La lipoaspiration est une intervention particulièrement indiquée pour les personnes maigres ayant des dépôts localisés, ce qui peut donner un aspect disproportionné. Ces amas de graisse localisés, peuvent être d’origine familiale et ne diminuent pas malgré les efforts des patients.
Il n’y a pas d’âge limite pour une lipo, mais une élasticité suffisante de la peau, assure un résultat satisfaisant. Dans la mesure ou la peau devient plus relâchée, il faut soit faire une lipo très petite, soit y ajouter un redrapage chirurgical.
Qui est un bon candidat ?
Les patients qui ont un excès graisseux localisé ou qui souhaitent un remodelage des joues, du cou, des bras, de la région interne du genou, du thorax et de l’abdomen peuvent bénéficier de ce type d’intervention.
La lipoaspiration peut aussi donner de bons résultats dans les cas de gynécomastie (augmentation de la taille des seins chez l’homme) ce qui est relativement fréquent chez les adolescents ou les adultes. La lipo n’est pas indiquée pour une perte de poids ou pour corriger la cellulite. Des traitements alternatifs peuvent être pris en considération dans ces situations.
Plusieurs parties du corps peuvent être traitées en même temps et d’autres types d’intervention peuvent y être associes.
Pendant la première consultation, le chirurgien vous examinera pour déterminer la meilleure façon de faire la lipo. On vous demandera d’indiquer toutes les parties du corps que vous souhaitez modifier et vous devriez être très ouvert en ce qui concerne vos espoirs. Cela nous aidera (aidera le Dr Boss) à comprendre vos attentes et à déterminer si elles sont réalisables.
Apres l’intervention vous reviendrez pour des contrôles de routine et des instructions précises vous seront données pour la suite du traitement. Des rendez-vous périodiques pendant la première année sont conseillés pour vous offrir un suivi et des informations à chaque étape de la guérison.
Souvenez vous que votre traitement ne finit pas a la sortie de la salle d’opération.
Quel que soient vos questions ou vos demandes vous pouvez et vous devriez nous contacter.
How will Dr. Boss evaluate me for liposuction?
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have such as diabetes, high blood pressure or heart disease.
Dr. Boss will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information. How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for liposuction.
Dr. Boss may ask you about the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. He will assess the elasticity of your skin and estimate the amount of fat to be removed for optimal results.
How Liposuction is Performed?
Fat is removed by first inserting a small, hollow tube, called a cannula, through one or more tiny incisions near the area to be suctioned. Incisions are usually less than one-quarter inch in length and are placed as inconspicuously as possible, often within skin folds or contour lines. The cannula is connected by tubing to a vacuum pressure unit. Guided by the surgeon, the suction device literally vacuums away the unwanted fat.
Liposuction is popular among men, particularly for eliminating bulging fat around the waist. Areas of the body commonly treated with liposuction are shown, including delicate areas such as the inner knee and the calves and ankles which can be suctioned with a very thin cannula to achieve a more shapely contour. The abdominal area responds well to treatment with liposuction, resulting in a flatter abdominal profile and better-defined waist.
In some patients, liposuction of the upper arms may also be effective. Liposuction can remove fattydeposits in the cheeks, jowls and neck.
What are some variations to the liposuction technique?
Prior to performing liposuction, fluid is instilled into the areas to be suctioned. Plastic surgeons may use a "dry" technique, a "tumescent" technique that introduces large amounts of fluid, or other variations.
Your surgeon will discuss with you the particular method that he or she recommends for treating specific areas of your body. Other options may involve the type of instrumentation used or whether suctioning is performed on the deep or more superficial layers of fat.
These considerations are based in large part upon the goals that you and your plastic surgeon have set for your body contouring surgery.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include bleeding, infection and reasons to anesthesia.
Blood accumulations under the skin are possible, but these normally resolve themselves and rarely require removal. While numbness of the skin following liposuction is almost always temporary, it is possible for some lack of sensation to persist or for skin discoloration to appear in treated areas.
Contour irregularities including depressions or wrinkling of the skin can result in some patients, but treatments are usually available to help minimize these problems if they occur.
Your Surgical Experience
The goal of Dr. Boss and his entire staff is to make your surgical experience as easy and comfortable for you as possible.
How should I prepare for surgery?
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery.
Dr. Boss will provide you with additional preoperative instructions. Depending on the extent of your surgery and the type of anesthesia used, you may need someone to drive you home afterwards and to stay with you at least the first night.
What will the day of surgery be like?
Your liposuction may be performed in a hospital, free-standing ambulatory facility or office based surgical suite. Medications are administered for your comfort during the surgical procedure.
You and Dr. Boss will have decided in advance what type of anesthesia is to be used, either local anesthesia, intravenous sedation, and epidural block or general anesthesia. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home.
A compressive dressing such as an elasticized bandage, sponge or specially designed garment may have been placed over the areas that were suctioned. Your surgeon will tell you how long you should wear the garment and will instruct you on how to remove it so that you may shower or bathe.
You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.
How will I look and feel initially?
It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The day after surgery, you will need to move around a bit to promote blood circulation.
Dr. Boss will advise you to limit yourself to these brief periods of gentle activities for the first few days. Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke for a while following surgery.
Your dressings will be temporarily removed within several days so that your plastic surgeon can examine the treated areas. You will notice swelling and bruising, which is to be expected.
Swelling usually begins to subside a week or so following surgery, while bruising can last three weeks or longer. There may also be numbness in some areas, and it may take several weeks before feeling returns. If stitches need to be removed, this is typically done within ten days after surgery.
When can I resume my normal activities?
You may be able to return to work in just a few days. In many instance, you can resume most of your normal activities within one or two weeks and begin some form of exercise soon after. The timing of your recovery depends largely on the extent of your surgery.
Results of Your Liposuction
Liposuction surgery will reduce those areas of fatty deposits that previously created unflattering bulges and perhaps made it difficult to feel comfortable in your clothing or caused self-consciousness.
Factors such as fluid retention following surgery and prolonged swelling may delay the appearance of your new, slimmer contour. The healing process is gradual, so you should expect to wait a while before fully enjoying the results of your liposuction.
Occasionally, a touchup may be desired to further improve an area that has been suctioned.
The additional treatment can sometimes be performed under local anesthesia in Dr. Boss' office.More extensive revisions may require a return to the operating room.
How long will the results last?
The results of liposuction will be permanent, as long as you maintain your postoperative weight. Even if you gain a few extra pounds, you may find that the weight is distributed more evenly instead of accumulating in the areas that were problematic for you in the past.
Fortunately, significant complications from liposuction are infrequent. Anyone considering surgery, however, should be aware of both the benefits and risks.
(c) American Society for Aesthetic Plastic Surgery, reproduced with permission.
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