LIPOSUCTION
BODY SHAPING
Liposuction is a combination of the words "lipos = fat" and "suction = suck" and means "sucking fat with vacuum". It is a technique of sucking fat from various parts of the body through specially designed cannulas connected to a vacuum pump. Liposuction using cannulas has been performed for about a quarter of a century. The basis of techniques known by various names such as "liposhaping, lipoplasty, liposculpture, suction assisted body contouring, suction lipectomy, liposhifting" is liposuction and re-injection of the removed fat to the necessary places. In fact, the aim of all procedures is to change the lines of the body. Almost all of these procedures are basically based on the liposuction technique. Fat suction can be performed using many techniques. Dry technique, wet technique, tumescent technique, ultrasound-assisted liposuction (UAL), Power-Assisted Liposuction (PAL) technique can be counted among these.
In the tumescent technique, a large amount of serum is mixed with some anesthetic medication, adrenaline and sometimes bicarbonate and injected into the areas where liposuction will be performed. In this way, numbness is achieved in the injection areas. Although it is claimed that general anesthesia is not required in this technique, administering large amounts of fluid under the skin may cause discomfort and pain in the patient. Therefore, patients can be temporarily anesthetized during the injection. It is claimed that the technique significantly reduces the patient's pain in the postoperative period and that the effect of anesthesia lasts for another 16 hours. All cannula types used in the procedure both absorb the fat tissue while making holes in the fat tissue to be liposuctioned and destroy the surrounding fat cells in the area it passes through. Therefore, excessive liposuction should be avoided, otherwise collapse may occur.
Liposuction, which can basically be applied to almost any part of the body, is most commonly applied to the abdomen, hips, thighs and knees in women; In men, it is most commonly applied to the waist, abdominal areas and breast areas. Additionally, arms, ankles, neck and nape, and face are areas where liposuction is applied. Contrary to popular belief, liposuction is not an ideal technique for people whose main goal is to lose weight. However, it can also be applied to patients who want to lose weight from time to time to assist with diet and exercise methods. Liposuction is basically used in people with ideal weight or close to ideal weight to remove unaesthetic fat masses in areas that cannot be lost with exercise or other methods. Although it can basically be applied at any age, the skin, which has been emptied as a result of the removal of fatty tissue, must be elastic enough to regain its previous tension. Otherwise, skin sagging may occur and this sagging skin may need to be removed with additional methods. The person who will have liposuction must first have good general health. Because the procedure is not a simple procedure that can be done in random clinics and polyclinics; On the contrary, it is a serious surgical procedure. Although general anesthesia is basically used in liposuction, local anesthesia can be used for small areas.
WHO IS NOT SUITABLE FOR LIPOSUCTION
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connective tissue diseases
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Blood clotting problems and bleeding disorders
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Lupus
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Diabetes
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Heart-lung disease, high blood pressure
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Depression
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Excessive obesity
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Problems in wound healing
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Patients who have used Roaccutane® in the last 6 months
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Cigarette
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Alcoholism and drug addiction
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Pregnancy
The first condition sought is for the person to be healthy. Therefore, the person's medical history and diseases should be questioned sensitively. In case of a systemic disease, the feasibility of the procedure and the precautions to be taken should be decided in consultation with the patient's doctor and the anesthesiologist who will perform the surgery. Medicines that affect blood clotting, such as aspirin, should be stopped at least two weeks before the procedure, otherwise excessive blood loss, blood pooling and excessive bruising may occur. Although some of these are temporary, blood accumulation, that is, hematoma formation, can cause undesirable results and irregularities. Some herbal products may also cause bleeding tendencies. In such a case, the patient should consult his physician and stop using these substances. There are some important diseases in which anticoagulant drugs cannot be stopped. In such a case, liposuction should not be performed. It is generally thought that the number of fat cells in the body remains at an almost constant number after puberty, and it is claimed that the fat accumulated in areas with a high number of fat cells is resistant to diet and exercise. Weight gain in adults usually occurs not by the formation of new cells, but by the growth of existing cells. When the fat cell is removed by liposuction, the cell in question is completely destroyed. However, if the remaining cells are not careful about the diet, they may grow by storing fat; It is even possible for them to create a larger audience than before. Therefore, exercise and balanced nutrition are very important after liposuction surgery. Skin with good elasticity is very important. However, age alone is not an effective factor. Although it is thought that many people between the ages of 16 and 80 will benefit from liposuction, this surgery should not be performed before the age of 18 because the metabolic balance is not fully mature under the age of 18 and the patient's body measurements are not fixed. Even if liposuction is beneficial at very advanced ages, our experience shows that excess skin tissue usually needs to be removed with additional procedures.
Before Surgery
Before the procedure, the fatty areas and structure are examined, and details about the result obtained are discussed. If it would be beneficial to lose weight before the procedure, you will be informed about this. If the patient has any significant illnesses in his/her past or any medications he/she uses regularly, be sure to inform the doctor. After discussing the necessary information and details about the healing process, aspirin should not be taken for 10 days before the procedure. Blood thinners such as herbal teas, vitamin E and coenzyme Q should be avoided. You should fast for a while before the procedure. You will be informed about the duration. The procedure is performed with general anesthesia, sedation and local anesthesia or only local anesthesia. You should take a shower the day or the night before the procedure. Before the procedure, drawings are made to determine the areas to be worked on, and some medications are used to make you feel more comfortable.
Surgery
During the procedure, a special liquid is injected into the areas where fat will be removed. This fluid numbs the surgical area, reduces the amount of bleeding, and thus makes fat removal easier. The process is performed with thin metal tubes and syringes or suction motors used to create vacuum. Processing time varies depending on the application area and the amount of fat to be removed. When the procedure is completed, a special corset is placed on your body. The purpose of this is to limit the swelling that will inevitably occur after the procedure is performed in a closed area and to enable the person to move more comfortably after the procedure.
After Surgery
It is expected that leaks will occur from the areas where fat was removed, lasting approximately 12-24 hours after the procedure. These leaks gradually decrease and disappear completely after a while. In the first 48 hours after the procedure, fluid accumulation (edema) occurs in the procedure areas and throughout the body. This situation, which gradually increases within 2 days, begins to decrease from the 3rd day. Therefore, it is useful to spend the first 2 days resting. It is natural to feel weak and tired for a few days, especially on the first day. These complaints can be reduced by paying attention to fluid intake. The aim for fluid intake is an average of 2 liters per day. It is the intake of different liquids containing electrolytes (salt, sugar - unless you have diabetes or blood pressure). Antibiotics are used as a precaution against infection during and after the procedure.