Aesthetic plastic surgery

Liposuction

Procedure:
Improves body shape by removing exercise-resistant fat deposits with a tube and a vacuum device. This procedure can be performed using the tumescent or the super-wet techniques. Liposuction techniques typically are performed after targeted fat cells 
are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss, allow an easier removal of the fat, as well as diminish postoperative discomfort. This also reduces post-operative bruising and swelling. The most common locations for liposuction are: chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.
 
Length:
Traditional: One to two hours or more
UAL is peel out: 20-40% longer than Traditional liposuction
 
Anesthesia:
General anesthesia can be used or intravenous sedation and local anesthesia are used.
Inpatient/Outpatient:
This is an outpatient procedure.
 
Possible Side Effects:
Temporary bruising, swelling, numbness, soreness or burning sensations.
 
Risks:
Infection, asymmetry, rippling of the skin, pigmentation changes (hypo/hyper), injury to the skin, fluid retention and/or excessive loss of blood and fluids.
Recovery:
The patient usually returns to work after five to fourteen days. More strenuous activity may be resumed after two to four weeks. Full recovery from swelling and bruising may take one to six months depending upon the amount of fat that is removed and the areas that were treated.
 
Results:
The effect is permanent and must be augmented with a sensible diet and consistent exercise.
The Liposuction improves the body shape by removing exercise-resistant fat deposits, using special cannulas and a tube. Liposuction techniques typically are performed after targeted fat cells are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss, allow an easier removal of the fat, as well as diminish postoperative discomfort. This also reduces post-operative bruising and swelling. The most common locations for liposuction are: chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.
 
Limitations of the procedure:
The liposuction does not address the excess skin. If excess skin is the problem to be addressed another procedure called combined dermolipectomy is the appropriate one.
Considerable weight gain may affect the outcome of the liposuction.
The liposuction does not treat the cellulite.
 
Initial consultation. What to expect:
A brief medical history will be asked by Dr Spyriounis. Then you will be asked about :
• Your expectations and what is the desired goal.
• Past medical problems, medication and allergies that you may suffer from.
• Previous operations.
 
Preoperative visit:
• Dr Spyriounis will carefully examine the areas that need improvement.
• He will present you with the options.
• Pre-op photos will be taken.
• He will discuss with you the pros and cons of the procedure , the possible outcome of the the liposuction and the complications that are presented in the bibliography and how to avoid them.
• He will discuss with you the anesthesia type that is better indicated.
 
Before the procedure
You will be asked to have the following :
• Full blood count and other preop exams.
• You will be asked to avoid aspirin or other anti inflammatory drugs.
• You will be supplied with detailed post-op directions.
 
The procedure
general anesthesia or local with sedation is given depending on the duration of the procedure.
 
surgical incision :
Short, 1 cm. incisions are used in well hiding anatomic areas for suction access .
Liposuction:
Dr. Spyriounis uses the wet technique. Ringer’s fluid with local anesthetic agent (lidocaine) is infused in the areas to be suctioned. Then tiny cannulas are used to suck the excess fat taking care not to overdo thus to avoid peau d’orange deformity.
The little incisions are then closed and a garment is put. if sutures are used they are removed 7 days post-op. The procedure is usually done as a day case surgery.

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