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Localized Fat


Liposuction

Liposuction consists of the removal of fat through a cannula. This Liposuction procedure can be performed on several body parts, such as the arms, buttocks, abdomen, thighs and flanks. There are several types of Liposuction procedures available, such as Hidroliposuction, Ultrasonic Liposuction and Laser Liposuction.

Dr. Hazan explains that considering the various types of liposuction procedures, the conventional one is still less likely to cause complications. However, he notes that, depending on the amount of fluid injected during the Liposuction procedure, it can already be called a Hidroliposuction, even being performed under the conventional liposuction technique.

A solution of anesthesia and adrenaline will be injected during the Liposuction procedure, in order to reduce bleeding and trauma in the area to be treated. This amount will vary, depending on the Liposuction technique used.

Independent of Hidroliposuction, Lipolight or conventional Liposuction, it is extremely important that these Liposuction procedures are performed in a hospital, under general anesthesia or any sort of sedation, monitored by an anesthetist.

The importance of having a Liposuction procedure performed in a hospital is that, in case of any surgical complications, there is equipment available to solve the problem, without damaging the patient's health.

Through an evaluation of fat density and skin laxity, the surgeon will decide which liposuction procedure is best recommended. In case of skin with depressions and low level of retraction, the most appropriate procedure would be a conventional surgery, stretching and removing the excess of skin. If the patient presents a good fat density and a good retraction, a liposuction procedure would be more appropriate. It is important to remember that the surgeon is the only one capable to evaluate the most appropriate procedure for each case.

Liposculpture

Liposculpture is another marketing name given to Liposuction, referring specifically to the improvement of the body contour by the removal of fat. The Liposculpture procedure might be performed together with a fat graft, which might be taken from the patient's own body.

Fat grafting or fat injections might be used as an alternative to fill skin depressions, improving and helping to treat the body contour.

Fat is usually taken from areas such as the abdomen, waist, dorsum (backs) and thighs. This fat can be used as fat grafts in areas such as buttocks, inner thighs or even to fill facial depressions.

First, a Liposuction will be performed, in order to remove fat from the body. After that, fat will be purified and reinjected at the body through grafts. The procedure takes on average from 1 to 4 hours, depending on the area to be treated.

For safety reasons, a maximum of 5.5% of body weight can be removed. It is also important to remember that, when the fat is removed, even being purified and cleaned, there will be a loss of plasma and blood. If the loss is significant, it might lead to serious anemia. Unless it is an emergency, a blood transfusion is not a good solution. An alternative might be the removal of blood before the surgery. This way, if necessary, the patient can receive their own blood during surgery. This measure might optimize fat removal and offer an extra comfort postoperatively.

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