Laser Liposuction: Understand the Poses and Cons of This Procedure
Laser liposuction is a plastic surgery in which before the fat is aspirated, it is broken with a laser. The procedure is very similar to ordinary liposuction, but it is believed that the laser can facilitate the removal of fat.
How laser liposuction is done
The laser reaches the fat deposits through a cannula with a acclipped optical fiber. To introduce it, a tumescent infiltration is first made, which consists of the application of a fluid containing saline and adrenaline, to help reduce bleeding and improve fat withdrawal. Then the cannula is applied through incisions equal to that of ordinary liposuction, under the dermis (the second layer of the skin). The laser, usually CO2 or diode, acts through the optical fiber, breaking the fat cells' membrane, causing them to "dissolve." The procedure is to be performed in the hospital setting and the patient undergoes anesthesia, most of the time it is local with sedation, but also may be epidural or general. The choice of anesthesia is made in agreement with the doctor and patient. In cases of high level liposuction (near the breasts) or in which it is done in many parts of the body, general anesthesia is considered by many as the safest.
Who is the professional able to perform laser liposuction?
Liposuction is most likely to be performed with a professional, plastic surgeon trained to do this procedure.
Indications for Laser Liposuction
Like regular liposuction, laser liposuction is best suited for people who wish to remove fat deposits that they can not eliminate through physical activity or balanced eating. Patients with stretch marks, excess skin flaccid and with little elasticity are not good candidates for surgery. The ideal is that the patient is within healthy weight, to avoid complications during the operation and also, since liposuction does not aim to cause weight loss, but only to improve body contour.
Parts of the body that can undergo liposuction
Liposuction can be done on any part of the body where there is localized fat. Abdomen, dorsal region, thighs, lateral breasts, arms, limb (papilla) are regions commonly submitted to this surgery.
Time of surgery
The duration of liposuction depends greatly on the extent and area to be aspirated. Therefore, the procedure may only be focal or extend to various areas of the body, and may last approximately 1 to 4 hours.
Preoperative laser liposuction
As with other surgeries, preoperative tests that are required to assess the patient's health status and also to diagnose and monitor clinical conditions that would prevent surgery. In general, the required preoperative tests are: surgical risk (electrocardiogram), blood count, blood coagulation tests, blood glucose, TGO and TGP dosage, cholesterol, triglycerides, urea and creatinine, urine and chest X-ray ... The surgeon may also order ultrasound of the region to be operated and Doppler (examination that allows the visualization of the blood vessels) of the legs to check for thrombi in the bloodstream.
Persons which have many diseases - such as hypertension, diabetes and obesity - have increased surgical risk. Therefore, you should talk to your doctor about the actual need for cosmetic surgery. Patients with obesity or 30% overweight may not benefit from surgery. People with stretch marks and skin hanging at the place where they wish to undergo surgery should be examined to consider the possibility of surgery, as removal of fat in such cases may worsen the appearance of the area. It is possible to remove fat safely up to 7% of the corresponding body weight of the patient.
Length of hospitalization
A large liposuction requires a minimum of 24 hours of hospitalization, but if the surgery is minor it is possible to leave until the same day.
Recovery after laser liposuction
The recovery of this surgery is relatively quick, since there are few or no surgical stitches. It is recommended that the patient remain at rest for the first few days (about 3 to 5 days). To perform most daily activities, the patient will be trained within approximately 15 days, according, of course, to their recovery. Analgesic medication, which must be prescribed by the doctor, and antibiotics to prevent infections may be needed. It is common pain of varying intensity at the surgical site as well as the occurrence of purple, red or yellow patches that tend to disappear over approximately 2 weeks.
Usually the use of a modeler is indicated postoperatively for a period of at least 45 days. Exercises are only allowed after a 1 month, however, with a week already one can make light walks. Sunbathing should not be taken while the edema (swelling) and ecchymosis (purplish spots) remain, which may cause spots on the skin if they have a direct effect on the sun's rays. It is very important to avoid any kind of trauma, because this would impair healing and, of course, the results of the surgery.
Food is not restricted, although it is always advisable to follow a low salt, balanced and balanced diet in favor of health and weight maintenance. Do not drink alcohol during recovery because it facilitates fluid retention in the body.
Following the medical recommendations in the postoperative provides a better chance of a good result, since the treatment does not end with the end of the surgical act .
Possible Complications / Risks of Laser Liposuction
In liposuction surgery there are complications common to any surgery, such as bleeding, infection, venous thrombosis, pulmonary thromboembolism and death. The specific risks are: depression of the region, changes in the skin - such as sagging and roughness -, discoloration and even skin necrosis, and, of course, dissatisfaction with the results. There may also be poor healing of incisions, irregularities and depressions in too much aspirated areas and contour asymmetry for the same reason. In addition, a burn may occur on the skin when the laser energy is focused on it.
Before and after laser liposuction
Until the first month the patient will be very swollen, so the weight will remain the same. But over time the edema decreases. The time taken to see the end result is approximately 3-5 months (everything depends on the post operative care and individual patient's biological characteristics). Hardly the place where the liposuction was done will once again have a fat deposit. This is because the number of fat cells only increases until adolescence. In adulthood they just have their size expanded. However, it is wrong to think that the liposuction area will have fewer fat cells, so it will not gain weight as it did before; in fact, the remaining fat cells can greatly increase their volume, so that the result can be impaired if the patient does not follow a routine with healthy living habits.
Compare liposuction with traditional liposuction
Laser and traditional liposuction are very similar. The difference, according to experts, lies in the first procedure of using the laser to break down the fatty cell membrane, which further facilitates the process and can reduce the patient's recovery time. However, this method adds the risk of burn, so your choice should be weighed against a plastic surgeon.
Alie laser liposuction with ...
Liposuction, whether common or laser, only removes the existing fat cells, but does not prevent the others from swelling again and the result is lost. It is therefore very important to have a balanced and salt-free diet at the time of surgery. In addition, with the loss of fat deposits, the body understands that it needs to replenish this energy supply, so the patient tends to feel more hungry. Physical activities
Exercising regularly is very important for maintaining the results of the surgery. In addition to the exercise itself being a caloric burn and preventing weight gain, an increase in lean mass spends more calories in the body, helping the patient not to accumulate more fat. Lymphatic drainage After a surgical intervention, the body has a greater difficulty in draining liquids, which causes a greater retention, and lymphatic drainage helps in this aspect, also helping to reduce swelling in the liposuction region. In addition, the procedure stimulates blood circulation (which activates the healing process) and prevents possible rippling in the region and the appearance of fibrosis.
Check before consultation
The doctor you will see must be registered in the Federal Council of Medicine (CFM), it is possible to do this check in the site of the institution
- The professional must be a member of the Brazilian Society of Plastic Surgery. Other institutions do not evaluate the training and experience of the professional of this area The surgery must be done in a hospital that has credit for performing medium-sized surgeries. It is prudent to have an intensive care unit at the hospital
- Talk to someone who has had surgery with the same doctor and find out about the procedure and the results.
Reviewed by Plastic Surgeon Marcelo Wulkan (CRM) : 108732), member of the Brazilian Society of Plastic Surgery, International Confederation for Plastic, Reconstructive and Reconstructive Surgery, International Society of Aesthetic Plastic Surgery and American Society of Plastic Surgeons
Plastic Surgeon André Eyler (CRM: 667862) Plastic surgeon Fernando de Almeida Prado (CRM: 70,729), director of the Brazilian Society of Plastic Surgery - regional of São Paulo
Plastic Surgeon Erick Leonardo Oliveira (CRM: 11 6682), member of the Brazilian Society of Plastic Surgery
Dermatologist Valéria Campos (CRM 73.176), specialist of the Brazilian Society of Dermatology
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