Liposculpture and Liposuction
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Candidates

Liposuction is a procedure for men and women who are relatively normal weight but have localized fat deposits that do not respond to diets and exercise. They can be eliminated with liposuction. Liposuction is not a treatment for obesity. Patients of virtually all ages can benefit from this procedure as long as their skin is elastic enough to retract to the normal position. Patient with sagging skin may have to undergo a combined procedure that involves skin resection. Patients with body depressions may benefit from liposculpture. Fat can be reinjected to improve contour.

Incisions and technique:

Fat is removed through a small hollow tube called a cannula, which is introduced under the skin through small incisions near the area to be aspirated. The incisions are usually 4 to 8 mm long and are hidden in grooves and natural marks. For liposculpture the liposuction is replaced by disposable syringes, attached directly to the cannula to aspirate excess fat. With syringe liposculpture one can measure precisely how much fat is aspirated and the fat can be reinjected. Fat can be reinjected into the face to soften wrinkles and ridges and into the body to improve contour areas such as the buttocks, thighs, hips, legs, ankles and hands. Superficial liposculpture allows you to remove more fat and improve the body contour of patients with sagging skin. For fibrous areas of the body an external ultrasound may be used to "melt" fat before aspiration.

Recovery Time

Walk two kilometers a day after the second day. Temporary pain, especially within the first 48 hours, can be treated with pain killers. Swelling, discomfort, numbness, bruising usually last a few weeks. Local anesthetic fluid may leak through the incisions within the first 24 hours. Dressings should be changed daily. Shower bath is allowed after 24 hours. You may need to wear a brace for a few weeks. Points are taken between the 5th and 7th day. The return to work may then be two to three weeks. Exercise and sunbathing: 4 to 6 weeks. The small scars are imperceptible between 3 months and two years.

Duration of Results

If the weight remains the same the results should be permanent, especially if combined with direct and exercise.

Details

Liposuction improves body contour and appearance, increasing self-confidence. The results may take a few months to appear because there is a possibility of fluid retention after surgery causing prolonged swelling. Occasionally a secondary procedure, or retouching, may be indicated to improve certain areas, usually under local anesthesia. A special massage called manual lymphatic drainage helps to reduce swelling and bruising and improve comfort.

Objective

Improve the cheeks, neck, boats, breasts, abdomen, waist, hips, thighs, buttocks, inner and outer thigh, knees and ankles. It can also be used to treat male breast enlargement, gynecomastia. It can be done on several body regions at the same time, or along with other cosmetic surgeries.

Anesthesia

Sedation site. Tumescent anesthesia made the procedure safer.

Operating Time

1 to 3 hours.

In/Outpatient:

In general outpatient. Very long surgeries may require hospitalization.

Sensibility

Temporary pain can be treated with pain killers. Swelling, tenderness, numbness of the abdominal skin, bruising and tiredness can last a few weeks. Small drains when used are removed after a few days. They are used to prevent fluid accumulation in the abdominal wall. Dressings are changed every other day for the first two weeks. A brace may be worn for 20 to 30 days. Stitches are removed in stages between the first and second weeks.

Risks

Serious complications of liposuction are not common. Potential complications are asymmetry, dimpling, skin pigmentation, bleeding, infection, and problems with anesthesia. Temporary skin insensitivity and bruising (blood accumulation) are possible complications. Skin irregularities may occur in some patients and may be treated if necessary. More serious complications involve fluid or blood loss that can cause shock, although this is very rare with tumescent anesthesia. The infection is very rare.

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Cascais
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Lisbon
Hospital Saint Louis
Rua Luz Soriano 182, 1o. andar
Bairro Alto

 

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