Questions about Liposuction Surgery
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What is liposuction surgery?
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What areas are treated?
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Who is a good candidate for liposuction surgery?
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Is this a dangerous procedure?
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Where is liposuction surgery performed?
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What is the recovery period?
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Will there be bandages?
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Will the fat regrow?
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What will happen to the excess skin?
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Can the procedure be repeated?
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How much pain is caused during and after
the procedure?
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How long does bruising persist?
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What is liposuction surgery?
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Liposuction surgery is the removal of unwanted bulges created
by excess localized fat deposits. A suction tube is inserted through a
tiny incision placed in an inconspicuous location and removes the unwanted
fat under negative pressure suction.
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What areas are treated?
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The most common areas treated are the upper outer thigh area
known as "saddle bags", the tummy, the flanks, and love handles (in men).
Other treated areas are facial accumulations of fat, double chins, hips,
buttocks, thighs, knees, arms and ankles. For men, this procedure can be
used to correct gynecomastia (enlarged breasts).
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Who is a good candidate for liposuction surgery?
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Athletic individuals who are already on an exercise program
and of normal body weight are considered ideal for this treatment. Usually,
they have done just about everything possible to lose the unwanted, localized
fat accumulation. In general, how ever, patients should not be obese. Patients
can be slightly to moderately overweight and still be candidates for this
surgery. In general, the most important thing is that they have realistic
expectations of what they can achieve. Age by itself is not a significant
factor. Many patients who are in their 60's have had the procedure done
and have been delighted with the outcome. The patient should be in good
general health. This technique is not a substitute for weight loss. There
is a limit to how much fat can be removed safely at one time.
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Is this a dangerous procedure?
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Liposuction surgery has been shown to be a very safe procedure
with very few complications. A 1984 review article of over 5,000 cases
of liposuction surgery published in the Journal of Cosmetic Surgery revealed
no serious complications and a very low percentage of minor problems (i.e.;
temporary swelling, irregularity, numbness, etc.). As of January, 1989,
there has not been a single significant complication reported anywhere
in the world from liposuction done with a local anesthetic, when appropriate
agents are used.
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Where is liposuction surgery performed?
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All cases are performed in the office under local anesthesia
with oral and/or intramuscular sedation and analgesia.
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What is the recovery period?
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The recovery time varies with how many areas are treated
and the type of activity the patient intends to resume. Most patients are
performing routine duties after two days, but in some cases five or six
days of recovery time may be necessary.
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Will there be bandages?
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There are no bandages. Special compression garments are worn
under clothing for one week. These garments are made specifically for this
procedure.
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Will the fat regrow?
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Generally, once puberty is reached, no new fat cells develop.
The fat cells either swell or shrink in size depending upon weight gain
or loss. When fat cells are removed from a treated area, they do not return.
Liposuction surgery is indeed the only true spot reducer. Long term body
weight, however, is not influenced by liposuction.
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What will happen to the excess skin?
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Skin is a dynamic organ, which has elasticity and in most
cases is able to shrink and reaccommodate to the new body contour. Those
who are poor candidates for liposuction surgery because of decreased skin
elasticity can have the excess skin removed if they so desire at a later
date. In my experience, this is almost never necessary. If this were not
true, women would not be able to have children.
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Can the procedure be repeated?
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Yes. There is a maximum limit to the amount of fat that can
be extracted during any one operation. In some instances, you may want
to repeat or have more removed at another time. I usually wait at least
three months between procedures.
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How much pain is caused during and after the procedure?
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In my series of patients, the surgical part of the process
is essentially painless. Most of the patients express amazement at the
lack of discomfort. Pain, in the post operative recovery period, is minimal.
Approximately 40% of patients require no pain medication stronger than
Tylenol extra strength. The remaining 60% require some stronger analgesic,
usually Tylenol with codeine
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How long does bruising persist?
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Bruising typically is clear by the 7th to 14th day after
the procedure.
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