Liposuction, which was developed in 1979, is a fairly recent
technique of easy execution. It consists in sucking fat deposits
that dont go away with diets and exercises, causing
physical and psychological problems. It is not a cure for
obesity. It is preferably indicated for patients who have
close to normal body weight, who have skin presenting good
elasticity and subcutaneous cellular tissue presenting good
consistency. In such cases liposuction has gratifying results.
It can be used isolated or combined with other more complex
techniques, such as face lifting and abdominoplasty. The body
parts which are more indicated for liposuction are: hips,
thighs, buttocks, abdomen, arms, knees, calves, back, neck,
and below the chin.
The only recommendations for this period are suspension of
medications based on acetylsalicylic acid (i.e.: aspirin),
for the 10 days that precede the surgery, and use of antiseptic
soap three days prior to the surgery.
The anesthesia that is used in liposuction can be local, epidural,
or general, depending on the extension of the area to be sucked.
Through smaller than one cm. incisions the surgeons inserts
a cannula that is linked to a special device, having a high
vacuum pressure. Underneath the skin, the surgeon separates
the quantity of fat to be removed, and then sucks it, being
always careful to leave a small portion of fat, which the
body needs. Next, small sutures close the incisions, leaving
minute scars, in general well hidden. The surgery lasts an
average of 45 minutes to two hours.
The patient is hospitalized for a maximum of 24 hours. For
30 days, the patient must wear a special girdle, so that compression
is maintained and swelling and hematomas are reduced. For
some days there can be pain and a feeling of numbness or discomfort,
all this gradually disappear. An ordinary painkiller can eliminate
pain. For 5 days, moderate rest is recommended, during which
the patient should alternate periods of being in seating and
lying positions. The hematomas normally disappear until the
third week and the swelling, from the sixth to the eighth
week. Exposure to the sun is allowed after the first month,
always making it gradually and wearing protection, such as
sunblock lotion. After 30 days the practice of moderate exercise
is allowed too.
We started this technique, and it differs from ordinary liposuction.
The cannulas are inserted in the superficial fat layer, underneath
the skin, producing better results in the case of cellulite,
for example. Superficial liposuction provides a better body
contour, because the skin adapts in a better way.
"The Regional Medicine Council doesn´t allow the exhibition of pre and postoperatory images".