Liposuction — cosmetology or bariatric operation Method of vacuum removals of the limited (local) congestions of a fatty fabric. Fatty congestions arise on a body, hips, buttocks, in the field of knee joints and in underchin areas more often. The fatty fabric can be of two kinds - functional and reserve. The functional hypodermically-fatty fabric is distributed not in balanced on a surface of a body and defines characteristic for the man and the woman body form. It is capable to decrease quickly at a weight loss. The reserve fatty fabric forms more deeply located fatty adjournment which essentially worsen figure outlines in certain areas of the body. Such adjournments react to a weight loss very little, as the fatty fabric leaves them in last turn. It is possible to recommend a liposuction to the people having surplus of fat in some areas of the body, but thus possessing in normal weight and the body form, and also an elastic skin. The arrangement of a fatty fabric is defined by hereditary predisposition and sex. The volume of a fatty fabric can be changed by reduction of body weight, but figure outlines thus remain the former. Thus, a diet and exercises can change the size of adjournment, but changes a figure are little. Thus, the operation purpose is the reconstruction of normal proportions between body parts, improvement of its form and appearance. Who accepts liposuction-liposuction is possible to recommend to the people having surplus of fat in some areas of the body, but thus possessing in normal weight and the body form, and also an elastic skin. The age isn't of great importance, however it is necessary to notice that in a consequence of loss skin elasticity with the years results of liposuction for aged people won't be the same as for younger patients with an elastic skin. The liposuction isn't recommended to people with illnesses of blood circulation, diabetes, various diseases of lungs, and also those who has had an operation recently on that area of a body in which is planed to do liposuction.

Cases when the liposuction is helpless:

at the general adiposity;

at drooping loose skin;

at the infringements of the figure which have been not connected with change of flesh (a muscle, a bone, bodies of an abdominal cavity, gland).

Three important advantages of liposuction

operation yields constant result as on a place of fatty cells congestion accumulating fat the hem is formed;

operation practically doesn't leave scars on a skin;

postoperative complications meet extremely seldom.

Possible restrictions

At removal of fatty adjournment there is a surplus of skin covering it. Skin elasticity has individual character and, as a rule, decreases with the years, and also after previous loosing (if the person was plump and has lost weight). In such cases, especially at removal of considerable volumes of a fatty fabric the skin can droop that is considered as negative result.

Absolute symmetry of the right and left parts of the body is impossible neither before nor after operation. Often just operation reduces these distinctions. The liposuction isn't directed to weight reduction of the body which can be supervised by a diet and physical exercises. The roughnesses of skin existing before operation, also remain after it. Fat leaves through small apertures in skin by means of a thin metal tube-lipoekstraktor.

Nowadays liposuction is the basic method of a figure shape correction. Patients with normal weight as well as with excess weight can come to this operation. In the first case the problem is local, on sites, correction of insignificant fatty deformations - an inside surface of knees, a groin, the appreciable excesses of an external surface of a hip.

The liposuction - is a small little harmful fat aspiration by means of the special tool - liposators - canul. Patients don't lose work capacity, the insignificant discomfortable phenomena disappear in 7-10 days.

Indications to liposuction

• Those who want to have young, contour line appearance, a silhouette and the sizes.

• Those who want to wear more tight clothes, to look better in a bathing suit.

• Those who worry about the local deposits of fat not disappearing with a help of diet and physical activity.

• Liposuction also can be adviced to patients with excess weight, as addition to a diet and physical activities.

Features of operation

• Anesthesia is reached with a help of local anesthesia or in a combination with easy intravenous narcosis.

• Cuts are always of small sizes, are hardly appreciable and are usually localized in natural folds or in the area of underwear.

• Operation consists in fat aspiration removal. Skin, sheaves, nervous and vascular trunks aren't damaged if the liposuction is executed correctly.

• Within 4-6 weeks after operation it is necessary for you to wear a special tight linen.

• Liposuction can be combined with other cosmetic operations.

Rehabilitation

• The patient remains in clinic from several hours tilll one day.

• In the postoperative period you are disturbed by insignificant pains which are easily stopped with a help of painkillers.

• Hypostasis can be moderate or appreciable. The maximum puffiness of an operated zone is observed on 2-3 day. Later the hypostasis decreases.

• you start active live in some days.

• you can start athletics in 1-2 weeks.

• you can come to work in 3-7 days. Some patients start to work the following day.

• you should follow a special course of physiotherapy and massage within the first 2-4 weeks.

Result

• Beautiful, balanced, proportional contour of a figure is visible at once and in due course it is even better.

• You are more satisfied and feel more comfortable with your new figure or a face form.

• Natural and presentable appearance in a week, which becomes better and better within the next 6 months.

• If you have put on wieght, you are getting fatter in a liposuction zone least.

• You are confident and feel comfortable in clothes, especially in tight clothes.

• The received result is constant, especially if you watch your weight.

What is necessary for successful operation:

& • Absence of any serious diseases at the moment of operation (cold or other diseases);

• 10 days prior to operation it is necessary to stop taking medicine containing aspirin;

• it is strongly forbidden to smoke 10 days prior to operation and throughout 3-4 weeks after operation;

• it is necessary to take a bath overnight;

• Operation is performed both under the general and local anesthesia, fat leaves through small apertures (10- 15 mm) in skin, by means of thin metal catheters and special sucktion;

• Skin wounds are sewn up with the latent cosmetic seam then are sticked with a plaster;

• After operation you put on special fitting stockings.

The postoperative period

• Within the first 4-5 weeks a small rise in temperature of the body can be observed;

• For preventing hematomas and flabby skin it is necessary to wear fitting stockings constantly within 2-5 weeks and then 1,5-2 more months in the afternoon;

• time complications concern: infringement of color (bruise) and a hypostasis of fabrics in the operated zones, consolidation of tissue, sensitivity decrease, mobility restriction, general weakness.

Possible complications:

1. Roughnesses of the skin in the processed zones

2. A bleeding (interstitial loss of blood)

3. An infection. At extensive processing internal area of hip tissue hypostase in the field of an ankle joint which can remain within several weeks is possible. However if lipocsution is performed correctly complications described above meet seldom. Improvement will be approximately in 6 weeks when the postoperative swelling falls down. How much time the effect of operation remains

If you keep nearly constant weight, the effect of liposuction remains for ever. In case the patient puts on weight, the result worsens as at any other plastic operations. However new fatty cells appeared even on a place of the former fatty adjournment accumulate more balanced, than before liposuction.

The majority of women consider that the cellulitis problem solves by means of liposuction procedure,but we basing on our experience and knowledge of a cellulitis pathology, consider them to be mistaken.