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Dr Jagdish M jyoti - Cosmetic Surgeon,Apollo Hospitals, Hyderabad, India.

Body - Liposuction


Liposuction is a common cosmetic surgical procedure for removing fat from particular areas of the body. Until 2-3 decades ago people thought staying chubby is nicer and staying chunky is healthier. But the fads and fancies of 90's are however stay slim and fit. Exercise centers and weight reduction clinics are seen all over the world today trying to help the people melt their fat away.


Indications (In whom it is done)

1)   Men and Women of normal body weight who want to improve their body shape and contours.

2)   Individuals with fat deposits that are "trouble areas" where exercise and diet control has not helped, Areas like abdomen, hips and arms.


Liposuction is neither a substitute for a dieting nor a cure for obesity. Persons with reasonably normal weight and young, healthy, elastic skin but with excessive localized fat in certain areas get the best results from liposuction. Liposuction results are permanent and the suctioned fat never returns to the area with proper aftercare.


Liposuction cost is an important factor when considering liposuction surgery. However the quality of liposuction surgery is more important than the liposuction cost. If the ultimate aim of liposuction surgery is to have a good looking physical appearance, then the the expertise of the liposuction doctor and his experience are probably more important than the liposuction surgery cost. Liposuction cost is important, but it is not the most important factor for considering liposuction.


In our Liposuction clinic in Hyderabad the patient not only looses weight but also attains improvement in the contour of the body. You can loose 4-6 inches or even more from your waistline. Up to 6 liters of fat can be suctioned safely in one sitting. Although more can also be done depending on the individual case and weight of the patient.


Anaesthesia
General
Duration of operation 2 to 3 hrs
Hospital Stay 2 to 3 days
Stitches Absorbable stitches
Recovery 2 to 3 weeks
Surgical procedure
In standing position the areas of fat deposits are marked and shown to the patient.
After giving anesthesia, 3-5 mm size cuts are made around the area and tumescent
fluid is injected into the fat through the holes. Power assisted Liposuction using tumescent technique is followed in our center. Through 5mm access ports tumescent fluid is infiltrated into area to be contoured and after allowing sufficient time for the fluid injected to act locally, it is sucked out using canola's of various sizes with microaire power assisted system. The access ports are usually placed along creases that could be hidden in undergarments. Incisions are closed with absorbable stitches. Suctioned areas are tightly draped with plasters to keep the skin tight. These plasters are removed during the first post operative visit after 2 days. Patient is then advised to wear the custom made garment for 2 to 3 months.
Liposuction could be done for cheek, chin, hips, waist, buttocks, tighs, abdomen and
arms. The results are obvious only after 6 to 8 weeks and better appreciated when the overlying skin quality is good.
After surgery
1) Light diet on the day of surgery. Normal diet from next day onwards.
2) Oral antibiotics and pain relief medication for 5 to 7 days.
3) Plasters are removed during the outpatient visit on second post operative day.
4) Driving is to be avoided on the day of surgery and resume based on patient's      comfort level.
5) Outdoor activities can be resumed after one week.
6) Swimming and gym activities can be resumed after 4 weeks of surgery.
After effects of surgery
1) Swelling over the suctioned area gradually resolves in 4 to 6 weeks.
2) Pigmented areas in the skin (Purplish blue) patches may be present over the      suctioned areas and would take 3 to 4 weeks to resolve.
3) Patchy areas of numbness would recover spontaneously in a couple of months.
4) Scars of 5mm size at the port site are permanent but the color usually fades with      time.

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