Liposuction or simply lipo, is a type of cosmetic surgery that removes fat from the human body in an attempt to change its shape. Evidence does not support an effect on weight beyond a couple of months and it does not appear to affect obesity related problems.
Areas operated on can include the abdomen, thighs, buttocks, and backs of the arms. The procedure may be performed under general, regional, or local anesthesia. It then involves using a cannulae and negative pressure to suck out fat. People operated on should generally have a normal weight and good skin elasticity.
Not everyone is a good candidate for liposuction. It is not a good alternative to dieting or exercising. To be a good candidate, one must usually be over 18 and in good general health, have an ongoing diet and exercise regimen, and have fatty pockets of tissue available in certain body areas. Significant disease limiting risk (e.g. diabetes, any infection, heart or circulation problems) weigh against the eligibility of a person for the procedure. In older people, the skin is usually less elastic, limiting the ability of the skin to readily tighten around the new shape. Liposuction of the abdominal fat should not be combined with simultaneous tummy tuck procedures due to higher risk of complications and mortality. Laws in Florida prevent practitioners combining liposuction of the upper abdomen and simultaneous abdominoplasty because of higher risks.
In all liposuction methods, there are certain things that should be done when having the procedure:

– The candidate and the surgeon will agree ahead of time on exactly which area(s) will be treated and both will discuss what outcome to expect
– A consent form is signed on the day of surgery
– An antibiotic will be given about an hour beforehand, or afterwards
– The targeted areas are marked on the body while the candidate is in a standing position
– Sometimes photos will be taken of the area to be treated, so the patient will have before and after photos
– In the operating room, a sterilizing solution, such as Betadine, is applied to the relevant areas
– Local anesthetic is injected and the patient may be given a sedative, either orally or through an IV injection
– Incisions are small, about a quarter to a third of an inch
– The patient will probably have an IV fluid line, since he or she will be losing fluid with the fat and the fluid balance must be kept intact
– There will be some monitoring devices attached to the body to keep track of the blood pressure, heart rate, and blood oxygen level
– The patient will feel only a scraping or rasping sensation from the cannula movement
– Usually the patient can get up, walk around, and go home the same day if he or she did not receive general anesthesia, although they would need someone else to drive them
The basic surgical challenge of any liposuction procedure is:
– To extract the right amount of fat
– To cause the least disturbance of neighboring tissue, such as blood vessels and connective tissue
– To leave the person’s fluid balance undisturbed
– To cause the least discomfort to the patient

– Immediately after surgery – small incision will be bandage; There are various garment sites depending on the area treated; There will be administered drugs and painkillers
– The first week – Patients can return to work and light work; bruises and swellings start easy to resolve
– 2 weeks – gentle massage and easy physical activities are allowed; They are avoidable trauma, strenuous activities or heavy lifting
– 4-6 weeks – beginning to show results; patients can return to normal activities
– 6 months – all edema disappeared; The final result becomes obvious, the skin continues to “tighten” up to 1 year

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