum machine is then inserted to the subcutaneous fatty tissue through the incision. Excess fat is “sucked” from the desired region with the vacuum. And finally, a single suture is placed at the previously made incision site.

Type of anesthesia

Local anesthesia, general or epidural (abdomen and legs).

Care and treatment after the procedure

You have to wear a special belt for at least 3 weeks after the surgery. Keeping the region clean is necessary. Mild massage is recommended after 3 weeks. Dieting and exercising are necessary if You want best results and not needing a reintervention.

Possible post-op complications

Haematoma can form in extensive procedures. Rarely can there be infections or bleeding.

Post Op

There is always swelling, bruising, leaking and pain present in the treated region, immediately after the procedure. These after-effects are down to a minimum after a week and may last for up to 3 weeks.

Results

Results are permanent.

After the procedure, the treated region often becomes responsive to dieting and exercising, usually not the case before the procedure, hence the state can further improve, but also deteriorate if You don’t abide a healthy, moderate nutrition and an exercise plan.

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Experience at ORS Plastic Surgery

There were no infections or prolonged leaking in our practice.

Haematomas were present in more extensive procedures, they regressed within 3 weeks.

On the abdomen, where the skin is more loose, the returning of the skin to a tight state may take up to a year.

When done on the thighs, effects are greater when done over 2-3 procedures.

Frequently asked questions

How long does the procedure last?

Smaller regions for about an hour, medium up to 3, larger last over 3 hours.

How many days off-work?

Couple to 7 days on smaller procedures, 7 to 14 days on medium procedures, up to 4 weeks on large procedures.

How long is the hospital stay?

2 days on average. Small procedures are considered same day release, medium ones 2 days, larger 3 to 5 days.

Is there a best period of the year for this procedure?

It’s not season related, period should be avoided in women, if possible.

Does it hurt after the procedure?

There is always some pain in the first few days, depends on Your pain tolerance. Pain scales from minimal to moderate. Pain killers are given for the first few days in larger procedures.

Final result?

After 3 months.

Abdominoplasty

Abdominoplasty

Synonyms: Tummy tuck

Abdominoplasty is a surgical procedure which entails removing of excess skin and fat in order to achieve tightening and reshaping of the abdominal wall.

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Who is a candidate?

Persons of both sexes who have a lax belly with excess skin and/or fatty tissue, as well as persons who have stretch marks or scars on the abdomen.

What needs to be known before deciding on the procedure?

There are two possible solutions:

  1. Mini abdominoplasty where only the lower part of the abdomen is tightened, it’s used on people who constitutionally have fat accumulation and excess skin in that lower region..
  2. Abdominoplasty where the whole abdomen is tightened.

General risks of the procedure

Abdominoplasty is considered to be a safe surgical procedure, with minimal risk involved.

What does the procedure look like?

The procedure consists of making the incision

  • from hip to hip (which can be concealed by underwear)
  • vertical incision, above and/or under the umbilicus
  • combination of the previous

Then the skin gets separated, excess fatty tissue removed, muscles get brought closer together to make them firmer and more tight. Excess skin is removed and sutures are placed along the incision. Draines are placed at the end.

Type of anesthesia

General anesthesia or epidural.

Post Op

There will be swelling and bruising in the region immediately after, it mostly goes away in the first 7 days. Getting out of bed after 4 to 8 hours after the procedure. Draines are removed on the 3rd day.

Sutures are removed from 7th to 14th day.

Care and treatment after the procedure?

You wear a special belt, wearing the belt from 1 to 3 months is recommended for reaching an optimal result.

After the final sutures are removed, a scar reducing and care cream is advised.

Possible post op complications

Complications are very rare, forming of heamatoma, bleeding , infection, wound dehiscence, hypertrophic scar can occur.

Results

The first result is seen immediately after the intervention, but up to 3 months should be waited for a final result.

Results are permanent if from then on You abide a regimen of balanced nutrition and exercise, i.e. maintain Your bodyweight.

Experience at ORS Plastic Surgery

In our opinion, abdominoplasty remains a procedure of choice for patients who suffer only from loose skin and stretch marks. If the case is loose skin, stretch marks and excess fat, then we recommend a combination of abdominoplasty and liposuction. And in the case of only excess fat, a liposuction is in place.

In most cases, abdominoplasty with a horizontal incision is applied. .

Abdominoplasty with combined horizontal and vertical incisions is used when extensive stretch marks around the umbilicus are present, and then this procedure gains the patient an accented waist line.

Complications

Hypertrophic scars have occurred in 10% of the patients, but even that number has been significantly reduced in the last 20 years since abdominoplasty is combined with liposuction.

There were no other complications.

Frequently asked questions

How long does the procedure last?

The procedure lasts from an hour and a half to 3 hours.

How many days off-work?

Usual downtime is 3 weeks.

How long is the hospital stay?

Averagely, the stay is 2 to 3 days.

Is there a best period of the year for this procedure?

Any time of the year is suitable, all You need is to be healthy, and try to avoid Your period.

Does it hurt after the procedure?

There may be mild pain for a day or two.

There is a feeling of tension followed by slight bending of the torso towards the abdomen, it lasts for up to 7 days, and probably derives from the patients fear of ripping the sutures and occasional sensation of pain when standing fully straight.