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Hidrolipo: know this minilipo and what are the risks and results

Hidrolipo: know this minilipo and what are the risks and results

As a variant with few technical changes of conventional liposuction, this terminology ends up being challenged by many doctors who consider it to be just a marketing call in the name of a procedure that is already known in the medical environment. The hydrolipo is also called lipolight, tumescent liposculpture, mini-lipo, fractional lipo, HLPA (aspiration hydrolipoclasia).

Hydrolipo Indications

The best indication of hydrolyzone is for those patients with localized fat that are not overweight exaggerated. Therefore, it leads to a reduction in measurements and silhouette improvement in a more subtle way than conventional liposuction. After all, it is a commonly smaller procedure in which less fat is removed.

Many patients prefer low fat removal through the hydrolipo because they use the result obtained as a stimulus to start a modification process since with the reduction of measures and improvement of the body contour provided by liposuction, it is observed that the majority of patients are more stimulated for the beginning of the regular practice of physical exercises and modification of their eating habits, leading to an effective average weight loss

Who is the professional fit to carry out the hydrolipo?

The plastic surgeon is the fit professional is the plastic surgeon. Make sure your surgeon really has the Specialist Degree in Plastic Surgery.

How to make a hydrolipo

To perform the hydrolipo first the patient is sedated, a tumescent solution is applied in the region and then the fat is removed.

Some plastic surgeons perform the hydrolipo in their own practice, and in these cases, it is important to make sure that the environment is adequate for surgery and must be within the mandatory parameters of the National Agency for Sanitary Surveillance (ANVISA). To improve safety, some doctors choose to perform small liposuction with some time intervals (between one and two months), but this is not a consensus.

Within plastic surgery, many patients prefer conventional liposculpture that is done in a hospital and up to 7% fat equivalent of body weight can be removed and act at a maximum of 40% of body area.

This surgery may be under local anesthesia (with u without sedation) depending on the region or general anesthesia. Each case should be evaluated in a particular way and the type of anesthesia is discussed in consultation. It should always be emphasized that patient safety should always be a priority, and should not be economized for this.

The hydrolipo can be made in almost any part of the body that has localized excess fat, being the most common regions: abdomen, flanks (waist), back (lower and upper region), culottes (outer thigh), inner thigh region, chin, armpits, arms and pubic region.

Duration of surgery

The mean time of the hydrolipo depends of the amount of fat that is to be aspirated, and can then vary from 30 minutes to usually two to three hours.

Hydrolipo post-operative

Because it is a smaller surgery than conventional liposuction, be quicker and this is interesting for modern times that require quick return to work. Depending on the case, one can stay away from work for a short period of time (between two and four days) and the swelling due to surgery and purple spots (if they occur) tend to regress faster as well. The important thing is always to follow the advice of your plastic surgeon, even if it is a minor procedure.

As with conventional liposuction, the patient should use a compression band for about 30 to 60 days (depending on the case), which reduces the swelling (edema) present in the postoperative period. Lymphatic drainage should be done as soon as the physician allows, which minimizes the occurrence of fibrosis and undulations. Aerobic physical activity / bodybuilding can be from 20 to 30 days, but depends on release from your plastic surgeon.

Avoid sunbathing for a minimum of one month, or until purple spots (ecchymoses) disappear. Hydrolipoaspiration stitches are usually removed between five and eight days after surgery. The result of the surgery is observed after two to six months of the procedure; depends on how quickly the swelling resorption occurs.

Possible Complications of the Hydrotrope

Complications in the hydrotrope are the same as those that can occur in liposuction and include: hematomas, seromas, ecchymoses, irregularities, bleeding, thrombosis, among others.

Before and after hydrolipo

Hydrolipo are usually made in smaller regions of the body, if compared to conventional liposuction. Most important is that the patient has well defined goals and check with the doctor if they can be achieved. Beware of unrealistic expectations. This article was written by plastic surgeon Marcelo Wulkan (CRM 108732 / RQE 28948), a doctor from the University of São Paulo and a member of the American and Brazilian Society of Plastic Surgery.


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