Techniques
I use conventional liposuction methods which are described below.
Markings
Great care is taken when marking the areas to be suctioned preoperatively. Patients participate with these drawings to ensure all areas of concern are being addressed
Figure 1. Common areas often improved with liposuction include the upper abdomen, lower abdomen, flanks and trochanteric (saddle bag) regions.
Anesthesia
Small areas are treated using only local anesthesia. Larger areas or multiple areas are best managed under a light general anesthesia.
Technique
The incisions used for liposuction are very small (2-4 mm) and are usually placed within skin folds or hidden within the umbilicus (belly button). The area to be suctioned is first infiltrated with a saline solution containing a local anesthetic and epinephrine to minimize bleeding during the procedure. The fat is then removed using long thin rods called cannulae. These are connected to a controlled suctioning device that removes the fat through small holes in the ends of the cannulae.
Fat is then removed with great precision based on careful attention to detail and being conservative in the amount of fat removed.
Dressings
The very short incisions are usually closed with a single buried suture that dissolves by itself. A dry dressing is then placed over each small incision. Following the procedure, each patient is then fitted with a compression garment specific to the region treated.
Postoperative Care
Pain associated with liposuction is described by most patients as mild or mild to moderate. Patients are encouraged to be up and about as soon as they feel up to moving – usually the same day or the day after their procedure. Patients wear the compression garment for 3 to 4 weeks following their liposuction
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