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Liposuction Procedure

Liposuction is a great way to remove the fat from the body. Generally anyone over 18 years of age can undergo the operation. They should be in general good health and not suffer from diabetes, heart ailments and blood pressure problems. Liposuction is generally the last resort for those who have tried many diet regimes and exercise schedules but can’t lose the last few pounds. Else some people are also advised by their doctors to lose the weight fast as it can be fatal for their lives.

Along with liposuction tucks such as chin tuck, arm tuck, tummy tuck can be done to tighten the loose muscles. There are various liposuction procedures that are followed by the surgeon. All procedures aim at removal of the maximum amount of fat from the desired body part. Toning and sculpting of the body area. Providing the least trauma to the surrounding tissues and muscles. The operations also ensure that the fluid balance is maintained in the body. The procedures also aim at causing the least disturbance to both the patient and the surgeon.

The dry liposuction procedure is rarely in use today. Depending on the volume of the fat and the clinical requirements, the local anesthetic used is lidocaine, which is the most widely used. Typically the dilution is 5-40 fold dilution of lidocaine. Typically 1 gram of lidocaine with 1 milligram of epinephrine in 1000 milliliters of saline would be administered as the tumescent solution, to the liposuction patient for this procedure.

The undiluted lidocaine and epinephrine can be absorbed in the blood within an hour. The dilution delays the absorption rate to 24 – 36 hours. During this process there is intense constriction of the capillaries. This helps the liposuction to be performed without any blood loss. The older techniques had no such procedures that were followed and the liposuction surgeries required almost autologous infusion of blood. This also helps the operation to be performed even after 10 hours of administering the solution. The solution also helps in providing a significant post operative analgesia even after 24-36 hours of the operation.

The fat is removed by cannula. The cannula is a stainless steel tube that is inserted into the subcutaneous fat through openings known as adits. If the diameter of the cannula is larger than 3mm, sutures may be required to close the skin openings. If the cannula tip is less than 3mm, then these incisions are so small that there is no visible scar after the operation is over. The surgeon doesn’t require sutures to close these openings.

A specialized cannula is inserted in the body, where the liposuction is do be done. This cannula delivers ultrasonic vibrations to the fat cells the vibration causes the fat cells to burst open and emulsifies the fat. This liquefied fat is then sucked away by the surgeon through the cannula.

The procedure takes roughly the same time as tumescent liposuction. It’s a good choice for areas such as male breast area and upper backs. It has been seen that this procedure has a slightly more risk of seroma formation. A more advanced procedure that is becoming more widely used is smarlipo.